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Predicting Everyday Functional Abilities of Dementia Patients With the Mini-Mental State Examination

California State University, Northridge, California, jill.razani{at}csun.edu

Jennifer T. Wong, MA

University of Detroit Mercy, Detroit, Michigan

Natalia Dafaeeboini

California State University, Northridge, California

Terri Edwards-Lee, MD

Harbor-UCLA Medical Center Department of Neurology, David Geffen School of Medicine at UCLA Department of Neurology, Los Angeles Biomedical Research Institute at Harbor UCLA Medical Center

Po Lu, PsyD

University of California, Los Angeles, California

Cathy Alessi, MD

VA Greater Los Angeles Healthcare System and Department of Medicine, University of California, Los Angeles, California

Karen Josephson, MPH

VA Greater Los Angeles Healthcare System and Department of Medicine, University of California, Los Angeles, California

The Mini-Mental State Examination is a widely used cognitive screening measure. The purpose of the present study was to assess how 5 specific clusters of Mini-Mental State Examination items (ie, subscores) correlate with and predict specific areas of daily functioning in dementia patients, 61 patients with varied forms of dementia were administered the Mini-Mental State Examination and an observation-based daily functional test (the Direct Assessment of Functional Status). The results revealed that the orientation and attention subscores of the Mini-Mental State Examination correlated most significantly with most functional domains. The Mini-Mental State Examination language items correlated with all but the shopping and time orientation tasks, while the Mini-Mental State Examination recall items correlated with the Direct Assessment of Functional Status time orientation and shopping tasks. Stepwise regression analyses found that among the Mini-Mental State Examination subscores, orientation was the single, best independent predictor of daily functioning.

Key Words: activities of daily living • functional ability • dementia • Mini-Mental State Examination • Direct Assessment of Functional Status

This version was published on March 1, 2009

Journal of Geriatric Psychiatry and Neurology, Vol. 22, No. 1, 62-70 (2009)
DOI: 10.1177/0891988708328217


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