Department of Psychology, University of Colorado at Colorado Springs, Colorado Springs, CO 80918, USA.
Am J Geriatr Psychiatry. 2013 Jul;21(7):623-30. doi: 10.1016/j.jagp.2013.01.024. Epub 2013 Feb 6.
To investigate the concurrent validity of the Saint Louis University Mental Status examination (SLUMS) by comparing the ability of the Mini-Mental State Examination (MMSE) and the SLUMS to predict performance on standard neuropsychological measures of memory and executive functioning.
Cross-sectional.
University-based research clinic.
Community-dwelling adults (N = 170) age 60 years and older (Mage = 73.08; SD = 8.18).
The Trail Making Test (TMT), Rey Auditory Verbal Learning Test, Wisconsin Card Sorting Test (WCST), MMSE, and SLUMS.
The distributional properties of the SLUMS and the MMSE were directly compared. The SLUMS showed statistically a smaller mean, lower rank scores, and less skewness than the MMSE. Comparisons of the correlations of the screening tests with the neuropsychological measures indicated that the SLUMS demonstrated stronger relationships with the TMT compared with the MMSE. Multiple regression analyses were conducted to determine the ability of the SLUMS and the MMSE to predict scores on common neuropsychological tests after controlling for demographic variables. Results demonstrated that the SLUMS significantly predicted performance across all measures over the MMSE and demographic variables, with the exception of the WCST's perseverative errors. However, the MMSE does not add to the prediction of neuropsychological functioning over the SLUMS.
Although the SLUMS and the MMSE are strongly correlated, the SLUMS significantly adds to the prediction of neuropsychological measures beyond the MMSE scores. Our findings suggest that the SLUMS may be an appropriate measure to use as a screening tool among older adults and may have fewer ceiling effects than the MMSE.
通过比较简易精神状态检查（MMSE）和圣路易斯大学精神状态检查（SLUMS）在预测记忆和执行功能等标准神经心理学测量方面的表现能力，来研究 SLUMS 的同时效度。
横断面研究。
以大学为基础的研究诊所。
年龄在 60 岁及以上的社区居住成年人（N=170），平均年龄为 73.08 岁（标准差为 8.18 岁）。
连线测试（TMT）、 Rey 听觉言语学习测试、威斯康星卡片分类测试（WCST）、MMSE 和 SLUMS。
SLUMS 和 MMSE 的分布特性进行了直接比较。SLUMS 的均值、等级得分和偏度均明显小于 MMSE。比较筛选测试与神经心理学测试的相关性表明，SLUMS 与 TMT 的相关性强于 MMSE。进行了多元回归分析，以确定在控制人口统计学变量后，SLUMS 和 MMSE 对常见神经心理学测试分数的预测能力。结果表明，SLUMS 显著预测了所有测量指标的表现，优于 MMSE 和人口统计学变量，除了 WCST 的持续性错误。然而，MMSE 并不能增加对 SLUMS 神经心理功能的预测。
尽管 SLUMS 和 MMSE 具有很强的相关性，但 SLUMS 在预测神经心理学测量方面明显优于 MMSE。我们的发现表明，SLUMS 可能是老年人筛查工具的一个合适选择，并且比 MMSE 具有更少的天花板效应。
