MMSE in primary care practice: why good tests can mislead in the wrong context

Carla Tortora (), Laetitia Teixeira, Susana Sousa and Constança Paúl
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Carla Tortora: University “G. d’Annunzio” of Chieti-Pescara
Laetitia Teixeira: University of Porto
Susana Sousa: University of Porto
Constança Paúl: University of Porto

European Journal of Ageing, 2025, vol. 22, issue 1, No 54, 7 pages

Abstract: Abstract The Mini-Mental State Examination (MMSE) is widely used in cognitive screening, including in primary care settings. This study evaluated the diagnostic performance of the MMSE using data from 390 community-dwelling older adults aged 65 to 98 years (M = 75.76, SD = 6.76). The MMSE’s accuracy was assessed against clinical diagnoses and symptom severity levels based on the Global Deterioration Scale (GDS). Receiver operating characteristic (ROC) analysis, evaluating the ability to distinguish individuals with dementia from those without, provided an area under the curve (AUC) of .75 (95% CI: 0.67–0.84, p

Keywords: Primary care; Cognitive assessment; Dementia; Neuropsychology; General practitioners (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/s10433-025-00894-6

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