The SYSTEMS - School-Years Screening Test for the Evaluation of Mental Status

Ouvrier, Robert A., Hendy, Julie, Bornholt, Laurel J., & Black (Spencer), Fiona H. (1999) The SYSTEMS - School-Years Screening Test for the Evaluation of Mental Status. Journal of Child Neurology, 14, pp. 772-780.


This paper introduces the School-Years Screening Test for Evaluation of Mental Status (SYSTEMS). It was designed to be used by neurologists, pediatricians, and other health professionals assessing children with suspected cognitive problems or changes. SYSTEMS was initially based on the adult Mini-Mental State Examination developed by Folstein, Folstein, and McHugh in 1975. SYSTEMS is a 7- to 12-minute, one-on-one interview test containing 46 items for use in children between 5 and 12 years of age. Although a full diagnosis cannot be made, the results do provide an indication of whether to send a child for further detailed cognitive assessment. The development of SYSTEMS comprised seven studies with a total of 1207 children involved from Sydney primary schools and neurology clinics of the New Children's Hospital, Westmead, New South Wales, Australia. All children were administered the SYSTEMS. Some of the children also were administered the Stanford-Binet Intelligence Test, 4th edition, or the Differential Ability Scales. Results showed that the SYSTEMS was internally consistent, unbiased by sex, socioeconomic indicators, or language groups; discriminated well by age; and strongly correlated (r = 0.88) with mental age. No significant differences in results obtained by two trained administrators were evident and no indication of apparent practice effect was found. The SYSTEMS was found to have desirable levels of sensitivity (83% and 92%), specificity (76% and 95%), and likelihood ratio for cognitive impairment (3.63 and 17.5) when compared with neurologic judgments and the Differential Ability Scales, respectively. This paper presents and evaluates the School-Years Screening Test for the Evaluation of Mental Status (SYSTEMS). The test was designed to assess the cognitive state of a child when he or she first presents to a neurologist or pediatrician. Low scores on the SYSTEMS would suggest cognitive impairment or cognitive deterioration and would indicate the need for a more detailed cognitive assessment.

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20 citations in Scopus
19 citations in Web of Science®
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ID Code: 935
Item Type: Journal Article
Refereed: Yes
Additional Information: Journal of Child Neurology is no longer published by BC Decker. Now published by Sage Publications.
Keywords: SYSTEMS screening test, MMSE, test development, children’s cognitive functioning
ISSN: 0883-0738
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Psychological Methodology Design and Analysis (170110)
Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100) > Educational Psychology (170103)
Australian and New Zealand Standard Research Classification > EDUCATION (130000) > SPECIALIST STUDIES IN EDUCATION (130300) > Learning Sciences (130309)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NEUROSCIENCES (110900) > Neurology and Neuromuscular Diseases (110904)
Divisions: Current > QUT Faculties and Divisions > Faculty of Education
Copyright Owner: Copyright 1999 BC Decker Inc
Deposited On: 31 Mar 2005 00:00
Last Modified: 10 Aug 2011 13:18

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