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Psychiatric Assessment Scales for Dementia

Mini-Mental State Examination (MMSE)


Date:

Patient's Name:

Instructions: Score onepoint for each correct response within each question or activity.

Maximum Score Patient Score Questions
5 "What is the year? Season? Date? Day? Month?"
5 "Where are we now? state, city, street and house address, and the room?"
3 The examiner names three unrelated objects clearly and slowly, then the instructor asks the patient to repeat all three.
Score one point for each correct response.
The examiner repeats them until patient learns all of them, if possible.
5 "I would like you to count backward from 100 by sevens." (93,86,79,72,65,...)
Alternative: "Spell WORLD backwards." (D-L-R-O-W)
(Score one point for each correct response.)
3 "Earlier I told you the names of three things. Can you tell me what those were?"
(Score one point for each correct response.)
2 Show the patient two simple objects, such as a wristwatch and a pencil, and ask the patient to name them.
(Score one point for each correct response.)
1 "Repeat the phrase: 'No ifs, ands, or buts.'"
3 "Take the paper in your right hand, fold it in half, and put it on the floor."
(The examiner gives the patient a piece of blank paper.)
(Score one point for each correct response to this three part command.)
1 "Please read this and do what it says."
(Written instruction is "Close your eyes.")
1 "Make up and write a sentence about anything."
(This sentence must contain a noun and a verb.)
1 MSSE draw"Please copy this picture."
(The examiner gives the patient a blank piece of paper and asks him/her to draw the symbol below. All 10 angles must be present and two must intersect.)
30 TOTAL

Interpretation ofthe MMSE ##

Method Score Interpretation
Single Cutoff <24 Abnormal
Range <21 Increased odds of dementia
>25 Decreased odds of dementia
Education 21 Abnormal for 8th grade education
<23 Abnormal for high school education
<24 Abnormal for college education
24-30 No cognitive impairment Severity
18-23 Mildcognitive impairment
0-17 Severe cognitive impairment

Interpretation of MMSE Scores:

Score Degree of Impairment Formal Psychometric Assessment Day-to-Day Functioning
25-30 Questionably significant If clinical signs of cognitive impairment are present,
formal assessment of cognition may be valuable.
May have clinically significant but mild deficits.
Likely to affect only most demanding activities of daily living.
20-25 Mild Formal assessment may be helpful
to better determine pattern and extent of deficits.
Significant effect. May require some supervision, support and assistance.
10-20 Moderate Formal assessment may be helpful
if there are specific clinical Indications.
Clear impairment.
May require 24-hour supervision.
0-10 Severe Patient not likely to be testable. Marked impairment.
Likelyto require 24-hour supervision and assistance withADL.

Source:

  • FolsteinMF, FolsteinSE, McHugh PR:"Mini-mental state: A practical method for grading the cognitive state of patients for the clinician." J PsychiatrRes 1975;12:189-198.