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Global Examination of Mental State: An open tool for the brief evaluation of cognition.


ABSTRACT:

Background

The aim of this paper is to present a freely accessible new instrument for the evaluation of cognition: the Global Examination of Mental State (GEMS).

Methods

It is made up of 11 items tapping into a range of skills, such as Orientation in time and space, Memory, Working memory, Visuo-spatial, Visuo-constructional and Planning abilities, Perceptual and visual Attention, Language (Naming, Comprehension, and Verbal fluency), and Pragmatics.

Results

The psychometric strengths of this screening are: (1) extensive and updated normative data on the adult Italian population (from 18 to 100 years old); (2) absence of ceiling effect in healthy individuals, which allows to better detect interindividual variability; (3) comparison of the global scores with normative data taking into account Cognitive Reserve rather than only education, thus increasing diagnostic accuracy; (4) thresholds for significant change over time and the possibility to use parallel versions (GEMS-A/GEMS-B) for test-retest; (5) solid psychometric properties and data on discriminant validity; and (6) free access to all materials (record forms, instructions, and cut-off scores) on the web under a Creative Common License.

Conclusions

With all these characteristics, GEMS could be a very useful paper-and-pencil instrument for cognitive screening.

SUBMITTER: Mondini S 

PROVIDER: S-EPMC9392517 | biostudies-literature | 2022 Aug

REPOSITORIES: biostudies-literature

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Global Examination of Mental State: An open tool for the brief evaluation of cognition.

Mondini Sara S   Montemurro Sonia S   Pucci Veronica V   Ravelli Adele A   Signorini Matteo M   Arcara Giorgio G  

Brain and behavior 20220721 8


<h4>Background</h4>The aim of this paper is to present a freely accessible new instrument for the evaluation of cognition: the Global Examination of Mental State (GEMS).<h4>Methods</h4>It is made up of 11 items tapping into a range of skills, such as Orientation in time and space, Memory, Working memory, Visuo-spatial, Visuo-constructional and Planning abilities, Perceptual and visual Attention, Language (Naming, Comprehension, and Verbal fluency), and Pragmatics.<h4>Results</h4>The psychometric  ...[more]

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