Telltale silence: temporal speech parameters discriminate between prodromal dementia and mild Alzheimer's disease

• Published in: Clinical linguistics & phonetics Vol. 35; no. 8; pp. 727 - 742
• Main Authors: Vincze, Veronika, Szatlóczki, Gréta, Tóth, László, Gosztolya, Gábor, Pákáski, Magdolna, Hoffmann, Ildikó, Kálmán, János
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis 03-08-2021; Taylor & Francis Ltd
• Subjects: Alzheimer's disease; connected speech; Dementia; differential diagnosis; Magnetic resonance imaging; Medical diagnosis; Mild cognitive impairment; Older people; Patients; Pauses; Silence; Speech duration; Speech rate; temporal speech parameters; temporal speech parameters; differential diagnosis; Alzheimer’s disease; Mild cognitive impairment; connected speech
• ISSN: 0269-9206; 1464-5076
• DOI: 10.1080/02699206.2020.1827043

This study presents a novel approach for the early detection of mild cognitive impairment (MCI) and mild Alzheimer's disease (mAD) in the elderly. Participants were 25 elderly controls (C), 25 clinically diagnosed MCI and 25 mAD patients, included after a clinical diagnosis validated by CT or MRI and cognitive tests. Our linguistic protocol involved three connected speech tasks that stimulate different memory systems, which were recorded, then analyzed linguistically by using the PRAAT software. The temporal speech-related parameters successfully differentiate MCI from mAD and C, such as speech rate, number and length of pauses, the rate of pause and signal. Parameters pauses/duration and silent pauses/duration linearly decreased among the groups, in other words, the percentage of pauses in the total duration of speech continuously grows as dementia progresses. Thus, the proposed approach may be an effective tool for screening MCI and mAD.