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Mini-Mental State




Copyright © 1975 Published by Elsevier Science Inc. All rights reserved.
“Mini-mental state”
A practical method for grading the cognitive state of patients for the clinician


Marshal F. Folstein, Susan E. Folstein and Paul R. McHugh
Department of Psychiatry, The New York Hospital-Cornell Medical Center, Westchester Division, White Plains, New York 10605, U.S.A.
Department of Psychiatry, University of Oregon Medical School, Portland, Oregon 97201, U.S.A.
Received 17 December 1973;  revised 25 November 1974.  Available online 7 June 2002.



Reprint request to M.F.F. now at Department of Psychiatry and Behavioral Science, Johns Hopkins Hospital, Baltimore, Md 21205, USA.


Journal of Psychiatric Research
Volume 12, Issue 3, November 1975, Pages 189-198


MMSE의 original article을 구했다.
보통 옛날 저널들은 학교에서 구독을 하더라도 몇년도 이전의 것들은 따로이 돈을 내고 받아야 하는데..
요행히도 구하게 되었다.


전에도 AJP에서 퍼온글이 있긴 하지만.. 경각심을 일깨우기 위해 다시한번 더 적어본다.

MMSE는 이 Journal of Psychiatric Research에 처음으로 실리게 되었고, 이 저널은 Elsevier라는 회사로 팔리게 되어 저작권 또한 넘어가게 되었다. 마침내 이 저작권은 MiniMental LLC라는 회사가 취득하게 되었고, MMSE의 모든 형태의 시험지, 안내서, 프로그램등은 PAR(Psychological Assessment Resources, Inc.)라는 회사를 통해 팔리게 되었다.


MMSE를 쓰려면 한장에 1$라는 돈을 지불해야 한다. 하지만 아직 MMSE가 저작권이 있는 검사라는 사실을 아는 사람은 많지 않다. 특히 국내에는 더더욱…

PAR Inc.의 홈페이지에 가면 친절하게도 한글판도 번역해서 판매한다고 게시되어 있다.
MMSE-K, K-MMSE, MMSE-KC이건간에 모두다.. PAR의 저작권 이양을 받지 않은 이상은 모두 불법이다.
(MMSE 확장판은 모르겠다.)

뭐.. 언제부터 저작권 그렇게 잘 지켜왔냐고 반문하는 사람도 있을텐데.. 적어도.. ‘내가 불법을 자행하고 있소.’하는 태도는 자신을 방어해주지 못할 것이다.

혹여나.. 자신의 홈페이지에 올리신 분들은.. 모두 내리시길..
책을 쓰더라도.. 주의해서..


돈을 지불할 자신이 없다면, 연구목적에서의 사용이라 하더라도 MMSE는 더이상 사용하지 말아야 할 것이다. 언제이고 그 회사가 저작권에 대한 책임을 물을 경우에는 엄청난 손실이 뒤따를 것이기 때문에…


Folstein MF, Folstein SE, McHugh PR: “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189–198 [Medline]


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Panic in M.I.N.I.

1. 대부분의 사람들이 그렇게 느끼지 않는 상황에서도 갑자기 불안하거나 놀랐다든지, 불편하거나 거북해지는 순간이나 발작이 1회 이상 있었습니까?
2. 이러한 발작증상이 10분 이내에 최고조에 달했습니까?


1·2 가 ‘예’일 경우 아래의 질문에 답 하십시오.


3. 과거의 어떤 때에 예측불가능하게 혹은 까닭 없이 이런 발병이나 발작이 일어났습니까?
4. 이런 발작 이후, 1개월 내지 그 이상의 기간 동안 발작이 다시 올까봐 지속적으로 두렵다든지 발작의 결과에 대하여 걱정을 한 적이 있습니까?


5. 당신이 기억할 수 있는 가장 힘들었던 발작기간 동안
A. 심장이 마구 뛰거나 마치 달리는 것처럼 느꼈습니까?
B. 양손에 땀이 나거나 끈적끈적 해졌습니까?
C. 팔다리나 몸이 떨렸습니까?
D. 숨이 가빠지거나 숨쉬기 곤란했습니까?
E. 질식감이나 목에 뭔가 걸린 것 같았습니까?
F. 가슴에 통증이나 압박감 또는 답답함이 있었습니까?
G. 토할 것 같거나 속이 불편하거나 갑자기 설사를 했습니까?
H. 어지럽거나 불안정감, 머리가 띵하거나 기절할 것 같았습니까?
I. 주변 사물들이 이상해 보이고 비현실적이거나 혹은 낯설게 느껴지거나 또는 당신 몸의 전체나 부분으로부터 당신이 몸 밖에 있거나 떨어져 나온다고 느꼈습니까?
J. 자제력을 상실한다든지 미칠 것 같았습니까?
K. 죽어가고 있다고 두려워했습니까?
L. 당신 몸의 일부가 저리거나 무감각했습니까?
M. 얼굴이 화끈 달아오르거나 오한이 있었습니까?
질문 3,4의 답이 ‘예’이고 질문 5의 A부터 M까지 13개 항목 중 4개 이상의 응답이 ‘예’라면 당신은 공황장애일 가능성이 매우 높습니다.


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Saint Louis University Mental Status (SLUMS) Examination


A New Cognitive Assessment Tool Shows Promise — and It’s Free

Professionals in social services have long used the Mini Mental Status Examination (MMSE) to assess cognitive impairment in older adults. Now, Saint Louis University researchers have developed a new screening tool, the Saint Louis University Mental Status Examination (SLUMS), that appears to work better at assessing mild cognitive impairment than the MMSE and is equally effective as a screen for moderate or severe cognitive impairment.


