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Published Online: 1 August 2002

Errors Produced on the Mini-Mental State Examination and Neuropsychological Test Performance in Alzheimer's Disease, Ischemic Vascular Dementia, and Parkinson's Disease

Angela L. Jefferson, M.S., Stephanie A. Cosentino, M.S., Susan K. Ball, M.D., Bruce Bogdanoff, M.D., Norman Leopold, D.O., Edith Kaplan, Ph.D., and David J. Libon, Ph.D.Authors Info & Affiliations
Publication: The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 14, Number 3
https://doi.org/10.1176/jnp.14.3.311
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Abstract

The authors investigated whether MMSE indices designed to measure temporal and physical orientation, declarative memory, language, working memory, and motor/constructional function could differentiate patients with different dementia diagnoses: Alzheimer's disease (AD), ischemic vascular dementia (IVD), or Parkinson's disease (PD). MMSE summary scores did not differ (AD, 21.4; IVD, 21.1; PD, 22.3). The AD group scored lower than IVD or PD on temporal orientation and declarative memory, IVD lower than AD on motor/ constructional and working memory. The IVD and PD groups made more errors in writing a sentence and copying intersecting pentagons. Significant correlations were found between the orientation indices and neuropsychological tests of naming and memory, and between the working memory and motor/constructional indices and tests of executive control. Such analyses of MMSE performance could assist in formulating referral questions for cognitive assessment and in tracking the course of dementing illnesses.

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Go to The Journal of Neuropsychiatry and Clinical Neurosciences
Go to The Journal of Neuropsychiatry and Clinical Neurosciences
The Journal of Neuropsychiatry and Clinical Neurosciences
Volume 14 • Number 3 • August 2002
Pages: 311 - 320
PubMed: 12154156

History

Published online: 1 August 2002
Published in print: August 2002

Authors

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Angela L. Jefferson, M.S.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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Stephanie A. Cosentino, M.S.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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Susan K. Ball, M.D.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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Bruce Bogdanoff, M.D.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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Norman Leopold, D.O.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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Edith Kaplan, Ph.D.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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David J. Libon, Ph.D.
Received November 27, 2000; revised March 15, 2001; accepted April 26, 2001. From the Neuropsychology Program, Drexel University, Philadelphia, Pennsylvania (s.a.c., a.l.j., d.j.l.); Neuropsychology Service (s.a.c., a.l.j., d.j.l.) and Departments of Psychiatry (s.k.b.) and Neurology (b.b., n.l.), Crozer Chester Medical Center, Upland, Pennsylvania; Department of Psychology, Suffolk University, and Departments of Neurology and Psychiatry, Boston University Medical Center, Boston, Massachusetts (e.k.); and Department of Psychiatry, MCP/ Hahnemann University, Philadelphia, Pennsylvania (d.j.l.). Address correspondence to Dr. Libon, Neuropsychology Service, Alexander Silberman Center, Crozer Chester Medical Center, Upland, PA 19013.
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