Longitudinal and psychometric profiles of two cognitive status tests in very old adults.

Forty-four nondemented adults, over the age of 75 years, were tested at six-month intervals spanning two years. Study goals were to examine the validity of the Mini-Mental State Examination (MMSE) and the Wechsler Adult Intelligence Scale-Revised (WAIS-R), to assess the long-term reliability of these instruments, and to examine the longitudinal profile of this sample. Results showed that the MMSE was moderately correlated with the WAIS-R. The MMSE had low internal consistency, although the total score behaved reliably across the five occasions. The WAIS-R scales showed a high degree of internal consistency and test-retest reliability. WAIS-R performance remained stable across occasions; however, decline was evident in the MMSE subtests of Attention and Language.