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Different MMSE domains are associated to cognitive decline and education

2022Artigo científico Acesso restrito
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dc.contributor.authorCardoso, Sandra
dc.contributor.authorBarros, Ricardo
dc.contributor.authorMarôco, João
dc.contributor.authorDe Mendonça, Alexandre
dc.contributor.authorGuerreiro, Manuela
dc.date.accessioned2022-03-03T16:57:09Z
dc.date.available2022-03-03T16:57:09Z
dc.date.issued2022
dc.description© 2022 Taylor & Francis Group, LLC.pt_PT
dc.description.abstractThe Mini-Mental State Examination (MMSE) is a long-established test to screen for dementia, estimate the severity and monitor the progression of cognitive impairment. The MMSE total score is dependent upon demographic factors, particularly education, but little is known about how education influences the 6 distinct MMSE cognitive domains. The present study aims to understand how the performances in the MMSE cognitive domains reflect clinical diagnosis and educational level. The study recruited 1043 participants, comprising 388 healthy controls, 360 patients with Mild Cognitive Impairment (MCI) and 295 patients with dementia. The association of the MMSE cognitive domains scores with clinical diagnosis (healthy, MCI, dementia) and educational level (primary education, middle school, high school and university/college) was analyzed with a multivariate ordinal regression model. The scores in all MMSE domains were generally higher in healthy controls as compared to patients with MCI, and higher in these as compared to patients with dementia. The MMSE domain Constructional ability was associated to the education level, the domains Orientation, Recall and Language were associated to diagnosis, Attention and calculation was associated to both education level and diagnosis, and Registration was not associated to either education or diagnosis. In conclusion, impairment in specific MMSE domains pinpoints cognitive decline, probably indicating brain areas affected by neurodegeneration, and impairment in others reflects lower education levels and the lack of acquisition of relevant schooling abilities.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationAppl Neuropsychol Adult . 2022 Mar 2;1-7pt_PT
dc.identifier.doi10.1080/23279095.2022.2041018pt_PT
dc.identifier.eissn2327-9109
dc.identifier.issn2327-9095
dc.identifier.urihttp://hdl.handle.net/10451/51594
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherTaylor & Francispt_PT
dc.relation.publisherversionhttps://www.tandfonline.com/journals/hapn21pt_PT
dc.subjectMMSEpt_PT
dc.subjectMild Cognitive Impairmentpt_PT
dc.subjectMini-Mental State Examinationpt_PT
dc.subjectCognitive declinept_PT
dc.subjectDementiapt_PT
dc.subjectDomainspt_PT
dc.subjectEducationpt_PT
dc.titleDifferent MMSE domains are associated to cognitive decline and educationpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage7pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleApplied Neuropsychology: Adultpt_PT
person.familyNameMarôco Domingos
person.familyNamede Mendonça
person.familyNameGuerreiro
person.givenNameJoão Paulo
person.givenNameAlexandre
person.givenNameManuela
person.identifierKNPseK8AAAAJ
person.identifier.ciencia-idD81B-BE2D-9B43
person.identifier.ciencia-id1615-41B4-0848
person.identifier.orcid0000-0001-9214-5378
person.identifier.orcid0000-0002-0488-1453
person.identifier.orcid0000-0002-1948-1516
person.identifier.scopus-author-id6602157617
person.identifier.scopus-author-id7003320823
person.identifier.scopus-author-id7005985367
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0ae4a10b-1766-4e24-82ee-8cf877a60938
relation.isAuthorOfPublication53ca3547-99ce-4b68-9330-7879a54c47b7
relation.isAuthorOfPublication84a46e8c-68d9-4854-86b6-0699df8c129b
relation.isAuthorOfPublication.latestForDiscovery53ca3547-99ce-4b68-9330-7879a54c47b7

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