Linguistic Parameters of Spontaneous Speech for Identifying Mild Cognitive Impairment and Alzheimer Disease

Abstract

In this article, we seek to automatically identify Hungarian patients suffering from mild cognitive impairment (MCI) or mild Alzheimer disease (mAD) based on their speech transcripts, focusing only on linguistic features. In addition to the features examined in our earlier study, we introduce syntactic, semantic, and pragmatic features of spontaneous speech that might affect the detection of dementia. In order to ascertain the most useful features for distinguishing healthy controls, MCI patients, and mAD patients, we carry out a statistical analysis of the data and investigate the significance level of the extracted features among various speaker group pairs and for various speaking tasks. In the second part of the article, we use this rich feature set as a basis for an effective discrimination among the three speaker groups. In our machine learning experiments, we analyze the efficacy of each feature group separately. Our model that uses all the features achieves competitive scores, either with or without demographic information (3-class accuracy values: 68%–70%, 2-class accuracy values: 77.3%–80%). We also analyze how different data recording scenarios affect linguistic features and how they can be productively used when distinguishing MCI patients from healthy controls.