Andreas Erzigkeit

Franziska Braun, Andreas Erzigkeit, Hartmut Lehfeld et al.

Standardized tests play a crucial role in the detection of cognitive impairment. Previous work demonstrated that automatic detection of cognitive impairment is possible using audio data from a standardized picture description task. The presented study goes beyond that, evaluating our methods on data taken from two standardized neuropsychological tests, namely the German SKT and a German version of the CERAD-NB, and a semi-structured clinical interview between a patient and a psychologist. For the tests, we focus on speech recordings of three sub-tests: reading numbers (SKT 3), interference (SKT 7), and verbal fluency (CERAD-NB 1). We show that acoustic features from standardized tests can be used to reliably discriminate cognitively impaired individuals from non-impaired ones. Furthermore, we provide evidence that even features extracted from random speech samples of the interview can be a discriminator of cognitive impairment. In our baseline experiments, we use OpenSMILE features and Support Vector Machine classifiers. In an improved setup, we show that using wav2vec 2.0 features instead, we can achieve an accuracy of up to 85%.

Franziska Braun, Markus Förstel, Bastian Oppermann et al.

For dementia screening and monitoring, standardized tests play a key role in clinical routine since they aim at minimizing subjectivity by measuring performance on a variety of cognitive tasks. In this paper, we report on a study that consists of a semi-standardized history taking followed by two standardized neuropsychological tests, namely the SKT and the CERAD-NB. The tests include basic tasks such as naming objects, learning word lists, but also widely used tools such as the MMSE. Most of the tasks are performed verbally and should thus be suitable for automated scoring based on transcripts. For the first batch of 30 patients, we analyze the correlation between expert manual evaluations and automatic evaluations based on manual and automatic transcriptions. For both SKT and CERAD-NB, we observe high to perfect correlations using manual transcripts; for certain tasks with lower correlation, the automatic scoring is stricter than the human reference since it is limited to the audio. Using automatic transcriptions, correlations drop as expected and are related to recognition accuracy; however, we still observe high correlations of up to 0.98 (SKT) and 0.85 (CERAD-NB). We show that using word alternatives helps to mitigate recognition errors and subsequently improves correlation with expert scores.

Franziska Braun, Christopher Witzl, Andreas Erzigkeit et al.

Early detection of cognitive impairment relies on neuropsychological tests to minimize subjectivity by assessing multiple cognitive domains. Speech-based evaluation can support diagnostics and improve accessibility, but transcription errors and the omission of nonverbal subtests (e.g., motor skills) limit accuracy. Beyond conventional test scores, speech-derived features can provide additional insights into cognitive status. This study investigates the speech-based evaluation of the German "Syndrom-Kurz-Test," a standardized dementia screening test comprising verbal and motor subtests. We train models that integrate transcript-derived scores and Whisper embeddings per verbal subtest to reduce scoring errors. To compensate for missing motor subtests, we then leverage these fused representations to approximate expert overall ratings. Despite omitting subtests, our models strongly correlate with expert ratings and efficiently and accurately discriminate between cognitive status groups.