Journal article
A Comparison of the Mini Mental State Exam to the Montreal Cognitive Assessment in Identifying Cognitive Deficits in Parkinson's Disease
Movement disorders, Vol.23(2), pp.297-299
2008
DOI: 10.1002/mds.21837
PMID: 18044697
Abstract
Dementia is an important and increasingly recognized problem in Parkinson's disease (PD). The mini-mental state examination (MMSE) often fails to detect early cognitive decline. The Montreal cognitive assessment (MoCA) is a brief tool developed to detect mild cognitive impairment that assesses a broader range of domains frequently affected in PD. The scores on the MMSE and the MoCA were compared in 88 patients with PD. A pronounced ceiling effect was observed with the MMSE but not with the MoCA. The range and standard deviation of scores was larger with the MoCA(7-30, 4.26) than with the MMSE(16-30, 2.55). The percentage of subjects scoring below a cutoff of 26/30 (used by others to detect mild cognitive impairment) was higher on the MoCA (32%) than on the MMSE (11%) (P < 0.000002). Compared to the MMSE, the MoCA may be a more sensitive tool to identify early cognitive impairment in PD.
Details
- Title: Subtitle
- A Comparison of the Mini Mental State Exam to the Montreal Cognitive Assessment in Identifying Cognitive Deficits in Parkinson's Disease
- Creators
- Cindy ZADIKOFF - Department of Neurology, Northwestern University, Parkinson's Disease and Movement Disorders Center, Chicago, Illinois, United StatesSusan H FOX - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaDavid F TANG-WAI - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaTeri THOMSEN - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaRob M. A DE BIE - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaPettarusup WADIA - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaJanis MIYASAKI - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaSarah DUFF-CANNING - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaAnthony E LANG - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, CanadaConnie MARRAS - Division of Neurology, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada
- Resource Type
- Journal article
- Publication Details
- Movement disorders, Vol.23(2), pp.297-299
- Publisher
- Wiley; Hoboken, NJ
- DOI
- 10.1002/mds.21837
- PMID
- 18044697
- ISSN
- 0885-3185
- eISSN
- 1531-8257
- Language
- English
- Date published
- 2008
- Academic Unit
- Neurology
- Record Identifier
- 9984020989502771
Metrics
41 Record Views