Comparison between Screening Cognitive Impairment in Psychiatry (SCIP-S) and Minimental State Examination (MMSE) in Forensic Psychiatry. Pilot study

Spanish Journal of Legal Medicine Pub Date : 2022-07-01 DOI:10.1016/j.remle.2022.01.004

Priscila Caballero Casanoves , César Jesús Correas Soto , Óscar Pino López , Judith Prió Silvestre

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Abstract

Objectives

The objective is to compare 2 brief cognitive screening tests, MMSE and SCIP-S, and determine their usefulness in assessing the cognitive status of subjects diagnosed with psychiatric pathology.

Material and methods

Pilot study of a series of 33 cases from the Institutes of Legal Medicine of Catalonia and Andorra, whose inclusion criterion was the existence of a psychiatric pathology categorised in ICD-10. In all cases, in addition to the forensic medical interview, MMSE was administered followed by SCIP-S.

Results

In MMSE, 31 of the 33 interviewees obtained a total direct score ≥ 24 (normal cognitive performance). In SCIP-S, only 5 of the 33 participants were in a percentile ≥ 15 (normal cognitive performance). The difference between the results of both tests was statistically significant (P < 0.05).

Conclusions

This study suggests a greater usefulness of SCIP-S compared to MMSE in detecting cognitive deficits in psychiatric patients. Therefore, the use of the former is recommended in forensic medical practice.

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精神病学认知障碍筛查(SCIP-S)与法医精神病学最小状态检查(MMSE)的比较。试点研究

目的比较MMSE和SCIP-S两种简短的认知筛查测试，并确定它们在评估被诊断为精神病理的受试者认知状态方面的有用性。材料和方法对来自加泰罗尼亚和安道尔法律医学研究所的一系列33例病例进行研究，其纳入标准是存在ICD-10分类的精神病理学。在所有情况下，除了法医访谈外，还进行了MMSE，然后进行了SCIP-S。结果在MMSE测试中，有31人的直接总分≥24分(正常认知能力)。在SCIP-S中，33名参与者中只有5人的百分位数≥15(正常认知表现)。两项试验结果差异有统计学意义(P < 0.05)。结论与MMSE相比，SCIP-S在检测精神病患者认知缺陷方面更有用。因此，建议在法医实践中使用前者。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Spanish Journal of Legal Medicine

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