Validation and cultural adaptation of the Arabic versions of the Mini–Mental Status Examination–2 and Mini-Cog test.
Author: Albanna, M., Yehya, A., Khairi, A., Dafeeah, E., Elhadi, A., Rezgui, L., Al Kahlout, S., Yousif, A., Uthman, B., Al-Amin, H.
Source:
Neuropsychiatric disease and treatment, 13, 793.
Introduction: The elderly population is increasing around the world, and the prevalence of
dementia increases with age. Hence, it is expected that the number of people with dementia will
increase significantly in the coming years. The Mini–Mental Status Examination – 2 (MMSE-2)
and Mini-Cog are widely used tests to screen for dementiThese scales have good reliability
and validity and are easy to administer in clinical and research settings.
Aim: The purpose of this study was to validate the Arabic versions of MMSE-2 and Mini-Cog.
These scales were assessed against the Diagnostic and Statistical Manual of Mental Disorders,
Fourth Edition, Text Revision (DSM-IV-TR) criteria for dementia, as the gold standard.
Methods: The standard versions of the MMSE-2 and Mini-Cog were translated to Arabic following the back-translation method. Then, a trained rater administered these tests to 134 Arab elderly
aged 60 years. A physician, blind to the results of these two tests, assessed the participants for
vascular dementia or probable Alzheimer’s disease, based on the DSM-IV-TR criteria.
Results: The sample included 67.2% Qataris. The mean age was 74.86 years (standard
deviation 7.71), and 61.9% did not attend school. The mean of the adjusted scores of MMSE-2
based on age and education level was 19.60 (standard deviation 6.58). According to DSM-IV-TR,
17.2% of the participants had dementiSensitivity and specificity of the MMSE-2 and the Mini-Cog
together were 71.4% and 61.6%, respectively, which were better than those of each test alone.
Conclusion: Together, the Arabic versions of MMSE-2 and Mini-Cog are good screening
tools for cognitive impairment in Arabs.