HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Translation and preliminary validation of the Modified Mini Mental State [3MS] in a Greek sample


Published: Jul 7, 2022
Keywords:
Modified Mini Mental State children surgery population validation Greek
Georgios N Lyrakos
https://orcid.org/0000-0002-4556-717X
Georgia Nikolaidou
https://orcid.org/0000-0002-7467-8645
Apostolia Alizioti
Paraskevi Matsota
Abstract

Background: The Modified Mini Mental State (3MS) is the extended version of the original Mini Mental State test with additional items improving the coverage of the remaining cognitive functions of the original version.


Aim: The aim of this pilot study is to translate the Modified Mini Mental State test and assess its psychometric properties, in order to enable the use of 3MS test for Greek speakers.


Method and Material: Independent sample t-test analysis was performed to test for differences between the study groups (N=105) and dependent sample (N=37), while pair sample t-test for pre-post differences in the treatment group for the 3MS.


Results: Cronbach’s a was 0.867 showing very good internal consistency. Children in the cases group presented significantly lower scores after the tonsil operation as compared to controls revealing good discriminant validity of the measurement.  Finally, test-retest scores were shown to be significantly correlated, revealing excellent test-retest reliability of the measurement.


Conclusions: The reliability and validity of the 3MS test is established for the healthy children undergoing routine surgery population.