“This is good news for social workers and other social services practitioners, who are frequently asked to assess the cognitive capacity of older adults and their families,” said ASA member Scott Miyake Geron, who is an expert on assessment and director of the Institute for Geriatric Social Work at Boston University. “Because of their close involvement with clients, these practitioners are often more likely than other health professionals to be in a position to identify early signs of cognitive impairment. Unlike the MMSE, the SLUMS is freely available on the Web, which is another attractive feature.”


The Saint Louis University researchers used both MMSE and SLUMS to test 705 men who were at least 60 years old and who received treatment at the Geriatric Research Education Clinical Center of the Veterans Administration Hospital in St. Louis in 2003. The researchers found that while both tools detected dementia, only the SLUMS screening identified a group of patients as having mild cognitive problems.


“The development of an improved version of a measure long considered the gold standard of assessment is a reminder to all social services practitioners that advances in practice occur regularly,” Geron said. “It illustrates the importance of paying attention to the research and practice literature to stay abreast of new developments.”


The comparative study of SLUMS and MMSE appeared in the November 2006 issue of the American Journal of Geriatric Psychiatry. The researchers cautioned that while both tools are effective for basic screening, neither is a substitute for clinical assessment and neuropsychological testing to diagnose cognitive problems and dementia.



The SLUMS is similar in format, but it supplements the MMSE with enhanced tasks in the attention, calculation, recall, digit span, clock- drawing, and immediate recall areas. The clock-drawing test assesses executive function, one of the earliest forms of cognition affected in MNCD.

  1. What day of the week is it? (1 point for the right answer)

  2. What is the year? (1 point)

  3. What state are we in? (1 point)

  4. Please remember these five objects. I will ask you what they are later: apple, pen, tie, house, car. (No points yet)

  5. You have $100 and you go to the store and buy a dozen apples for $3 and a tricycle for $20.

    • How much did you spend? (1 point)
    • How much do you have left? (2 points)

  6. Please name as many animals as you can in one minute. (No point for naming 0-5; 1 point for naming 5-10; 2 points for naming 10-15; and 3 points for naming more than 15.)

  7. What were the five objects I asked you to remember? (1 point for each object remembered.)

  8. I am going to say a series of numbers and I would like you to give them to me backwards. For example, if I say 42, you would say 24.

    • 87 (0 points)
    • 649 (1 point)
    • 8537 (2 points)

  9. (Draw circle.) This circle represents a clock face. Please put in the hour markers and the time at ten minutes to eleven o’clock.

    • (2 points for hour markers labeled correctly)
    • (2 points for correct time)

  10. (Show a triangle, a square and a rectangle.) Please place an X in the triangle. (1 point)

  11. Which of those objects is the largest? (1 point)

  12. I am going to tell you a story. Please listen carefully because afterward, I’m going to ask you some questions about it.

    Jill was a very successful stockbroker. She made a lot of money in the stock market. She then met Jack, a devastatingly handsome man. She married him and had three children. They lived in Chicago. She then stopped working and stayed at home to bring up her children. When they were teenagers, she went back to work. She and Jack lived happily ever after.


    • What was the female’s name? (2 points)
    • When did she go back to work? (2 points)
    • What work did she do? (2 points)
    • What state did she live in? (2 points)


SCORING:
High school graduate: Normal: 27-30; Needs more evaluation: 20-26; Dementia: 1-19.
Less than high school diploma: Normal: 20-30; Needs more evaluation: 14-19; Dementia: 1-13.

1174125896.pdf

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골드팔프 테스트

이 테스트는 언어성 검사로 질문은 모두 10개인데 3가지 이상이 틀리면 치매는 이미 중간 정도로 진행되어 있다고 볼 수 있다.

① 여기는 어디입니까?
② 이곳의 주소를 말해 보십시오.
③ 오늘은 며칠입니까?
④ 이 달은 몇 월입니까?
⑤ 올해는 서기 몇 년입니까?
⑥ 당신은 지금 몇 살입니까?
⑦ 당신은 어느 달에 태어났습니까?
⑧ 당신은 어느 해에 태어났습니까?
⑨ 현재 이 나라의 국무총리 이름은 무엇입니까?
⑩ 그 전 국무총리의 이름은 무엇입니까?

아니, 이나라 국무총리님이 도대체 누구이시란 말입니까?
지금도 모르는데, 이전 총리님은 제가 어찌 압니까?
UN사무총장 하시는 그 분이 잠깐 총리하셨다는건 알고 있는데.. 그분이신가요?

하하.. 반도 못 맞추겠네요.
그렇다면.. 저는 이미 치매 중증이군요..^^ㅋ

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Mini-Cog


The Mini-Cog is a very simple and quick test carried out by a doctor or clinician. It takes about 3 minutes to administer and is often used in emergency departments to identify people who require further investigation into their clinical presentation.

The test consists of a three item recall and a clock drawing test.

(1)First the ‘patient’ is asked to repeat three unrelated words. This is the same as in the Mini Mental State Examination (MMSE).
(2)The ‘patient’ is then asked to draw a clock. This is the same as the Clock Drawing Test (CDT).
(3)The ‘patient’ is then asked to recall the three words.



Results of the Mini-Cog
If the ‘patient’ is unable to recall any of the three words then they are categorized as ‘probably demented.
If they can recall all three words then they are categorized as ‘probably not demented’. People who can recall one or two words are categorized based on their clock drawing test.


