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Factor Analysis and Preliminary Validation of the Mini-Mental State Examination from a Longitudinal Perspective

Published online by Cambridge University Press:  07 January 2005

Jared Tinklenberg
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
John O. Brooks
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Elizabeth Decker Tanke
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Kausar Khalid
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Sarah L. Poulsen
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Helena Chmura Kraemer
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Dolores Gallagher
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Joe E. Thornton
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine
Jerome A. Yesavage
Affiliation:
Veterans Administration Medical Center, Palo Alto, California Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine

Abstract

The Mini-Mental State Examination (MMSE) is a commonly used instrument for assessing mental impairment. Previous proposals for its underlying structure have focused on scores obtained from a single administration of the test. Because the MMSE is widely used in longitudinal studies, we examined the pattern of relations among the rates of chance of the items. Data were obtained from 63 subjects for 1.5 years or more. The relations among the rates of change of the MMSE items were described by a five-factor solution that accounted for 75% of the variance and comprised factors pertaining to orientation and concentration, obeying commands, learning and repetition, language, and recall. This was in contrast to the structure of the scores obtained from a single administration of the MMSE, which was best described by a two-factor solution. In order to provide a clinical validation, factor scores derived from the MMSE factors were used to predict scores on the Memory and Behavior Problems Checklist and the Brief Cognitive Rating Scale.

Type
Research and Reviews
Copyright
© 1990 Springer Publishing Company

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