A study of bedside screening procedures for cognitive deficits in chronic psychiatric inpatients

Jose De Leon, Orren Pearlman, Robert Doonan, George M. Simpson

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

The Mini-Mental State Examination (MMSE) and the Trail Making Test, part B (TMT-B) were compared for screening cognitive deficits in a sample of 104 psychiatric inpatients at a long-term hospital. The TMT-B classified 84% of the patients as impaired. The classic MMSE cutoff score (≤23) using serial sevens and spelling classified 42% and 24% of the patients respectively, as impaired. The new MMSE cutoff classified 71% as impaired. Education, gender, and medication may influence impairment when using the MMSE classic cutoff scores. In TMT-B only, impairment was influenced by chronicity. The TMT-B was able to distinguish patients impaired in the MMSE. The TMT-B, therefore, may be more useful than the MMSE to screen for cognitive deficits in chronic psychiatric inpatients.

Original languageEnglish
Pages (from-to)328-335
Number of pages8
JournalComprehensive Psychiatry
Volume37
Issue number5
DOIs
StatePublished - 1996

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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