Gowtham Premananth

Gowtham Premananth, Carol Espy-Wilson

Language disruptions are one of the well-known effects of schizophrenia symptoms. They are often manifested as disorganized speech and impaired discourse coherence. These abnormalities in spontaneous language production reflect underlying cognitive disturbances and have the potential to serve as objective markers for symptom severity and diagnosis of schizophrenia. This study focuses on how these language disruptions can be characterized in terms of two computational linguistic measures: surprisal and semantic coherence. By computing surprisal and semantic coherence of language using computational models, this study investigates how they differ between subjects with schizophrenia and healthy controls. Furthermore, this study provides further insight into how language disruptions in terms of these linguistic measures change with varying degrees of schizophrenia symptom severity.

Gowtham Premananth, Carol Espy-Wilson

Advances in artificial intelligence (AI) and deep learning have improved diagnostic capabilities in healthcare, yet limited interpretability continues to hinder clinical adoption. Schizophrenia, a complex disorder with diverse symptoms including disorganized speech and social withdrawal, demands tools that capture symptom severity and provide clinically meaningful insights beyond binary diagnosis. Here, we present an interpretable framework that leverages articulatory speech features through eigenspectra difference plots and a weighted sum with exponential decay (WSED) to quantify vocal tract coordination. Eigenspectra plots effectively distinguished complex from simpler coordination patterns, and WSED scores reliably separated these groups, with ambiguity confined to a narrow range near zero. Importantly, WSED scores correlated not only with overall BPRS severity but also with the balance between positive and negative symptoms, reflecting more complex coordination in subjects with pronounced positive symptoms and the opposite trend for stronger negative symptoms. This approach offers a transparent, severity-sensitive biomarker for schizophrenia, advancing the potential for clinically interpretable speech-based assessment tools.

Gowtham Premananth, Philip Resnik, Sonia Bansal et al.

Studies on schizophrenia assessments using deep learning typically treat it as a classification task to detect the presence or absence of the disorder, oversimplifying the condition and reducing its clinical applicability. This traditional approach overlooks the complexity of schizophrenia, limiting its practical value in healthcare settings. This study shifts the focus to individual symptom severity estimation using a multimodal approach that integrates speech, video, and text inputs. We develop unimodal models for each modality and a multimodal framework to improve accuracy and robustness. By capturing a more detailed symptom profile, this approach can help in enhancing diagnostic precision and support personalized treatment, offering a scalable and objective tool for mental health assessment.