Speech-Based Dementia Detection

Overview

The field studies how changes in word choice, sentence structure, pauses, fluency, and vocal acoustics can signal dementia or milder cognitive impairment. Methods range from interpretable linguistic features and acoustic models to automatic speech recognition, self-supervised speech representations, large language models, and systems that combine audio with transcripts or other clinical data. Researchers evaluate these approaches on conversational and task-based speech benchmarks, including ADReSS, DementiaBank, and newer multilingual or clinical corpora. Strong benchmark results remain difficult to carry across datasets, languages, and patient groups, so fairness, clinical validation, faithful explanations, and robustness to recording differences are central open challenges.

Latest papers

CardsList

44 papers9 papers in the last four weeks, up 50% on the four weeks before. 0.1% of all new papers.

  1. Concentrated Causal Influence, Distributed Diagnostic Information: Cognitive Impairment Decisions in Large Audio-Language Models

    Oct 23, 2026Xiutian Zhao, Luqi Sun, Björn Schuller +1Audio-Language ModelsCircuits in Language Models

  2. Improved automatic speech-based cognitive assessment using neuropsychologically calibrated diagnostic labels

    Oct 20, 2026Madhurananda Pahar, Caitlin Illingworth, Adam Hampshire +5Speech-Based Dementia DetectionClinical Speech Processing

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

    Oct 17, 2026Yuan-Chao Li, Yin-Long Liu, Liu He +5Speech-Based Dementia DetectionAlzheimer's Disease Classification

  4. Automatic Sentence Completion Using Bengali Audio Speech with a Transformer-Based Early Speech Recognition System

    Oct 15, 2026Md Asif Akram, Arif Faisal, Sakir Hossain Faruque +1Speech-Based Dementia DetectionClinical Speech Processing

  5. Task-Centric Multimodal Learning for Cognitive Impairment Detection

    Oct 14, 2026Sankalp Vaish, Rishank Singh, Sumukh Veeramalla +3Multimodal LearningSpeech-Based Dementia Detection

  6. CogDrift-4D: Hierarchical Multimodal Modeling of Temporal Behavioral Decay for MCI Detection

    Oct 14, 2026Sankalp Vaish, Sumukh Veeramalla, Rishank Singh +3Dementia CareSpeech-Based Dementia Detection

  7. Beyond Decodability: Do Acoustic Factors Drive Predictions in Speech-Based Alzheimer's Assessment?

    Oct 1, 2026Serli Kopar, Alkis Koudounas, Roshan P. Rane +3Audio Representation LearningSpeech-Based Dementia Detection

  8. Explainable and Generalisable LLM-based Cognitive Decline Detection with Spontaneous Speech

    Sep 28, 2026Ziyun Cui, Wen Wu, Chuan Shi +10Explainable Artificial IntelligenceSpeech-Based Dementia Detection

  9. Why Alzheimer's Speech Screening Fails to Generalize: Bridging the Deployment Gap via Cross-Corpus Evidence Anchoring

    Sep 25, 2026Zijian Lu, Sizhe Liu, Yin Zhang +6Speech-Based Dementia DetectionDomain Generalization

  10. CCMAN: Cognitive Instability-Aware Cross-Modal Attention Network for Interpretable Temporal Biomarkers of Verbal Fluency Speech

    Sep 13, 2026Madhurananda Pahar, Caitlin Illingworth, Dorota Braun +2Speech-Based Dementia Detection

  11. Robust Cross-Domain Speech-Based Alzheimer's Disease Detection via Iterative Adversarial Self-Training

    Sep 12, 2026Luqi Sun, Shreeram Suresh Chandra, Aurosweta Mahapatra +3Speech-Based Dementia DetectionAlzheimer's Disease Classification

  12. LLM-Anchored Paralinguistic Enrichment for Alzheimer's Disease Detection

    Sep 9, 2026Xiao Wei, Yuqin Lin, Yaru Cao +6Speech-Based Dementia DetectionSpeech Prosody

  13. Robust Rank Aggregation for Multimodal Speech-Based Alzheimer's Disease Detection

    Sep 9, 2026Zemin Jin, Tomoko MatsuiSpeech-Based Dementia DetectionAlzheimer's Disease Classification

