J Med Assoc Thai 1997; 80 (2):116

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Mini-Mental Status Examination : Is it Appropriate for Screening in Thai Elderly?
Jitapunkul S Mail, Lailert C

Appropriateness of using the Mini-Mental Status Examination with Thai elderly was
examined in three samples of fifty elderly subjects living in contrasting locations in Thailand.
Literacy, age, gender, principle occupation and place of residence were each associated with MMSE
score. Multiple regression analysis, demonstrated that literacy and place of residence had strong
independent effects on MMSE. Result of this study suggests that use of the MMSE as a screen
for cognitive impairment in Thailand may be inappropriate. New screening tests that are not influenced
by literacy and place of residence are needed.

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