![]() ![]() The MMSE has been broadly applied to assess cognitive function, but it is insufficient and highly influenced by education. Ĭognitive function can be measured using several instruments, such as the Clinical Dementia Rating Scale, the Global Deterioration Scale, and the Mini-Mental State Examination (MMSE). Detecting moderate cognitive dysfunction early could decrease the risk factors associated with vascular events, resulting in the prevention of dementia. The prevalence of dementia increases rapidly with age and leads to a burden on public health. The population is rapidly aging worldwide. Our study determined a higher predictive ability in the MoCA than in the MMSE for diagnosing dementia according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria in a community-based sample with a broader range of education level. ![]() In general, the MoCA yielded higher AUCs (0.891) with favorable sensitivity (78 %) and excellent specificity (94 %) compared with the MMSE in differentiating the participants with and without dementia in either the total sample or all subgroups. The 276 participants had a mean age of 67.9 ± 6.1 years and mean education duration of 11.4 ± 4.0 years. The receiver operating characteristic curve method and area under curve were performed to assess the predictive ability for diagnosing dementia. All of the participants were administered face-to-face interview questionnaires and MoCA and MMSE examinations. MethodsĪ total of 276 people aged 60 years or older were enrolled. Even something as simple and easily treatable as a urinary tract infection can cause alarming cognitive changes.We compared the predictive ability of the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) to diagnose dementia in a community-based study. There are many TREATABLE health conditions that could cause these types of symptoms, which is why it’s so important to see a doctor and find out the true cause of the issue. What the score means is that someone needs to be evaluated for any potential cognitive issues. This is a screening test only and MUST be interpreted by a doctor. No, it absolutely does not mean that someone has Alzheimer’s or dementia. For more information, see How We Make Money. This article wasn’t sponsored and doesn’t contain affiliate links. Sources: MoCA, Wikipedia, Today’s Geriatric Medicine Testing for Dementia: Why the Mini Mental Status Exam Isn’t Enough for Diagnosis.The Mini Mental Status Exam: A Dementia Screening Tool.SAGE Test: 15 Minute At-Home Test for Alzheimer’s.Next Step Find out how the Mini Mental Status Exam (MMSE) works After the initial screening, more testing would be needed. They also can’t be used to distinguish between conditions.įor example, you couldn’t use either test to diagnose someone with Alzheimer’s disease versus frontotemporal dementia. They’re both initial screening tests that are used to determine whether further cognitive testing is needed. Traumatic brain injury (often from falls)Įven though these are good screening tools for cognitive impairments, neither test was designed to diagnose cognitive conditions.The MoCA has also been shown to be a better screening tool for conditions like: ![]() So, if a doctor sees a patient who is questioning their mental functioning, they might give the MoCA test.īut if a patient comes in and is clearly cognitively impaired, a very sensitive test wouldn’t be as necessary since the issues are more obvious. The MoCA is generally better at detecting mild impairment and early Alzheimer’s disease because it’s a more sensitive test and is more challenging. The MoCA looks similar to the MMSE, but the MoCA tests a variety of different cognitive functions and the MMSE focuses mostly on memory and recall.
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