  14. Cleaner Speech, Weaker Generalization: Revisiting Pitt-Derived Benchmarks for Alzheimer's Disease Detection

    Aug 31, 2026Luqi Sun, Shreeram Suresh Chandra, Lin Zhang +5Speech-Based Dementia DetectionSpeech Enhancement

  15. LSEAD: A Privacy-Preserving LLM-Based Speech Analysis Framework for Early Alzheimer's Disease Screening

    Aug 7, 2026Xin Wang, Yingchao Huang, Yuhan Su +2Speech-Based Dementia DetectionAlzheimer's Disease Classification

  16. A Neurosymbolic Approach for Explainable Early Diagnosis of Alzheimer's Disease

    Jul 31, 2026Ranveer Singh, Pranuthi Tenali, Saurabh Mathur +6Alzheimer's DiseaseInterpretable ML

  17. Disentangling Acoustic Cues in Alzheimer's Pathology and Perception: The Roles of Language and Gender

    Jul 27, 2026Liu He, Yuanchao Li, Yin-Long Liu +5Explainable Artificial IntelligenceSpeech-Based Dementia Detection

  18. Toward Generalizable Cognitive Impairment Detection with Speech-Based Multimodal Large Language Models

    Jul 23, 2026Yingchao Huang, Xin Wang, Yuhan Su +1Multimodal Large Language ModelsSpeech-Based Dementia Detection

  19. Multi-Level Privacy-Preserving Dementia Detection from Speech via Targeted Adversarial Obfuscation and Representation Learning

    Jul 19, 2026Henriette Flore Kenne, Raphael Anaadumba, Mohammad Arif Ul AlamSpeech-Based Dementia DetectionPrivacy-Preserving ML

  20. Transcript-Free Lightweight Detection of Alzheimer's Disease from Spontaneous Speech Using Handcrafted MFCC-Dominant Acoustic Biomarkers

    Jul 11, 2026Rashin Gholijani Farahani, Azam BastanfardSpeech-Based Dementia DetectionSpeech Processing

  21. Gated Multi-Graph Fusion via Graph Attention Networks for Alzheimer's Disease Detection

    Jun 30, 2026Jinyu Li, Xiao Wei, Bin Wen +5Alzheimer's DiseaseGraph Attention Networks

  22. From Black-Box to Clinical Insight: A Multi-Stage Explainable Framework for Speech-Based Cognitive Impairment Detection

    Jun 26, 2026Yasaman Haghbin, Sina Rashidi, Ali Zolnour +6Transformer InterpretabilityExplainable Artificial Intelligence

  23. LoRA-Tuned Large Language Models for Dementia Detection via Multi-View Speech-Derived Features

    Jun 26, 2026Jonghyeon Park, Olivier Jiyoun Jung, Myungwoo OhMulti-View LearningSpeech-Based Dementia Detection

  24. Listening Between the Lines: Joint Learning of ASR Embeddings and LLM-Augmented Linguistics for Dementia Detection

    Jun 26, 2026Olivier Jiyoun Jung, Jonghyeon Park, Myungwoo OhSpeech-Based Dementia DetectionMultimodal Learning

  25. Segment-Level Mandarin Chinese Speech-Based Cognitive Impairment Detection via an Autoencoder with Contrastive Learning

    Jun 18, 2026Yongqi Shao, Hong Huo, Flavio Bertini +2Audio Representation LearningRepresentation Learning

  26. Mitigating Scoring Errors and Compensating for Nonverbal Subtests in Speech-Based Dementia Assessment

    Jun 17, 2026Franziska Braun, Christopher Witzl, Andreas Erzigkeit +4Speech-Based Dementia DetectionAutomated Evaluation

  27. Fair Cognitive Impairment Detection Through Unlearning

    Jun 17, 2026William Nguyen, Jiali Cheng, Hadi AmiriAdversarial Representation LearningAlgorithmic Fairness

  28. Reading between the Lines: Leveraging Large Language Models for Global Dementia and Depression Assessment from Clinical Interviews

    Jun 16, 2026Franziska Braun, Alea Rüggeberg, Thomas Ranzenberger +4Depression DetectionMental Health