Results of The Clock Drawing Test
If the ‘patient draws a clock that is in any way abnormal they are considered as ‘probably demented’. If the clock is normally constructed then they are considered ‘probably not demented’.
The mini-Cog test results only contribute to a diagnosis of dementia. The test cannot be used in isolation in diagnostic tests for Alzheimer’s disease.

The Mini-Cog is a 3 minute instrument used to screen for cognitive impairment (most often dementia) in older adults. In several different studies, the Mini-Cog was as effective or more effective than the MMSE and other established screening tests. The Mini-Cog is able to screen for both memory and executive function.


In the Mini-Cog, the patient is told three items (such as apple, table, and penny) and is requested to repeat back and remember those three items. The patient is then asked to draw a clock face with all of the numbers, and then draw in the hands of the clock to indicate a certain time, such as 10:50. After the patient has drawn the clock face, he or she is asked to repeat back the three items that were previously stated.


That’s it! The beauty of this test is its simplicity and quickness.


The test is scored as follows:
Recall of 0 items indicates dementia.
Recall of 1-2 items with an abnormal clock face indicates dementia.
Recall of 1-2 items with a normal clock face indicates no dementia.
Recall of all 3 items indicates no dementia.

Essentially, the clock face only comes into play when only 1 or 2 items are recalled. If zero items or 3 items are recalled, the diagnosis is clear-cut.


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Cognition, Copyright, and the Classroom

Am J Psychiatry 162:627-628, March 2005
© 2005
American Psychiatric Association










Letter to the Editor


Cognition, Copyright, and the Classroom


SETH POWSNER, M.D.
New Haven, Conn. and DAVID POWSNER, J.D.
Boston, Mass.


To the Editor: Many psychiatrists are unaware that the Mini-Mental State Examination (MMSE) is protected by copyright. Its 20 questions were published in 1975 in the Journal of Psychiatric Research (1). This journal’s copyright notice forbids unauthorized reproduction of the examination. However, clinical experience suggests that unauthorized copies are routinely distributed to trainees and staff. We recently became aware of this while preparing an article for publication.

The notion of granting authors exclusive rights to their work goes back to the 1700s, when the United States and the United Kingdom enacted their first copyright laws, largely covering maps, charts, and books (2). Today, copyright protection is afforded by most countries (3): a Chinese court ordered a Beijing-based school to pay U.S. publishers $1.2 million for copying the Test of English as a Foreign Language and the Graduate Management Admission Test (4).

Much has happened since 1975. The MMSE has become the most widely accepted test of cognitive status, the Journal of Psychiatric Research has been purchased by Elsevier, and a corporation has been formed to license MMSE commercial rights: MiniMental LLC of Massachusetts. MiniMental offers examination forms, guides, and software through Psychological Assessment Resources, Inc., of Florida for about $1 per test. (Hardly exorbitant: $1 per test represents less than 1% of the cost of a psychiatric evaluation and, probably, less than 1% of the cost of a day of psychiatric training.)

Computer professionals worry about stealth patents—patents held quietly until there is a market to control. Has psychiatry fallen afoul of a stealth copyright? For years, we taught trainees to use a copyrighted examination. Must they purchase examinations from Psychological Assessment Resources in order to conduct interviews without risk of a lawsuit?

Some might argue that this copyright was lost through lack of enforcement. Are MiniMental and Psychological Assessment Resources unaware that psychiatric centers have freely reproduced MMSE forms for years? Internet searches for “MMSE” yield many sites, even complete forms without mention of copyright. This makes for an interesting legal argument but one that is not certain to prevail in court.

Computer programmers established the Open Source Initiative to avoid copyright battles. Software contributed to Open Source Initiative is free for copying, with an understanding that refinements will be contributed back (5). Psychiatrists have assumed this model for years, openly publishing their techniques and technical improvements.

Psychiatrists need tests such as the MMSE and, like psychologists (6), should respect intellectual property rights. For teaching, we need consensus—teach any effective interview technique, even a commercial one, or teach only open, freely available techniques.

References



  1. Folstein MF, Folstein SE, McHugh PR: “Mini-Mental State”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189–198[CrossRef][Medline]
  2. Eldred v Ashcroft, 537 US 186, 228 (2003) (Stevens J, dissenting); Statute of Anne, 8 Ann, c 19; Copyright Act, 1 Stat 124 (1790). http://www.copyrighthistory.com/anne.html
  3. Circular 1. Washington, DC, US Copyright Office, 2000
  4. New Oriental fined 10 m yuan in copyright lawsuit. China Daily, March 29, 2003. http://www.chinadaily.com.cn/en/doc/2003–09/29/content_268373.htm
  5. Open Source Initiative. http://www.opensource.org
  6. American Psychological Association: FAQ/Finding Information About Psychological Tests: Responsibility of Test Users. http://www.apa.org/science/faq-findtests.html

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Finding Information About Psychological Tests

The APA Science Directorate answers hundreds of calls and emails each year from persons trying to locate the right test or find more information about psychological tests. APA neither sells nor endorses testing instruments, but it does provide guidance in using available resources to find psychological tests. Answers to frequently asked questions are provided here.


CONTENTS


Section 1: Published Psychological Tests The first section contains information about published psychological tests — those available for purchase through a test publisher. It includes tips on how to locate tests within a given subject area, how to contact the test publisher once you find an appropriate test, and where to find computerized testing materials and information.



Section 2: Unpublished Psychological Tests and Measures The second section focuses on unpublished psychological tests and measures — those that are not available commercially for purchase. Information about unpublished tests usually appears in journal articles. The test can usually be obtained directly from the researcher who created the test or measure. This section tells you how to find unpublished tests in your area of interest and highlights your responsibilities as a user of unpublished psychological tests.



