• Title/Summary/Keyword: Korean version of Mini-Mental State Examination(K-MMSE)

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A Correlation Between the Mini Mental State Examination-Korean Version and the Neuro-behavioral Cognitive Status Examination in Stroke Patients (뇌졸중 환자에서 한국판 간이 정신상태 판별검사(Mini Mental State Examination-Korean Version; MMSE-K)와 신경행동학적 인지상태검사(Neuro-behavioral Cognitive Status Examination; NCSE)의 상관관계)

  • Kim, Da-Hye;Kang, You-Il;Yun, Jin;Lee, Kyoung-Rok;Han, Ki-Chan;Chung, Hyun-Ae
    • PNF and Movement
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    • v.10 no.3
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    • pp.45-52
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    • 2012
  • Purpose : This study examines the relationship between the Mini Mental State Examination-Korean Version(MMSE-K) and the Neuro-behavioral Cognitive Status Examination(NCSE) in Stroke Patients. Methods : We studied sixteen people with stroke(7 males, 9 females) who were admitted to occupational therapy a participants were tested with the MMSE-K, the NCSE. Results : Correlation between the NCSE and the MMSE-K was significant in p<.05, p<.01. The result was orientation r=.652, memory r=.514, attention r=.417, calculation r=.839, comprehension r=.676, repetition r=.960, naming r=.683, construction r=.961, judgement r=.616. Conclusion : The MMSE-K and the NCSE are valid and useful measurement tools evaluating cognitive function of persons with stroke in Korea.

Influence of denture wearing on a mini-mental state examination(MMSE-K) in the elderly (노인들의 의치 사용이 MMSE-K 점수에 미치는 영향)

  • Cho, Min Jeong;Park, Dong-Ok;Song, Keun-Bae
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.295-301
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    • 2016
  • Objectives: The purpose of the study was to investigate the association between denture wearing and dementia using a Mini-Mental State Examination (MMSE-K) in the community dwelling elderly. Methods: The study subjects were 184 community dwelling elderly using Korean version of mini-mental state examination(MMSE-K). The variables included the general characteristics of the subjects, denture earing, number of mastication tooth, subjective mastication ability, and MMSE(dementia). Denture wearing was divided into two groups of the natural dentition including the fixed prosthesis and removable denture including the complete and/or partial denture. The data were analyzed by ${\chi}^2$ test, t-test, and binary logistic regression using SPSS version 22.0 program. Logistic regression was used to analyze the association of MMSE-K score and denture wearing, and 95% confidence interval was calculated. The subjective mastication ability was measured by Likert 5 points scale. Dementia was measured by MMSE-K. Results: There was a significant association between MMSE-K score and denture wearing. The odds ratio(OR) of denture waering was 6.01(95% CI: 2.824-12.784). After adjusting the age, gender, residence and education, OR was 5.53(95% CI: 2.364-12.935). Conclusions: This study showed a significant association between MMSE-K score and denture wearing in the Korean elderly.

A case with Delirium caused by Cranial Contusiom with Herbal medication (두부타박으로 유발된 첨망(瞻妄)환자 치험례)

  • Shin, Hyun-Kwon;Kim, Joo-Won;Kim, Hyo-Ju;Cha, Hye-Jin;Park, Se-Jin;Lee, Ho-Tsai
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.289-298
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    • 2007
  • Delirium is a acute syndrome of disorientation caused by disfunction of brain tissue and has a variety of symptomes. It is characterized by disturbance of consciousness and attention, cognition, and perception for a brief period of time and tends to fluctuate during the course of the day. We experienced a 56 year-old woman who had a hypertension as well as Delirium caused by cranial contusion and whose condition was improved by Oriental medical treatment. this case study illustrates what the manifestation of Delirium caused by cranial contusion. This study shows more objective mecical pregress by grading Korean version of Delirium Rating Scale(K-DRS) and Korean version of Mini-Mental State Examination(K-MMSE). After our treatments, Delirium and some other symptoms were improved.

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A Comparison of Item Characteristics and Test Information Between the K-MMSE~2:SV and K-MMSE

