Reading and lexical-semantic retrieval tasks outperforms single task speech analysis in the screening of mild cognitive impairment and Alzheimer's disease.

Age-related cognitive impairment have increased dramatically in recent years, which has risen the interes in developing screening tools for mild cognitive impairment and Alzheimer's disease. Speech analysis allows to exploit the behavioral consequences of cognitive deficits on the patient's vocal performance so that it is possible to identify pathologies affecting speech production such as dementia. Previous studies have further shown that the speech task used determines how the speech parameters are altered. We aim to combine the impairments in several speech production tasks in order to improve the accuracy of screening through speech analysis. The sample consists of 72 participants divided into three equal groups of healthy older adults, people with mild cognitive impairment, or Alzheimer's disease, matched by age and education. A complete neuropsychological assessment and two voice recordings were performed. The tasks required the participants to read a text, and complete a sentence with semantic information. A stepwise linear discriminant analysis was performed to select speech parameters with discriminative power. The discriminative functions obtained an accuracy of 83.3% in simultaneous classifications of several levels of cognitive impairment. It would therefore be a promising screening tool for dementia.

Many Changes in Speech through Aging Are Actually a Consequence of Cognitive Changes.

BACKGROUND: During aging, changes in human speech may arise because of the neurophysiological deterioration associated with age, or as the result of an impairment in the cognitive processes underlying speech production. Some speech parameters show specific alterations under the presence of dementia. The objective of our study is to identify which of these parameters change because of age, cognitive state, or the interaction of both. METHODS: The sample includes 400 people over 55 years old, who were divided into four groups, according to their age. The cognitive state of the participants was assessed through the MMSE test and three ranks were stablished. Gender was also considered in the analysis. RESULTS: Certain temporal, fluency, rhythm, amplitude and voice quality parameters were found to be related to the cognitive state, while disturbance parameters changed due to age. Frequency parameters were exclusively influenced by gender. CONCLUSIONS: Understanding how speech parameters are specifically affected by age, cognitive state, or the interaction of both, is determinant to advance in the use of speech as a clinical marker for the detection of cognitive impairments.

Speech biomarkers of risk factors for vascular dementia in people with mild cognitive impairment.

Introduction: In this study we intend to use speech analysis to analyze the cognitive impairments caused by pathologies of vascular origin such as diabetes, hypertension, hypercholesterolemia and heart disease, predictors of the development of vascular dementia. Methods: In this study, 40 participants with mild cognitive impairment were asked to read while being recorded and they were inquired about their history of the aforementioned conditions. Their speech was then analyzed. Results: We found that some speech parameters of frequencies and syllabic rhythm vary due to these pathologies. In addition, we conducted a discriminant analysis in which we found that diabetes and hypertension can be predicted with an accuracy over 95% with few speech parameters, and hypercholesterolemia and heart disease with an accuracy over 80%. Discussion: The predictor parameters found are heterogeneous, including voice quality, amplitude, frequency, and rhythm parameters. This result may lead to investigate why such important qualitative changes occur in the voice of older adults with these pathologies. Rather than trying to find a diagnostic procedure already existing in classical medicine, we expect this finding to contribute to explore the causes and concomitant pathologies of these diseases. We discuss the implications of behavioral traits, such as speech, as digital biomarkers.

Changes in the Rhythm of Speech Difference between People with Nondegenerative Mild Cognitive Impairment and with Preclinical Dementia.

This study explores several speech parameters related to mild cognitive impairment, as well as those that might be flagging the presence of an underlying neurodegenerative process. Speech is an excellent biomarker because it is not invasive and, what is more, its analysis is rapid and economical. Our aim has been to ascertain whether the typical speech patterns of people with Alzheimer's disease are also present during the disorder's preclinical stages. To do so, we shall be using a task that involves reading out aloud. This is followed by an analysis of the recordings, looking for the possible parameters differentiating between those older people with MCI and a high probability of developing dementia and those with MCI that will not do so. We found that the disease's most differentiating parameters prior to its onset involve changes in speech duration and an alteration in rhythm rate and intensity. These parameters seem to be related to the first difficulties in lexical access among older people with AD.

Voice Markers of Lexical Access in Mild Cognitive Impairment and Alzheimer's Disease.

BACKGROUND: Recent studies have identified the correlation between dementia and certain vocal features, such as voice and speech changes. Vocal features may act as early markers of Alzheimer's disease (AD). Despite being present in non-pathological senescence and Mild Cognitive Impairment, especially in its amnesic subtype (aMCI), these voice- and speech-related symptoms are the first signs of AD. The purpose of this study is to verify whether these signs are related to deficits in lexical access, which appear early in AD. METHOD: Anomic deficits in persons with MCI and AD are assessed through tests on verbal memory, denomination by confrontation, and verbal fluency. In addition, an acoustic analysis of speech is conducted in a reading task to identify the acoustic parameters associated with the groups analyzed, and their relation to the degree of anomic impairment observed in each one of them. RESULTS AND CONCLUSIONS: The results show a direct relationship between the different acoustic parameters present in AD and the verbal fluency tests results.

