Dual Task Vector Merging: Leveraging Emotion and ASR Knowledge for Low-Resource Alzheimer's Disease Detection

Speech-based automatic detection of Alzheimer's disease (AD) provides a non-invasive and scalable approach to early cognitive screening. AD affects both lexical-semantic organization and speech production, including atypical pauses and word elongations. However, existing methods have yet to fully integrate these paralinguistic cues with linguistic content. We propose LLM-Anchored Paralinguistic Enrichment (LAPE), which enriches LLM-derived linguistic representations with paralinguistic cues through three coordinated innovations. The first is prosodic event textualization, which enables the LLM to model pauses and elongations jointly with lexical content by encoding them as explicit markers with bounded duration-aware repetition. The second is lexico-prosodic unitization and chunking, which preserves event identity and magnitude in both modalities by pooling only consecutive word units. The third is text-anchored paralinguistic fusion, which integrates local and utterance-level speech features by using NormGate to normalize and dynamically scale them relative to text. We evaluate LAPE on ADReSS and ADReSSo using participant-level cross-validation and leave-one-subject-out evaluation. LAPE achieves state-of-the-art performance across all four primary settings. Code will be released upon acceptance.

Early diagnosis of Alzheimer's Disease (AD) is crucial for delaying its progression. While AI-based speech detection is non-invasive and cost-effective, it faces a critical data efficiency dilemma due to medical data scarcity and privacy barriers. Therefore, we propose FAL-AD, a novel framework that synergistically integrates federated learning with data augmentation to systematically optimize data efficiency. Our approach delivers three key breakthroughs: First, absolute efficiency improvement through voice conversion-based augmentation, which generates diverse pathological speech samples via cross-category voice-content recombination. Second, collaborative efficiency breakthrough via an adaptive federated learning paradigm, maximizing cross-institutional benefits under privacy constraints. Finally, representational efficiency optimization by an attentive cross-modal fusion model, which achieves fine-grained word-level alignment and acoustic-textual interaction. Evaluated on ADReSSo, FAL-AD achieves a state-of-the-art multi-modal accuracy of 91.52%, outperforming all centralized baselines and demonstrating a practical solution to the data efficiency dilemma. Our source code is publicly available at https://github.com/smileix/fal-ad.

Early detection of dementia enables timely intervention, and reflecting cognitive impairment, spontaneous speech offers a non-invasive screening modality. Conventional approaches often focus on a single representational dimension -- such as acoustic descriptors, pause modeling, automatic speech recognition (ASR) transcripts, or multimodal fusion -- limiting integrative reasoning across heterogeneous cognitive symptoms. We propose a low-rank adaptation (LoRA)-tuned large language model (LLM) that performs structured multi-view reasoning over four complementary speech-derived signals: ASR transcripts with pause markers, discourse-level topic cues, temporal fluency statistics, and phonological sequences. These cues are encoded within a unified prompt, enabling a single LLM to learn a coherent decision function without modality-specific encoders or late-stage fusion. On ADReSSo, our best model achieves an F1-score of 90.14%, and ablation confirms the complementary contribution of each view.