  • Jihyang Kim;Seungmin Jahng;SangYun Kim;Yeonwook Kang
    • Dementia and Neurocognitive Disorders
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    • v.23 no.3
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    • pp.117-126
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    • 2024
  • Background and Purpose: The Korean-Mini Mental State Examination, 2nd edition (K-MMSE~2) was recently released. This study aimed to determine whether the K-MMSE~2: Standard Version (K-MMSE~2:SV) had the same test characteristics as the K-MMSE. Methods: A total of 1,514 healthy community-based participants aged 19 to 90 years were administered the K-MMSE~2:SV Blue Form along with the language items from the K-MMSE. The item and test characteristics and test information for the K-MMSE~2:SV and K-MMSE were compared using Item Response Theory analysis. Results: Item discriminations for the K-MMSE~2:SV and K-MMSE were above the moderate range for all items except Recall. Most of the items on the K-MMSE~2:SV and K-MMSE had item category difficulty in the very easy or easy range. The test information curve (TIC) showed that the K-MMSE~2:SV and K-MMSE provide almost the same amount of information (27.86 vs. 28.44), with both tests providing the most information at an ability level of -1.57. The generalizability (G) coefficient for the K-MMSE~2:SV and K-MMSE was 0.99. Conclusions: These results indicate that the K-MMSE~2:SV and K-MMSE are equally optimal tests for screening for mild cognitive impairment and early dementia. Given that the amount of test information provided by the two tests was almost identical, the shapes of the TICs were very similar, and the G coefficient was close to 1, we can conclude that the K-MMSE and K-MMSE~2:SV are equivalent tests.

Case Reports: Effect of M&L Psychotherapy and Korean Medical Treatment on Psychiatric & Physical Symptoms of North Korean Defectors (북한이탈주민의 심신증상에 대한 M&L 심리치료와 한의치료 치험2례 보고)

  • Lee, Hee-jung;Kang, Da-hyun;Lim, Myong-a;Kim, Doo-ri;Sue, Joo-hee
    • Journal of Oriental Neuropsychiatry
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    • v.27 no.3
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    • pp.185-196
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    • 2016
  • Objectives: This study was undertaken by the department of Korean neuropsychiatry, to evaluate the effects of M&L psychotherapy and Korean Medical Treatments on hospitalized North Korean defectors.Methods: We treated two patients with indigenous Korean medical therapies (acupuncture and herb-medicine) and M&L psychotherapy. Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS) were used to evaluate the patients.Results: Following observations were made after treatments. Case 1: the patient had significant improvement in Beck's Depression Inventory (BDI), Insomnia Severity Index (ISI), and Visual Analogue Scale (VAS). Case 2: similar improvements were observed. Here, the patient had undergone Geriatric Depression Scale (GDS), Mini-mental state examination Korean Version (MMSE-K), and Visual Analogue Scale (VAS). In addition, noticeable improvement was observed in other accompanying symptoms.Conclusions: These results suggest that M&L Psychotherapy and Korean medical treatments might be effective for treating the psychiatric and physical symptoms of hospitalized North Korean Defectors.

Association of head circumference with cognitive decline and symptoms of depression in elderly: a 3-year prospective study

  • Kwon, Oh Dae;Choi, So-Young;Bae, Jisuk
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.205-212
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    • 2018
  • Background: Brain volume is associated with dementia and depression in the elderly. An easy way to predict relative brain volume is to measure head circumference. In this study, we investigated the relationship between head circumference and cognition as well as depression in a non-demented elderly community. Methods: Baseline and follow-up surveys were conducted in 2007 and 2010. At baseline, community residents aged 65 years or over (n=382) within a rural area of South Korea were screened for dementia and symptoms of depression and were followed using the same screening battery after 3 years (n=279). Data from anthropometric measurements (head circumference, height, and body weight), demographics, and blood tests were gathered. Neuropsychological tests, including the Korean version of mini-mental state examination (K-MMSE), clinical dementia rating (CDR) including the CDR-sum of boxes, the Korean version of instrumental activities of daily living, and geriatric depression scale (GDS), were performed. None of the 279 subjects followed were demented. Results: Baseline performance on the K-MMSE and GDS was poorer for participants with smaller head circumferences. Follow-up performance on the MMSE was also poorer for participants with smaller head circumferences. Interestingly, participants with smaller head circumference showed worse GDS scores at baseline but on follow-up examination, participants with larger head circumference showed rapid worsening than those with smaller head circumference with marginal significance by ANOVA test. In regression coefficient analysis, GDS decline showed significant difference. Conclusion: Head circumference was not associated with cognitive change but was associated with symptoms of depression in non-demented community residents.

The Case of Vascular Dementia Treated with Gagambosim-tang(Jiajianbuxin-tang) (가감보심탕(加減補心湯) 투여 후 호전된 혈관성 치매 1례(例))

  • Cha Yong-Seok;Kim Kyong-Su;Park Byong-Min;Yun Jong-Min;Kim Yong-Jeong;Lee Seung-Eon;Lee In;Moon Byung-Soon
    • The Journal of Internal Korean Medicine
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    • v.24 no.4_2
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    • pp.1037-1045
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    • 2003
  • Objectives: Dementia is a kind of chronic, progressive, degenerative disease. The symptoms results in troubles in intellectual functions. memory, orientation, intelligence, judgement, common sense and calculating ability. The Korean version of Mini-Mental State Examination(MMSE-K) has been used widely to screen cognitive impairment of the elderly in Korea. This instrument has been specifically developed and evaluated for the assessment of cognitive function in older Korean populations. Methods: Cognitive function was evaluated by the Korean version of Mini-Mental State Examination(MMSE-K). This patient was diagnosed as Vascular dementia and We treated her cognitive impairment with Gagambosim-tang(Jiajianbuxin-tang). Results: After treated with Gagambosim-tang(Jiajianbuxin-tang), Cognitive function was improved. Conclusion: This report may have a meaning to treat Vascular dementia.