Relations between Sensorimotor Integration and Speech Disorders in Parkinson's Disease.

BACKGROUND: Sensorimotor integration mechanisms can be affected by many factors, among which are those involving neuromuscular disorders. Parkinson's disease (PD) is characterized by well-known motor symptoms, among which lately have been included motor speech deficits. Measurement of the acoustic startle reflex (ASR) and its modulations (prepulse inhibition and prepulse facilitation, PPI and PPF respectively) represent a simple and quantifiable tool to assess sensorimotor function. However, it remains unknown whether measures of the PPI and PPF are associated with motor speech deficits in PD. METHODS: A total of 88 subjects participated in this study, 52 diagnosed with PD and 36 control subjects. After obtaining written informed consent, participants were assessed with PPI at several interstimulus intervals, and PPF at 1000 ms using the SRH-Lab system (San Diego, CA). Percentage of change in the amplitude and latency of the ASR was analyzed between groups. Voice recordings were register of a specific text given to the subjects with a professional recorder and temporal patterns of speech were analyzed. RESULTS: Statistical analysis conducted in this study showed differences in PPI and PPF in subjects with PD compared to controls. In addition, discriminative parameters of voice abnormalities were observed in PD subjects related to control subjects showing a reduction in phonation time, vowel pulses, breaks, breakage and voice speech periods. CONCLUSIONS: PD presents a disruption in sensorimotor filter mechanisms and speech disorders, and there is a relationship between these alterations. The correlation between the PPI and PPF with an alteration of the voice in PD subjects contributes toward understanding mechanism underlying the neurophysiological alterations in both processes. Overall, easy and non-invasive tests such as PPI, PPF together with voice analysis may be useful to identify early stages of PD.

Speech rhythm alterations in Spanish-speaking individuals with Alzheimer's disease.

Rhythm is the speech property related to the temporal organization of sounds. Considerable evidence is now available for suggesting that dementia of Alzheimer's type is associated with impairments in speech rhythm. The aim of this study is to assess the use of an automatic computerized system for measuring speech rhythm characteristics in an oral reading task performed by 45 patients with Alzheimer's disease (AD) compared with those same characteristics among 82 healthy older adults without a diagnosis of dementia, and matched by age, sex and cultural background. Ranges of rhythmic-metric and clinical measurements were applied. The results show rhythmic differences between the groups, with higher variability of syllabic intervals in AD patients. Signal processing algorithms applied to oral reading recordings prove to be capable of differentiating between AD patients and older adults without dementia with an accuracy of 87% (specificity 81.7%, sensitivity 82.2%), based on the standard deviation of the duration of syllabic intervals. Experimental results show that the syllabic variability measurements extracted from the speech signal can be used to distinguish between older adults without a diagnosis of dementia and those with AD, and may be useful as a tool for the objective study and quantification of speech deficits in AD.

Acoustic markers associated with impairment in language processing in Alzheimer's Disease.

This study broaches in a novel way the analysis of cognitive impairment characteristic of the early stages of Alzheimer's Disease (AD). Specifically, we attempt to determine the acoustic speech parameters that are sensitive to the onset of the disease, and their association with the language deficit characteristic of AD. Speech analysis was carried out on 21 elderly patients with AD using Praat software, which analyzes the acoustic components of speech. The data obtained were subjected to stepwise regression, using the overall scores obtained in the test as the criterion variable, and the scores on the frequency, amplitude and periodicity variables as predictors of performance. We found that the percentage of voiceless segments explains a significant portion of the variance in the overall scores obtained in the neuropsychological test. This component seems to be related mainly to the patient's ability in phonological fluency. This finding could permit the creation of a diagnostic test for AD through analysis of the acoustic speech parameters at very low cost in terms of both time and resources.

Acoustic markers associated with impairment in language processing in Alzheimer’s disease

This study broaches in a novel way the analysis of cognitive impairment characteristic of the early stages of Alzheimer’s Disease (AD). Specifically, we attempt to determine the acoustic speech parameters that are sensitive to the onset of the disease, and their association with the language deficit characteristic of AD. Speech analysis was carried out on 21 elderly patients with AD using Praat software, which analyzes the acoustic components of speech. The data obtained were subjected to stepwise regression, using the overall scores obtained in the test as the criterion variable, and the scores on the frequency, amplitude and periodicity variables as predictors of performance. We found that the percentage of voiceless segments explains a significant portion of the variance in the overall scores obtained in the neuropsychological test. This component seems to be related mainly to the patient’s ability in phonological fluency. This finding could permit the creation of a diagnostic test for AD through analysis of the acoustic speech parameters at very low cost in terms of both time and resources (AU)

