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MMSE

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16 views2 pages

MMSE

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snehaars02
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Appendix 4

Mini- Mental Status Examination (MMSE)

Instructions: Score one point for each correct response within each question or activity.
Parameter Item Score
Orientation What is the year 1
(10) What is the season 1
What is the date 1
What is the day 1
What is the month 1
What state are we in 1
What country are we in 1
What town/city are we in 1
What building are we in 1
Which floor are we on 1
Registration Name 3 unrelated objects clearly and slowly, then ask the 3
(3) patient to name all three of them (1 point for each correct item
named). Repeat them until patient learns all of them, if possible
Attention and Serial 100-7 (1 point for each correct 5 answer). Alternative: 5
concentration “Spell WORLD backwards.” (D-L-R-O-W)
(5)
Recall (3) Ask names of three objects told above. (1 point for each item) 3
Language (9) Ask to identify a pen and a watch 2
Repeat the sentence – no ifs and buts 1
Ask to follow a three step command Take 3 the paper in your 3
right hand, fold it in half, and put it on the floor.”
Read and obey “Close your Eyes” 1
Write a meaningful sentence 1
Please copy this picture. (All 10 angles must be present and two 1
pentagons must intersect.)
 
 
 
 
 
 

Total (30) 30

Ref: Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state: A practical method for
grading the cognitive state of patients for the clinician.” Journal of Psychiatric Research, 12, 189-198.

Psychiatric  history  taking   89  


 
Interpretation of the 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
Severity 24-30 No cognitive impairment
18-23 Mild cognitive impairment
0-17 Severe cognitive impairment

Interpretation of MMSE Scores:


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

90   Psychiatric  history  taking  


 

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