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Incidence and Features of Cognitive Dysfunction Identified by Using Mini-mental State Examination at the Emergency Department among Carbon Monoxide-poisoned Patients with an Alert Mental Status (의식이 명료한 일산화탄소 중독환자를 대상으로 응급실에서 시행한 간이정신상태검사의 임상적 의의)

  • Youk, Hyun;Cha, Yong Sung;Kim, Hyun;Kim, Sung Hoon;Kim, Ji Hyun;Kim, Oh Hyun;Kim, Hyung Il;Cha, Kyoung Chul;Lee, Kang Hyun;Hwang, Sung Oh
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.2
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    • pp.115-121
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    • 2016
  • Purpose: Because carbon monoxide (CO)-intoxicated patients with an alert mental status and only mild cognitive dysfunction may be inadequately assessed by traditional bedside neurologic examination in the emergency department (ED), they may not receive appropriate treatment. Methods: We retrospectively investigated the incidence and features of cognitive dysfunction using the Korean version of the Mini-Mental State Examination (MMSE-K) in ED patients with CO poisoning with alert mental status. We conducted a retrospective review of 43 consecutive mild CO poisoned patients with a Glasgow Coma Scale score of 15 based on documentation by the treating emergency physician in the ED between July 2014 and August 2015. Results: Cognitive dysfunction, defined as a score of less than 24 in the MMSE-K, was diagnosed in six patients (14%) in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed greater impairments. The mean age was significantly older in the cognitive dysfunction group than the non-cognitive dysfunction group (45.3 yrs vs. 66.5 yrs, p<0.001). Among the initial symptoms, experience of a transient change in mental status before ED arrival was significantly more common in the cognitive dysfunction group (32.4% vs. 100%, p=0.003). Conclusion: Patients with CO poisoning and an alert mental status may experience cognitive dysfunction as assessed using the MMSE-K during the early stages of evaluation in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed the greatest impairment.

Relations of Cognitive Function and Visuospatial Function in Patient with Stroke (뇌졸중 환자의 인지 기능과 시공간 지각의 관계)

  • Roh, Hyo-Lyun;Na, Nun-Byeol;Kim, Jung-Yoon;Kim, Eun-Jin;Jo, Won-Jae;Kang, Shin-Wook
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.75-82
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    • 2013
  • Purpose : The aim of this study was to identify the relation of cognition and visuospatial perception in stoke patients. Methods : A total of 16 stroke patients recruited from two hospital located in Donghae, Kang-won participated in this study(Right hemiplegia : twelve, Left hemiplegia : four). All participants scored higher than 20 point on the MMSE-K. To assess the cognitive function, we performed the Korean version of Mini Mental State Examination(MMSE-K), spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment(LOTCA), Figure Color Copy(FCC), Linebisection Test(LBT) and Albert's test in stoke patients. Results: The Korean version of Mini Mental State Examination and spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment were the highest points in sixty ages, Figure Color Copy is difference between Right hemiplegia and Left hemiplegia. Linebisection Test(LBT) and Albert's test had much relation, visuospatial perception had not relationship. Conclusion: Aging was cognition function and visuospatial perception had an interrelationship. visuospatial perception according to affected side in brain had an interrelationship but cognition function and visuospatial perception had not any interrelationship.

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Cognitive Function of the Urban Elderly (도시 노인의 인지기능)

  • So, Hee-Young;Ju, Kyong-Ok;Jung, Mi-Ha;Kim, Hae-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.7 no.2
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    • pp.179-187
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    • 2004
  • Purpose: This study was performed to assess the degree of cognitive function of elderly by MMSE-K performances and of that effect. Method: The subjects were 185 aged over 65 in Daejeon Metropolitan city. Data were collected through personal interview using the questionnaire from 10 to 31, Jan. 2003. The measures were Korean version of Mini-Mental State Examination(MMSE-K). Results: The mean score of MMSE-K was $22.60{\pm}5.39$. The prevalence of cognitive impairment was estimated as 48.6% by MMSE-K ${\leq}23$ and significantly age, gender, and education effect. The subtype score of MMSE-K were significantly lower in female group in each items : orientation in time and place, attention/calculation, language except registration and recall. And the scores were significantly lower in the older group and non-educated group in the all items of MMSE-K. Conclusion: Gender, age, and education showed significant effects on total and subtype MMSE-K score. Cognitive function decline were higher in female, older age group, and non-educated group. Therefore, those three factors are thought to be one of important risk factors for development of dementia, also it is assumed to be affected by other variables than age, gender, education effect.

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