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A Short Portable Mental Status Questionnaire for the Assessment of Organic Brain Deficit in Elderly Patients†
Abstract
Clinicians whose practice includes elderly patients need a short, reliable instrument to detect the presence of intellectual impairment and to determine the degree. A 10‐item Short Portable Mental Status Questionnaire (SPMSQ), easily administered by any clinician in the office or in a hospital, has been designed, tested, standardized and validated. The standardization and validation procedure included administering the test to 997 elderly persons residing in the community, to 141 elderly persons referred for psychiatric and other health and social problems to a multipurpose clinic, and to 102 elderly persons living in institutions such as nursing homes, homes for the aged, or state mental hospitals. It was found that educational level and race had to be taken into account in scoring individual performance. On the basis of the large community population, standards of performance were established for: 1) intact mental functioning, 2) borderline or mild organic impairment, 3) definite but moderate organic impairment, and 4) severe organic impairment. In the 141 clinic patients, the SPMSQ scores were correlated with the clinical diagnoses. There was a high level of agreement between the clinical diagnosis of organic brain syndrome and the SPMSQ scores that indicated moderate or severe organic impairment.
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“Following screening, patients were excluded from study participation if they: (1) had severe cognitive impairment assessed with the Short Portable Mental Status Questionnaire [25]; (2) engaged in expressive writing on a daily basis; and (3) did not meet the established cutoff (score X4) for probable distress on the DT…”
MethodMularski, R. A., Munjas, B. A., Lorenz, K. A., Sun, S., Robertson, S. J., Schmelzer, W., Kim, A. C., & Shekelle, P. G. (2009) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0037 · Cited by 92
Miller, M. D., Crotty, M., Whitehead, C., Bannerman, E., & Daniels, L. A. (2006) · Clinical Rehabilitation · doi:10.1191/0269215506cr942oa · Cited by 92
Epstein, A. S., Volandes, A. E., Chen, L. Y., Gary, K. A., Li, Y., Agre, P., Levin, T. T., Reidy, D. L., Meng, R. D., Segal, N. H., et al. (2013) · Journal of Palliative Medicine · doi:10.1089/jpm.2012.0524 · Cited by 91
Education and APOE-e4 in Longitudinal Cognitive Decline: MacArthur Studies of Successful Aging
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Intensive care decision making in the seriously ill and elderly*
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Measurement of cumulative physiological dysregulation in an older population
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Metadata
- Authors
- Pfeiffer, E.
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 1975-10
- Volume
- 23
- Issue
- 10
- Pages
- 433-441
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W2024501220
- Cited by
- 5,321
- References
- 0
- FWCI
- 6.80
- Type
- journal article
- Language
- en
- Open access
- closed
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.