Section 3: A Final Word and Responsibilities of Test Users





Section 1: Published Psychological Tests



  • Where can I find tests to measure self-concept?
  • Can you send me a copy of this test?
  • Am I qualified to administer this test?

Although some questions like these do require the assistance of professionals, most can be answered by consulting one of many sources of testing information available to the public. Whether student, teacher, concerned test-taker, or psychologist, everyone can benefit from the many reference texts, databases, test reviews, and other items accessible through local colleges or public libraries.


The following information answers some of the most frequently asked questions regarding published tests.


Finding Information on a Particular Test


The first place to start is with one of several excellent testing references available at your local library. These references provide comprehensive, useful, and directive information on tests. They can also provide answers to a variety of questions, such as these: What tests are available for a specific purpose (e.g., clerical spatial relations)? Who publishes the test? How can I evaluate the test? How do I get more information on a specific test?


Tests in Print (TIP), the Mental Measurements Yearbook (MMY), Tests, and Test Critiques are the four most useful and popular references. These are described in detail later in this document and are available in the reference section of most college, university, and larger public libraries.


Finding a Particular Type of Test


Whether you are trying to locate tests that measure self-concept, or some other specific cognitive skill or personality trait, you should begin your search with one of the four test reference books identified above. If available, TIP may be your best choice, because it has the most entries per volume. Each of the references contains several indexes to aid in such a search. Subject and test title indexes may be most helpful. For example, suppose you are interested in measuring self-concept. Looking under ‘personality tests’ in the TIP subject index, you would quickly find three tests for self-concept. On further inspection, you would identify over a dozen additional tests that may be relevant, but are listed somewhere else in the nine-page index of personality tests. Yet a relatively quick search of a specific subject heading in the index can provide you with several useful leads.


Once you have identified several tests that may be of interest, you would review the more detailed entries on each test to determine if they are useful for your intended purpose. Entries typically identify the age or school grade levels for which the test is appropriate, as well as any subtests. Of course, if you are searching for a very specialized test or measure, your search is not so simple. For example, if you are interested in measuring letter recognition or honesty, you may not locate any relevant tests through the subject index. In this case, your best option is to go to the MMY and use the ‘score index,’ which would identify tests measuring subareas (e.g., honesty, letter recognition).


Locating a Specific Test


Once you have a name or author of a test, your chances of locating it are greatly improved. Again, you could check any of the four test reference books, but TIP and the MMY have the largest indexes of tests. Title and author indexes in each of the reference books should refer you to the section of the book describing the test. (In the case of the MMY or Test Critiques, you may actually be referred to an earlier volume of the book for more information).


Locating Test Publishers


Directories of test publishers are included in most major testing reference books (MMY, Tests, TIP). The size and scope of the directory usually reflects how many tests are included in that book. For example, TIP provides brief information on the greatest number of commercially available tests and, thus, has an extensive publishers directory. The Test Collection at Educational Testing Service (ETS) has a free pamphlet entitled Major U. S. Publishers of Standardized Tests, which lists the names, addresses, and phone numbers of 28 major test publishers. Call or write to them for your free copy at ETS, Library, Rosedale Road, Princeton, NJ, 08541, (609) 734-5667.


Publishers’ Catalogs


All of the major test publishers have catalogs listing their own products. The catalogs are published on an annual or semiannual basis. These catalogs are frequently the best source of information for the most recent editions of a test. Information on the cost of materials and scoring, types of scoring services, and ancillary materials are available through the catalogs. The catalogs also include information on variations of the test, such as large-print or foreign language versions. Contact the test publisher to request their catalog(s).


Purchasing Tests


Commercially available tests are usually purchased through the test publisher. Publishers hold the copyright to tests they distribute, and they maintain the copies of tests, test manuals, and scoring keys.


After locating the name, address, or phone number of a test publisher, contact the publisher with your request for information on a particular test (including purchase inquiries). Such inquiries should be made directly to the test publisher. Many publishers have separate policies for individual and organizational purchases of tests. Individuals may be required to complete a test purchaser qualifications form that allows a publisher to determine if the purchaser is qualified and competent to administer and interpret the test.


Test References


As mentioned earlier, the four most popular, useful, and easy to locate printed references for published tests are TIP, MMY, Tests, and Test Critiques. The following is a brief summary of these references.



  • Tests in Print (TIP) Publisher: The Buros Institute for Mental Measurements, Lincoln, NE. Most current volume: 7th ed. (2006).
    What information is here? TIP is a bibliographic encyclopedia of information on every published (and commercially available) test in psychology and achievement. Each entry consists of the test title, intended population, publication date, acronym (if applicable), author, publisher, foreign adaptations, and references. There are no critical reviews or psychometric information on the tests; detailed information on individual tests is available in other reference books such as MMY or Test Critiques. TIP was created to serve as a master index to the whole Buros Institute reference series on tests, including the 15 MMYs and the monograph series.

    What tests are included? The only criterion for inclusion is that the test be in print and available for purchase or use. So TIP covers a wide range of tests across psychology, education, and achievement.

    How do I use it? Tests are listed alphabetically, within subjects. However, if you know a test title, you can flip to an alphabetical index to find it. There are five indexes: test title, classified subject, publisher, name (of authors, reviewers), and a publishers’ directory. These five indexes are handy for locating tests by means other than the title or for accessing whole groups of tests for making comparisons (e.g., all tests tapping vocational interests). After you have located a test that interests you, turn to the MMY for more detailed information on that test, or use the directory of publishers to contact the test publisher for more information.


