Validation study of the mini-mental state examination in a Malay-speaking elderly population in Malaysia

Norlinah Mohamed Ibrahim, Shamarina Shohaimi, Heng Thay Chong, Abdul Hamid Abdul Rahman, Rosdinom Razali, Ebernezer Esther, Hamidon B. Basri

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

Background/Aims: In view of the differing sensitivity and specificity of the Mini-Mental State Examination (MMSE) in the non-English-speaking populations, we conducted the first validation study of the Malay version (M-MMSE) in Malaysia among 300 subjects (from the community and outpatient clinics). Methods: Three versions were used: M-MMSE-7 (serial 7), M-MMSE-3 (serial 3) and M-MMSE-S (spell 'dunia' backwards). Dementia was assessed using the criteria of the Diagnostic and Statistical Manual of Mental Disorders IV. The optimal cutoff scores were obtained from the receiver operating characteristics curves. Results: Seventy-three patients (24.3%) had dementia and 227 (75.7%) were controls. Three hundred patients completed the M-MMSE-7, 160 the M-MMSE-3 and 145 the M-MMSE-S. All 3 versions were valid and reliable in the diagnosis of dementia. The optimal cutoff scores varied with each version and gender. In the control group, significant gender differences were observed in the patients with the lowest educational status. Increasing educational levels significantly improved the M-MMSE performance in both genders. Conclusion: All 3 versions of the M-MMSE are valid and reliable as a screening tool for dementia in the Malaysian population, but at different cutoff scores. In those with the lowest educational background, gender-adjusted cutoff scores should be applied.

Original languageEnglish
Pages (from-to)247-253
Number of pages7
JournalDementia and Geriatric Cognitive Disorders
Volume27
Issue number3
DOIs
Publication statusPublished - Mar 2009

Fingerprint

Validation Studies
Malaysia
Dementia
Population
Educational Status
Ambulatory Care Facilities
ROC Curve
Diagnostic and Statistical Manual of Mental Disorders
Sensitivity and Specificity
Control Groups

Keywords

  • Cutoff scores
  • Dementia
  • Malay
  • Malaysia
  • Mini-Mental State Examination

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Geriatrics and Gerontology
  • Cognitive Neuroscience

Cite this

Validation study of the mini-mental state examination in a Malay-speaking elderly population in Malaysia. / Mohamed Ibrahim, Norlinah; Shohaimi, Shamarina; Chong, Heng Thay; Abdul Rahman, Abdul Hamid; Razali, Rosdinom; Esther, Ebernezer; Basri, Hamidon B.

In: Dementia and Geriatric Cognitive Disorders, Vol. 27, No. 3, 03.2009, p. 247-253.

Research output: Contribution to journalArticle

Mohamed Ibrahim, Norlinah ; Shohaimi, Shamarina ; Chong, Heng Thay ; Abdul Rahman, Abdul Hamid ; Razali, Rosdinom ; Esther, Ebernezer ; Basri, Hamidon B. / Validation study of the mini-mental state examination in a Malay-speaking elderly population in Malaysia. In: Dementia and Geriatric Cognitive Disorders. 2009 ; Vol. 27, No. 3. pp. 247-253.
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