Psychometric properties of the Saint Louis University Mental Status Examination

Appl Neuropsychol Adult. 2019 Mar-Apr;26(2):101-110. doi: 10.1080/23279095.2017.1362407. Epub 2017 Sep 19.

Abstract

The Saint Louis University Mental Status (SLUMS) Examination is a brief screening measure for mild neurocognitive disorder developed for use with veterans. To date, there has been a paucity of research on its psychometric properties. The purpose of this study is to evaluate the psychometric properties of the SLUMS in a referred sample to a specialty clinic. Using a sample of 148 male veterans referred to a Mild Cognitive Impairment (MCI) Clinic for evaluation, the ability of the SLUMS to discriminate between MCI versus Major Depressive Disorder (MDD) or no diagnosis was compared to results from a more comprehensive neuropsychological battery. The SLUMS was significantly correlated with every neuropsychological measure (r = .25 to .46), except for Trails B (r = .14). Diagnostic discriminability was comparable to a typical, longer, neuropsychological battery for discriminating between MCI and no diagnosis, and between MCI and MDD. The study provides additional psychometric support for the SLUMS as a viable brief cognitive screening measure in veteran populations, particularly when discriminating between MCI and MDD.

Keywords: Cognitive screening measure; discriminability; mild cognitive impairment; psychometrics; veterans.

MeSH terms

  • Aged
  • Cognitive Dysfunction / diagnosis*
  • Depressive Disorder, Major / diagnosis*
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales / standards*
  • Psychometrics / standards*
  • Veterans