  • Mental Measurements Yearbook (MMY) Publisher: The Buros Institute for Mental Measurements, Lincoln, NE. Most current edition: 16th ed. (2005).
    What information is here? In the MMY, tests are listed alphabetically by title. Each entry provides descriptive information, such as the test name, intended population, publication dates, forms and prices, test author, and publisher. It also contains additional information on the extent to which reliability, validity, norming data, scoring and reporting services, and foreign language versions are available. Most entries also include one or more reviews of the test and testing materials (e.g., manuals) by qualified psychologists.

    What tests are included? The criteria for inclusion in the MMY are that the test be new or revised since the previous yearbook and that the publisher provide documentation supporting the technical qualities of the test.

    How do I use it? The introduction contains step-by-step directions for using the text to locate testing information. If you know the test title, you can look it up directly through the alphabetical listings. The seven indexes arrange tests by title, print status (in or out), acronym, classified subject, publisher, name (author, reviewer), and score. These can be used to access tests about which you have limited information or to access groups of tests that fit into the same category (e.g., yield the same score or are all measuring stress).


  • Tests Publisher: Pro-Ed, Inc., Austin, TX. Most current edition: 5th ed. (2003).
    What information is here? Tests, like TIP, is a bibliographic encyclopedia containing information on thousands of testing instruments in psychology, education, and business. It provides concise descriptions of tests, with each entry including the test title and author, the intended population, the tests purpose, the major features, the administration time, the scoring method, the cost and availability, and the primary publisher. Also, a scanning line uses coded visual keys to indicate whether the test is self- or examiner-administered.

    Tests does not contain evaluative critiques or data on reliability, validity, or norms; this information can be found for selected instruments in Test Critiques.

    What tests are included? Tests was created to provide quick and easy access to all tests available in the English language. Several thousand tests are included from the areas of psychology, education, and business.

    How do I use it? The book is divided into three main sections: ‘Psychology,’ ‘Education,’ and ‘Business,’ with each of these divided into subsections. Tests are arranged alphabetically within each subsection.

    Tests has seven indexes, including the test title index, author index, foreign language availability index, and a publisher/distributor index. Three indexes identify tests suitable for special populations: the hearing impaired, visually impaired, and physically impaired. Finally, there is a listing of out-of-print tests, which shows tests that publishers indicate have recently gone out-of-print. Use these indexes to locate information on a particular test or to access whole groups of tests in your area of interest. A publishers directory, also located in Tests, gives names, addresses, and phone numbers of publishers to contact for more information or purchasing inquiries.


  • Test Critiques Publisher: Pro-Ed, Inc., Austin, TX. Most current edition: updated annually.
    What information is here? This text is designed to be a companion to Tests and contains supplemental information designated as ‘not appropriate for inclusion in that directory. This includes psychometric information such as reliability, validity, and norm development. The tri-part entry for each test includes an Introduction, Practical Applications/Uses, and Technical Aspects, followed by a critique. The Introduction describes the test in detail, including information on the authors and publisher and the purpose of the test. Practical Applications/Uses gives information aimed toward the test user, including intended population, administration, scoring, and interpretation procedures. Technical Aspects includes citations from reliability and validity studies and opinions from experts regarding the technical adequacy of the test. The text is written for both professionals and students, with technical terms explained, and includes helpful information not usually found in other reference books. This makes it a user-friendly resource for students, teachers, or persons unfamiliar with test terminology.

    What tests are included? Tests are chosen for inclusion based on research on the most frequently used psychological, educational, and business-related tests. Selections are also made based on surveys of professional organizations regarding the tests they would most like to see critiqued. This text is updated annually.

    How do I use it? Each volume contains a table of contents that lists all reviewed tests alphabetically, along with the name of the reviewer. Each volume also contains cumulative indexes organized by test title, test publisher, test author and reviewer, and subject. This makes it easy to locate information on a test reviewed in any of the volumes, all in one location. Once you have located and read the review for any test, contact the publisher for more information regarding the purchase of the test. Also, because Test Critiques is a companion to Tests, you can look to the Tests directory for more information regarding any test described in Test Critiques.


  • Internet Searches
    The most comprehensive way to search for information is through the World Wide Web on the Internet. The Test Locator allows you to access test information from a variety of sources. Originally a joint effort of the ERIC Clearinghouse on Assessment and Evaluation at the Catholic University of America, the Library and Reference Services Division of ETS, the Buros Institute of Mental Measurements at the University of Nebraska, and Pro-Ed (a publisher of test reviews), the Test Locator was designed as a gateway to various sources of information on tests. Sponsor websites include http://ericae.net, http://buros.unl.edu/buros/jsp/search.jsp, and http://www.ets.org/testcoll.

    Available Software and Scoring Services for Published Tests. You can find a multitude of computerized testing materials, including a variety of software products developed for administering, scoring, and interpreting published tests. There are a couple of helpful directories that can lead you to the software you need.


  • What is “Test Reviews Online?
    At the Buros Center for Testing’s website (www.unl.edu/buros), search engines allow you to examine a large amount ) of information on tests and testing. “Test Reviews Online” is a web-based service of the Buros Institute of Mental Measurements. Test reviews are available to individuals exactly as they appear in the 9th through the most recent Mental Measurements Yearbooks. In addition, regular updates are provided from our latest test review database. For a small fee, users may download information for any of over 2,000 tests that include specifics on test purpose, population, publication date, administration time, and descriptive test critiques.

