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. 2000 Jul-Aug;11(4):193-6.
doi: 10.1159/000017236.

The validity of the MMSE and SMQ as screening tests for dementia in the elderly general population-- a study of one rural community in Japan

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The validity of the MMSE and SMQ as screening tests for dementia in the elderly general population-- a study of one rural community in Japan

N Maki et al. Dement Geriatr Cogn Disord. 2000 Jul-Aug.

Abstract

Objective: To compare the validity of the Mini Mental State Examination (MMSE) and the Short-Memory Questionnaire (SMQ) as screening tests to detect dementia in the elderly general population.

Subjects: Six hundred and sixty-two subjects and their informants from the elderly general population sample who had completed these tests.

Setting: One rural community survey in Japan.

Method: We used receiver-operating characteristic analysis to compare the performance of the MMSE and the SMQ with the clinical diagnosis of dementia according to DSM-III-R.

Results: The areas under the receiver-operating characteristic curve of the MMSE and the SMQ were 0.980 (SE = 0.006) and 0.982 (SE = 0.008), respectively. This differed from chance to a highly significant degree for both the MMSE and the SMQ, but the difference between the two scales was not statistically significant.

Conclusion: As screening tests to detect dementia in the elderly general population, the SMQ which is assessed by informants demonstrates a statistically significant discriminating ability as well as the MMSE.

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