Article Details
  • Section
  • Original Articles
Downloads
Download data is not yet available.
References
Teng E, Chui H. The modified mini-mental state examina-tion (3MS). Can J Psychiatry. 1987 Aug;41(2):114-21.
Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of pa-tients for the clinician. Journal of psychiatric research. 1975 Nov 1;12(3):189-98.
Besson PS, Labbé EE. Use of the modified mini-mental state examination with children. Journal of child neurology. 1997 Oct;12(7):455-60.
Mason SE, Noel-Storr A, Ritchie CW. The impact of general and regional anesthesia on the incidence of post-operative cognitive dysfunction and post-operative delirium: a sys-tematic review with meta-analysis. Journal of Alzheimer's Disease. 2010 Jan 1;22(s3): 67-79.
Ntalouka MP, Arnaoutoglou E, Tzimas P. Postoperative cognitive disorders: an update. Hippokratia. 2018 Oct;22(4):147-54.
Aun CS, McBride C, Lee A, Lau AS, Chung RC, Yeung CK, Lai KY, Gin T. Short-term changes in postoperative cognitive function in children aged 5 to 12 years undergoing general anesthesia: a cohort study. Medicine. 2016 Apr;95(14). e3250.
Steinmetz J, Christensen KB, Lund T, Lohse N, Rasmussen LS, ISPOCD Group. Long-term consequences of postopera-tive cognitive dysfunction. The Journal of the American Society of Anesthesiologists. 2009 Mar 1;110(3):548-55.
Hogue Jr CW, Fucetola R, Hershey T, Nassief A, Birge S, Dávila-Román VG, Barzilai B, Thomas B, Schechtman KB, Freedland K. The role of postoperative neurocognitive dys-function on quality of life for postmenopausal women 6 months after cardiac surgery. Anesthesia and analgesia. 2008 Jul;107(1):21.
Bercker S, Bert B, Bittigau P, Felderhoff-Müser U, Bührer C, Ikonomidou C, Weise M, Kaisers UX, Kerner T. Neuro-degeneration in newborn rats following propofol and sevoflurane anesthesia. Neurotoxicity research. 2009 Aug;16(2):140-7.
Ing C, DiMaggio C, Whitehouse A, Hegarty MK, Brady J, von Ungern-Sternberg BS, Davidson A, Wood AJ, Li G, Sun LS. Long-term differences in language and cognitive func-tion after childhood exposure to anesthesia. Pediatrics. 2012 Sep 1;130(3):e476-85.
Ing C, Wall MM, DiMaggio CJ, Whitehouse AJ, Hegarty MK, Sun M, von Ungern-Sternberg BS, Li G, Sun LS. Latent class analysis of neurodevelopmental deficit after exposure to anesthesia in early childhood. Journal of neurosurgical an-esthesiology. 2017 Jul;29(3):264.
Ancelin ML, De Roquefeuil G, Ledésert B, Bonnel F, Chemi-nal JC, Ritchie K. Exposure to anaesthetic agents, cognitive functioning and depressive symptomatology in the elderly. The British Journal of Psychiatry. 2001 Apr;178(4):360-6.
Hanning CD. Postoperative cognitive dysfunction. British journal of anaesthesia. 2005 Jul 1;95(1):82-7.
Khetarpal R, Bali K, Chatrath V, Bansal D. Anesthetic con-siderations in the patients of chronic obstructive pulmo-nary disease undergoing laparoscopic surgeries. Anesthe-sia, essays and researches. 2016 Jan;10(1):7.
Rasmussen LS. Postoperative cognitive dysfunction: inci-dence and prevention. Best practice & research Clinical an-aesthesiology. 2006 Jun 1;20(2):315-30.
Wu CL, Hsu W, Richman JM, Raja SN. Postoperative cogni-tive function as an outcome of regional anesthesia and an-algesia. Regional Anesthesia & Pain Medicine. 2004 May 1;29(3):257-68.
Patel V, Champaneria R, Dretzke J, Yeung J. Effect of re-gional versus general anaesthesia on postoperative deliri-um in elderly patients undergoing surgery for hip fracture: a systematic review. BMJ open. 2018 Dec 1;8(12):e020757.
Rasmussen LS, Larsen K, Houx P, Skovgaard LT, Hanning CD, Moller JT, ISPOCD group. The assessment of postopera-tive cognitive function. Acta Anaesthesiologica Scandina-vica. 2001 Mar;45(3):275-89.
Feinkohl I., Winterer G., Spies CD, Pischon, T. Cognitive reserve and the risk of postoperative cognitive dysfunc-tion. Deutsches Arzteblatt international. 2017 114(7):110-7.
Moller JT, Cluitmans P, Rasmussen LS, Houx P, Rasmussen H, Canet J, Rabbitt P, Jolles J, Larsen K, Hanning CD, Langeron O. Long-term postoperative cognitive dysfunc-tion in the elderly: ISPOCD1 study. The Lancet. 1998 Mar 21;351(9106):857-61.
Feinkohl I, Winterer G, Spies CD, Pischon T. Cognitive re-serve and the risk of postoperative cognitive dysfunction: a systematic review and meta-analysis. Deutsches Ärzteblatt International. 2017 Feb;114(7):110-4.
Kain ZN, Mayes LC, Caldwell-Andrews AA, Karas DE, McClain BC. Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Pediatrics. 2006 Aug 1;118(2):651-8.
Kar SK, Ganguly T, Dasgupta CS, Goswami A. Preoperative Anxiety in Pediatric Population: Anesthes. Translational bi-omedicine. 2015 Oct 1;6(4):1-9.
Perry JN, Hooper VD, Masiongale J. Reduction of preopera-tive anxiety in pediatric surgery patients using age-appropriate teaching interventions. Journal of PeriAnesthe-sia Nursing. 2012 Apr 1;27(2):69-81. doi: 10.1016/j.jopan.2012.01.003
Du J, Plas M, Absalom AR, van Leeuwen BL, de Bock GH. The association of preoperative anxiety and depression with neurocognitive disorder following oncological sur-gery. Journal of surgical oncology. 2020 Mar;121(4):676-87.
Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, Altman DG, Barbour V, Macdonald H, Johnston M, Lamb SE. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. Bmj. 2014 Mar 7;348.
Bravo G, Hébert R. Age- and education-specific reference values for the Mini-Mental and modified Mini-Mental State Examinations derived from a non-demented elderly popu-lation. Int J Geriatr Psychiatry. 1997 Oct;12(10):1008-18
Ouvrier RA, Goldsmith RF, Ouvrier S, Williams IC. The value of the Mini-Mental State Examination in childhood: a pre-liminary study. Journal of child neurology. 1993 Apr;8(2):145-8.
Trust MO. Trust introduces new translation criteria. Medical Outcomes Trust Bulletin. 1997;5(1):3-4.
Guillemin F. Cross-cultural adaptation and validation of heatth status measures. Scandinavian journal of rheuma-tology. 1995 Jan 1;24(2):61-3.
Benet V, Waller NG. The Big Seven factor model of person-ality description: Evidence for its cross-cultural generality in a Spanish sample. Journal of Personality and Social Psy-chology. 1995 Oct;69(4):701.
Franzen MD, Berg RA. Screening children for brain impair-ment. 2nd ed. New York: Springer Publishing Company; c1998. 298 p.
Holzer CE, Tischler GL, Leaf PJ, Myers JK. An epidemiologic assessment of cognitive impairment in a community popu-lation. Research in Community & Mental Health. 1984;4: 3-32.
Taylor MA, Abrams R. Cognitive impairment in schizophre-nia. The American journal of psychiatry. 1984 Feb.