Available Software and Scoring Services


You can find a multitude of computerized testing materials, including a variety of software products developed for administering, scoring, and interpreting published tests. There are a couple of helpful directories that can lead you to the software you need.



  • Psychware Sourcebook Publisher: Metritech, Inc., Champaign, IL. Editor: Samuel E. Krug, PhD. Most current volume: 4th ed. (1993).

What information is here? This handy reference identifies and describes over 533 computer-based assessment tools, including computerized versions of paper-and-pencil tests and computer-based scoring and interpretation systems. It serves as a directory of available computer services and contains no reviews or critiques of software or services. Each item entry provides the test (or instrument) name, supplier, category (see below), applications, scale restrictions, type and cost of service, and product description. Also, an appendix showcases sample screens and sample outputs for many products, lending a realistic preview of services.

A separate section, Additional Resources, contains information to direct readers to outside sources of information on new products and critiques of available ones. These resources include journals, newsletters, electronic bulletin boards, and databases.

What tests are included? Instruments are categorized using the following classification scheme:


  1. Career/Vocational;
  2. Cognitive/Ability;
  3. Interests/Attitudes;
  4. Motivation;
  5. Neuropsychological;
  6. Personality; and
  7. Structured Interview.
The 533 products described consist of both computer-based test interpretation (CBTI) packages and assessment products.

How do I use it? Seven indexes provide easy access to the wide range of assessment tools included. The test title index makes it easy to trace a computer-based test version back to its paper-and-pencil counterpart. Other indexes arrange entries by product category, product application, service (including hardware compatibility), and supplier. These are useful in searching for a host of available services for one particular test (e.g., the MMPI) or in locating products compatible with your own computer (e.g., Macintosh).

Where can I find it? Ask the reference librarian at your university or college library. If you cannot locate it, contact the publisher, Metritech, Inc.


For Additional Information on the Proper Use of Tests:


The following publications represent standards, guidelines, and principles that have been carefully developed by psychologists, educators, and researchers to achieve and maintain ethical testing practices by the whole community. If you are interested in locating guidelines on the proper use of tests, you can consult the following:



  • Standards for educational and psychological testing. (1999). Washington, DC: American Psychological Association. (800) 374-2721.
  • Equal Employment Opportunity Commission, Civil Service Commission, Department of Labor, & Department of Justice. (1978). Adoption by four agencies of uniform guidelines on employeeselection procedures. Federal Register, 43 (166), 38290-38315.
  • Society for Industrial and Organizational Psychology, Inc. (1987). Principles for the validation and use of personnel selection procedures (4th ed.). College Park, MD. (419) 353-0032.
  • Joint Committee on Testing Practices (2004). Code of fair testing practices in education. National Council on Measurement in Education. (202) 336-6000.




Section 2: Unpublished Psychological Tests and Measures



  • What do you do when you need to identify and find instruments in a research area where no published tests exist?
  • What do you do when you try to find a specific test that has been used in a research study, but is not listed as a published test?
  • What responsibilities do you have when using an unpublished test?

Psychological measures are not limited to published tests; a gold mine of unpublished (or noncommercial) inventories, checklists, scales, projective techniques, and other instruments exist in the behavioral sciences literature. Unfortunately, only a few individuals who work in these areas know that the instruments exist or where to find them.


Locating these instruments is frustrating if you don’t know where to look. Many researchers, unaware that measures may exist that are suited to their needs, re-create instruments for their own research. This process is a two-fold waste; usable instruments lie dormant, and time that could be spent refining existing measures is instead spent virtually duplicating them. But finding instruments to suit your needs can be easy if you know where to look.


Printed Directories


The following are two of the more popular printed directories of unpublished or noncommercial tests and measures:



  • Directory of Unpublished Experimental Measures Publisher: William C. Brown Publishers, Dubuque, IA.Editors: Bert A. Goldman & David F. Mitchell.Most current volume: 7 (1997).

This valuable directory provides researchers and students easy access to recently developed experimental mental measures, tests, and surveys that are not commercially available. These measures have been used by other researchers on topics ranging from educational adjustment and motivation to personality and perception. The tests are arranged in a 24-category system and are grouped according to function and content, noting purpose, format, psychometric information (where available), and related research. The newest category, Adjustment: Vocation,’ identifies articles addressing burnout, vocational maturity, job-related stress, job frustration, and job satisfaction.

The directory has been updated periodically since Volume 1 was published in 1974. Each volume has a cumulative index which makes it easy to access any of the 5,363 tests contained across the first six volumes.



  • Measures for Psychological Assessment: A Guide to 3,000 Original Sources and Their Applications
    Publisher: Institute for Social Research, Ann Arbor, MI.Editors: K. T. Chun, S. Cobb, & J. R. P. French, Jr. Most current volume: 1975.

This text provides annotated references to thousands of psychological measures first appearing in journal articles or other publications. The first section, ‘Primary References,’ lists each of these 3,000-plus article references, along with the name of the measure and one or more applications of this measure in other experimental studies. The ‘Applications’ section lists over 6,600 additional studies that provide experimental tests or additional uses of the original measures. Author and subject indexes are included.

This text can help the researcher answer such questions as What empirical findings have been produced by the use of a given measure? or What additional information about a measure has been acquired since its publication?

Although it contains a wealth of references to experimental measures and corresponding research, this text is outdated. It is a helpful resource when looking for a specific measure appearing in the literature during the 1960s or early 1970s, but you would want to consult a more recent measure that is appropriate for your need.


