J Korean Neuropsychiatr Assoc.
2002 May;41(3):508-525.
A Normative Study of the Mini-Mental State Examination in the Korean Elderly
- Affiliations
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- 1Department of Neuropsychiatry, Kyunggi Provincial Hospital for the Elderly, Yongin, Korea.
- 2Department of Neuropsychiatry, Kangwon National University College of Medicine, Chunchon, Korea.
- 3Department of Neuropsychiatry, Anyang Metro Hospital, Anyang, Korea.
- 4Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea.
- 5Department of Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
- 6Department of Psychiatry, Asan Medical Center, Seoul, Korea.
- 7Department of Psychiatry, Soon Chun Hyang University Hospital, Seoul, Korea.
Abstract
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This study aimed to determine the variables significantly related to the MMSE in the Korean version of the CERAD assessment battery(MMSE-KC) and present the normative information of the test in the Korean elderly. The MMSE-KC was administered in a standardized manner to 618 healthy volunteers aged 60 to 90 who were recruited from 4 dementia clinics, 2 elderly welfare centers and 1 community population. The elderly with serious neurological, medical and psychiatric disorders including dementia and major depression were excluded through clinical evaluation using CERAD-K clinical assessment protocol. Univariate and multivariate analyses were performed to determine the variables significantly related to the MMSE-KC score. Age, educational level, and sex were found to have statistically significant effect on the test score. Based on this result, overlapping age normative table(60 to 74, 65 to 79, 70 to 84, and 75 to 90 years of age) with 3 educational strata(0 to 3 years, 4 to 6 years, and 7 years and more) separately for both male and female were developed. For resulting 24 normative units, 5 percentile, lower quartile, median, upper quartile, mean and standard deviation were calculated. The normative data from this study can be widely used as reference values to objectively interpret the MMSE-KC scores of the Korean elderly.