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Cognitive mental status examinations.

F A Schmitt1, J D Ranseen, S T DeKosky

  • 1University of Kentucky School of Medicine, Veterans Administration Medical Center, Lexington.

Clinics in Geriatric Medicine
|August 1, 1989
PubMed
Summary
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This review examines brief mental status examinations for geriatric patients, discussing their strengths and weaknesses. It assesses validity and correlation with psychological tests for neurological and Alzheimer

Area of Science:

  • Geriatric Medicine
  • Neuropsychology
  • Psychometrics

Background:

  • Brief mental status examinations are crucial for assessing cognitive function in geriatric patients.
  • Existing measures vary in their psychometric properties and clinical utility.
  • Standardized assessment is essential for accurate diagnosis and management in elderly populations.

Purpose of the Study:

  • To review and critically evaluate commonly used brief mental status examinations for geriatric assessment.
  • To discuss the strengths and limitations of these instruments based on established test construction principles.
  • To examine the validity and correlational data of these examinations with established psychological tests.

Main Methods:

  • Systematic literature review of brief mental status examinations.

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  • Analysis of studies focusing on validity, reliability, and correlation with psychological measures.
  • Inclusion of data pertaining to general neurological patients and those with Alzheimer's disease.

    • Main Results:

    • Identified strengths and weaknesses of various brief mental status examinations.
    • Evaluated the psychometric properties, including validity and correlation, of selected assessment tools.
    • Presented comparative data for different patient groups, including geriatric, neurologic, and Alzheimer's disease populations.

    Conclusions:

    • The selection of an appropriate brief mental status examination depends on specific clinical needs and patient populations.
    • Further research is needed to refine existing measures and develop new, more robust cognitive assessment tools for the elderly.
    • Validated mental status examinations are vital for accurate differential diagnosis in geriatric and neurological care.