Other Directories


Directories covering unpublished tests also exist in a nonprint format. The following is a summary of some of the more complete directories that fall into this category.



  • ETS Test Collection

    The Educational Testing Service (ETS) Test Collection database contains records on over 10,000 tests and research instruments. These records describe the instruments and provides availability information. ETS Library and Reference Services Division prepares the descriptions. The ERIC Clearinghouse on Assessment and Evaluation maintains the database and hosts the Search System.

    The title, author, publication date, and source appear in the record. An abstract describing the instrument, intended population, and uses accompanies the record. Subject terms give the age and grade level information as well as ERIC Thesaurus terms that describe the test. For more information, call or write: ETS Test Collection, Educational Testing Service, Princeton, NJ 08541, (609) 734-5689.
     

  • Tests in Microfiche

    Available through the Test Collection at the ETS, Tests in Microfiche offers information on a multitude of educational and psychological tests cited in the literature, but unavailable commercially. This includes both never-published and out-of-print tests. Users who purchase the microfiche may reproduce tests for their own use.

    Currently, there are over 800 tests included, with new sets of tests prepared annually and added to the cumulative set. These can be purchased as a set or by individual title, and an annotated index is available with each set. Also available is the Cumulative Index to Tests in Microfiche (1975-1987), which indexes all tests available for the first 13 sets of Tests in Microfiche. This reference is now available at many college and university libraries. For more information, call or write: ETS Test Collection, Educational Testing Service, Princeton, NJ, 08541, (609) 734-5686.
     

  • Health and Psychosocial Instruments (HAPI)

    Many measures created or modified for specific studies appear in journals, but never become commercially available. This computerized database (formerly known as the Health Instrument File) publicizes their existence and allows researchers and students to benefit from past work and avoid re-creating existing instruments. HAPI uses controlled vocabulary descriptors from APAs Thesaurus of Psychological Index Terms and the National Library of Medicine’s Medical Subject Headings (MeSH). The database, which is updated quarterly, contains over 15,000 instruments, most appearing in the literature between 985 and the present. One particularly useful feature is that reliability and validity can be used as keywords to access instruments with tested psychometric properties. You could, for instance, search for all instruments in your area with demonstrated test-retest reliability, construct validity, or both.

    HAPI is available at many college libraries through BRS Information Technologies. Now, it is also available on CD-ROM. The CD-ROM version is updated twice a year and costs $265 for an initial copy and a semiannual update. For more information, contact: Evelyn Perloff, Behavior Measurement Database Services, P.O. Box 110287, Pittsburgh, PA 15232-0787, (412) 687-6850.
     

  • Using the PsycINFO Database

    Suppose you are interested in group dynamics and want to locate a measure of group cohesion to use for your project entitled Cohesiveness Among Fraternities and Sororities. None of the tests or surveys you found in the directories or databases seem suitable for your study.

    There is a chance that the measure you need is in the published literature, but has not yet been referenced in any of these directories. You can locate more tests through a literature search at your library. Ask your reference librarian about PsycINFO, a bibliographic database that indexes all published research in psychology since 1967, Psychological Abstracts, the print counterpart to PsycINFO, or PsycLIT, the CD-ROM version of PsycINFO. Using keywords to denote your interest areas, you can use the database to find citations for articles in your interest area. PsycINFO, Psychological Abstracts, and PsycLIT provide abstracts for each article and will mention if the author developed a measure in the context of the study. For articles that appear relevant, use the citation to locate the study within the literature. (More information on PsycINFO is available under the’PsycINFO’ menu pick in this Gopher server.)

    These citations also include the university or organizational affiliation of the authors, along with an address where you can forward correspondence regarding the article. Write to the author and ask for more information on the test or measure.

    Depending on your research area, you may want to consult reference sources in fields related to psychology. For example, the Educational Resources Information Center (ERIC) of the American Institutes for Research produces a database similar to PsycINFO that indexes research published in the educational literature. In addition, the ERIC Clearinghouse on Tests, Measurement, and Evaluation (ERIC/TM) processes information on approximately 2,000 documents and 2,000 journal articles per year, specifically in the area of testing and evaluation. Ask your reference librarian for more information about such alternative sources.
     


Section 3: A Final Word and Responsibilities of Test Users


Finding copies of unpublished tests and measures, or information about them, can be easy if you follow the tips in this document. Remember that the PsycINFO database is an excellent source of information on the very latest developments in psychology, including testing.


Responsibilities of Test Users


Users of unpublished tests have certain ethical responsibilities. Users must (a) contact the test author and request permission to use their test, and (b) secure their permission in writing if the material is copyrighted. Locating the author may be a difficult process, particularly if the measure is several years old, but try the following steps:



  1. Journal articles list the authors organizational affiliation (or university) with a mailing address on the first page of the article. If the publication is fairly recent, this method is almost always successful.
     

  2. If this fails, directories published by scientific and professional associations like APA could provide you with a more current address and phone number for the author. This is useful if the article is several years old and the author has moved since the article was published.
     

  3. If these attempts to locate the author fail, contact the publisher holding the copyright to the original material and request permission from the publisher. Remember that APA holds the copyright to all material published in APA journals.

No matter how difficult this process may seem, you should make every effort to contact an author or copyright holder to secure permission before using any test or other instrument.

scrapped from APA Online


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이상한 나라의 앨리스 증후군(Alice In Wonderland Syndrome)

Alice
이상한 나라의 앨리스 증후군(Alice in wonderland syndrome)은 신체형상이 왜곡되어 보이는 것으로, 1955년 Todd가 자신의 논문에 편두통과 간질에서 발생하는, 드물지만 기이한 일련의 증상들을 소설 제목을 인용하여 명명하였다. 편두통이나 간질 환자들을 대상으로 시행한 연구에서 비우성 내측두엽의 기능과 연관된 보고가 있었지만, 아직 이 현상의 병태생리는 명확하지 않으며 대뇌병변과 연관된 보고는 없다.


