Kabir Z N, Herlitz A
Department of Clinical Neuroscience, Occupational Therapy and Elderly Care Research, Division of Geriatric Medicine, Karolinska Institutet, Stockholm, Sweden.
Int J Geriatr Psychiatry. 2000 May;15(5):441-50. doi: 10.1002/(sici)1099-1166(200005)15:5<441::aid-gps142>3.0.co;2-o.
The Mini-Mental State Examination (MMSE) is a brief global instrument used to assess cognitive abilities in the elderly, requiring literacy as a prerequisite. Such a precondition is impractical for populations with widespread illiteracy. The present study aimed to adapt the MMSE for the cultural context of Bangladesh and for use in populations irrespective of literacy skills. In the Bangla Adaptation of Mini-mental State Examination (BAMSE), the MMSE items were changed in such a way that they would be applicable for illiterate individuals, as well as being culturally relevant in Bangladesh. Altogether 672 elderly, 262 literate and 410 illiterate individuals were tested with the BAMSE. To enable comparison between the BAMSE and MMSE, the literate elderly were tested with both instruments. Test-retest reliability of the BAMSE was assessed in 54 randomly selected individuals. The results showed that, in comparison to the MMSE, the BAMSE demonstrated satisfactory test properties, although reliable differences were found on some of the individual items when the two instruments were compared. The association between the two instruments was good (r=0.57) and the test-retest reliability was satisfactory (r=0.70). More importantly, the BAMSE was found to be less sensitive to age and education than the MMSE. Finally, our results suggest that in the socio-cultural context of Bangladesh, irrespective of literacy skills, the BAMSE is an instrument that can be used to assess cognitive function of the normal elderly.
简易精神状态检查表（MMSE）是一种用于评估老年人认知能力的简短综合性工具，要求具备读写能力作为前提条件。这样的前提条件对于广泛存在文盲的人群来说并不实际。本研究旨在使MMSE适用于孟加拉国的文化背景，并用于无论读写能力如何的人群。在孟加拉语版简易精神状态检查表（BAMSE）中，MMSE的项目进行了修改，使其适用于文盲个体，并且在孟加拉国具有文化相关性。共有672名老年人接受了BAMSE测试，其中262名有读写能力，410名是文盲。为了能够比较BAMSE和MMSE，对有读写能力的老年人同时使用这两种工具进行测试。在54名随机选择的个体中评估了BAMSE的重测信度。结果表明，与MMSE相比，BAMSE表现出令人满意的测试特性，尽管在比较这两种工具时，在一些个别项目上发现了可靠的差异。两种工具之间的相关性良好（r = 0.57），重测信度令人满意（r = 0.70）。更重要的是，发现BAMSE对年龄和教育程度的敏感性低于MMSE。最后，我们的结果表明，在孟加拉国的社会文化背景下，无论读写能力如何，BAMSE都是一种可用于评估正常老年人认知功能的工具。