많은 사람들이 잘 알고있고 어떻게 보면 동화라 할 수 없는(좀 무섭기 때문에) 루이스 캐럴의 원작소설 이상한 나라의 앨리스의 주인공 앨리스가 겪은 것들과 비슷한 증상의 정신질환입니다. 소설에서 앨리스는 회중시계를 꺼내보는 이상한(?) 토끼를 따라 토끼굴에 들어가고 그 이후 신비로운 경험을 하게되죠.
이 증후군은 1955년 영국의 정신과의사 J. Todd 가 자신의 논문에서 매우 드물지만 한편으론 매우 기이한 일련의 증상들을 소설의 제목을 인용하여 처음 이상한 나라의 앨리스 증후군(Alice In Wonderland Syndrome, AIWS) 이라 명명하였습니다.



이 흥미로운 이상한 나라의 앨리스 증후군의 증상은 아주 신기한 시각적 환영(Optical Illusion) 입니다. 이 증후군을 가진 환자들은 대체로 편두통을 가지고 있는데 물체가 작아보이거나(micropsia) 커보이거나(macropsia) 왜곡되어 보이거나(metamorhopsia) 마치 망원경을 거꾸로 한 것 처럼 멀어보이거나(teleopsia) 하는 등의 증상을 호소합니다.


원인은 모릅니다. 정확한 원인은 아직 밝혀지지 않았으며 여러 가설들이 있을 뿐입니다. 여러 가설들이 있지만 이중 유력한 가설은 측두엽의 이상으로 인한 시각정보를 받아들이는 과정에서의 기능적 문제로 보는 것 입니다. 이 증후군을 앓는 많은 환자들이 편두통의 병력을 가지고 있으며 드물게 간질환자에게서도 보고 되고 있습니다. 여타의 검사 등에서는 특이소견을 발견하기 어려운 경우가 많습니다.


이상한 나라의 앨리스의 저자 루이스 캐럴 또한 편두통 환자였는데 아마 루이스 캐럴이 어렸을 때 직접 경험한 것을 바탕으로 소설이 만들어지지 않았나하고  생각해봅니다. 물론 캐럴은 이미 하늘나라로 갔기 때문에 사실여부를 확인해 볼 수는 없습니다. 이 특이하고도 이상한 이상한 나라의 앨리스 증후군은 매우매우 희귀한 질병이므로 정신과 전문의 조차 평생에 한번 만나보기 힘듭니다.


평소 극심한 편두통을 앓아오던 42세의 남자가 병원으로 왔습니다. 그는 약 일주일전부터 TV에서 늘 보던 유명인사들이 낯설어 보이기 시작했으며 가족들은 물론 급기야  길을 걸어다니는 사람들까지 이상하게 보인다고 했습니다. 그의 말에 따르면 사람들의 목이 엄청나게 길어보인다고 했으며 다리와 팔은 짧아져 마치 장난끼 심한 아이가 가지고 논 목이 늘어난 바비인형처럼 보인다고 했습니다.
그외에도 여러 증상이 있을 수 있겠죠. 쥐가 사람만큼 크게 보인다던가 버스가 시계처럼 작아 보인다던가 하는 증상도 있을 수 있습니다.

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Mood Disorder Questionnaire (MDQ)

Mood Disorder Questionnaire (MDQ)
1. Has there ever been a period of time when you were not your usual self and…


____You felt so good or so hyper that other people thought you were not your normal self or you were so hyper that you got into trouble?
____ You were so irritable that you shouted at people or started fights or arguments?
____ You felt much more self-confident than usual?
____ You got much less sleep than usual and found you didn’t really miss it?
____ You were much more talkative or spoke much faster than usual?
____ Thoughts raced through your head or you couldn’t slow your mind down? You were so easily distracted by things around you that you had trouble concentrating or staying on track?
____ You had much more energy than usual?
____ You were much more active or did many more things than usual?
____ You were much more social or outgoing than usual?for example, you telephoned friends in the middle of the night?
____ You were much more interested in sex than usual?
____ You did things that were unusual for you or that other people might have thought were excessive, foolish or risky?
____ Spending money got you or your family into trouble?

2. If you checked “Yes” to more than one of above, have several of these ever happened during the same perido of time?
____Yes, ____No

3.  How much of a problem did any of these cause you – like being unable to work; having family, money, or legal troubles; getting intro arguments of fights?
____No roblem, ____Minor Problem, ____Moderate problem, ____Serous problem


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Synopsis of Psychiatry 10th Edition


Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry (Paperback)

흐음.. 페이지수도 별로 변화된 것 없고.. 내용은.. 끄응;; 많아서 잘 모르겠고..
암튼 9판을 정신없을 때사서 10만원에 샀었는데..-_-;;

암튼.. 새 책을 꽂아놓으니.. 뽀대는 나는군..>_<

Paperback: 1472 pages
Publisher: Lippincott Williams & Wilkins; 10 edition (May 1, 2007)
Language: English
ISBN-10: 078177327X
ISBN-13: 978-0781773270
Product Dimensions: 10.5 x 7.4 x 1.7 inches
Shipping Weight: 4.9 pounds

85,000 won

SynopsisOfPsychiary.com