El estudio aborda una manera novedosa el análisis de los deterioros cognitivos característicos de las primeras fases de la Enfermedad de Alzheimer (EA). En concreto, se pretende determinar los parámetros acústicos del habla sensibles al inicio de la enfermedad, y su asociación con el déficit lingüístico característico de la EA. Realizamos un análisis del habla a 21 mayores con EA, por medio del software Praat que analiza los componentes acústicos del habla. Los datos obtenidos se analizaron mediante la técnica de regresión paso a paso, con las puntuaciones globales obtenidas en las diferentes pruebas neuropsicológicas como variable criterio, (entre otras el test de Cuetos-Vega de procesamiento lingüístico) y las puntuaciones en las variables de frecuencia, amplitud y periodicidad del sonido como predictores de su ejecución. Obtuvimos que el porcentaje de segmentos sordos explica una parte significativa de la varianza de la puntuación global obtenida en la prueba neuropsicológica. Este componente parece estar relacionado, principalmente, con la capacidad de fluidez fonológica del paciente. Esto podría permitir la elaboración de una prueba de diagnóstico de la EA a través del análisis de los parámetros acústicos del habla con un coste temporal y material muy bajo (AU)

The impact of poly drug use on several prospective memory measures in a sample of university students / Impacto del policonsumo de drogas sobre varias medidas de memoria prospectiva en una muestra de estudiantes universitarios

The prolonged consumption of drugs has been associated with neuropsychological and cognitive deficits. The most important deficits are associated with executive functions and memory problems, specifically with prospective memory (PM). This type of memory plays a central role in our daily life. However, there is a lack of studies on the effects of poly drug consumption on prospective memory. In this study we aim to discover to what extent the length and amount of estimated consumption of alcohol, tobacco, cannabis and tranquilizers predicts the scores of self-reported prospective memory, and the scores on two objective tasks designed for this study. Measures included a Spanish version of the UEL Recreational Drug Use Questionnaire and the Prospective Memory Questionnaire, both with objective scores on two experimental tasks. The sample was composed of 164 participants (145 females and 19 males) aged 19- 36 (M = 19.85, SD = 2.21). Stepwise regression analysis showed that years of cannabis consumption explained 13% of self-reported long term PM deficits. Years of alcohol consumption explained 18.4% of total variance of self-rated internally-cued PM deficits. Years of alcohol consumption and estimated amount of alcohol together predicted 30.2% of variance of objective event-based PM tasks. The estimated amount of tobacco and tranquilizers consumption predicted 33.7% of the time-based PM task.

El consumo prolongado de drogas se ha asociado a déficit neuropsicológicos y cognitivos. Los déficits más importantes están asociados con las funciones ejecutivas y los problemas de memoria, y en concreto con la memoria prospectiva (MP). Este tipo de memoria juega un papel central en nuestra vida diaria. Sin embargo, faltan estudios sobre los efectos del policonsumo de drogas en la MP. En este estudio pretendemos conocer en qué medida los años desde el inicio de su consumo y la cantidad de consumo estimada de alcohol, tabaco, cannabis y tranquilizantes predicen las puntuaciones autoinformadas de memoria prospectiva y las puntuaciones objetivas en dos tareas experimentales diseñadas por nosotros. Entre las medidas se incluyeron una versión en español del UEL Recreational Drug Use Questionnaire, el Prospective Memory Questionnaire, junto con las puntuaciones objetivas en dos tareas experimentales. La muestra estuvo compuesta por 164 participantes (145 mujeres y 19 varones) con edades comprendidas entre los 19 y 36 años (M: 19.85 años, DE: 2.21). Los análisis de regresión por pasos mostraron que los años de consumo de cannabis explican un 13% de los problemas autoinformados de MP a largo plazo medidos con el PMQ. En el caso de los problemas autoinformados de MP con pistas internas, son los años de consumo de alcohol los que mayor porcentaje de la varianza explican (18.4%). Respecto a las tareas objetivas de MP, los años de consumo de alcohol y la cantidad estimada de alcohol predicen el 30.2% de la varianza de la tarea prospectiva de eventos. El 33.7% de la tarea de MP de tiempo era predicha por la cantidad estimada de consumo de tranquilizantes y de tabaco.

The effect of personality variables in the prediction of the execution of different prospective memory tasks in the laboratory.

The study of prospective memory (ProM), the remembering of the delayed execution of intentions, has been growing in recent years, and we know quite a bit about the cognitive variables that affect it. But the performance of a task depends on personality variables as well as on cognitive ones, and the role of personality variables in ProM has only been partially studied, the results being less conclusive. We sought to address two main objectives: (1) to quantify the joint influence of cognitive and personality variables on three ProM tasks in the laboratory (two based on events and the other on time), and (2) to identify the personality profiles of those who perform well in these three ProM tasks as opposed to those who do not. The cognitive and personality variables were evaluated with two sessions of 157 participants. The 16 PF-5 was applied (Cattell, Cattell & Cattell, 1993) and other cognitive variables were measured. With the data obtained, we ran several regression analyses to determine how some cognitive variables (sustained attention, verbal fluency, interference, retrospective memory, selective attention) and personality factors (tested using the 16 PF-5) can help to explain the variance in the performance of prospective memory tasks. Our results show that the contribution of personality predictor variables is moderate and smaller than that of the cognitive variables for predicting the execution of ProM tasks in the laboratory. Furthermore the intervention of the personality variables differs depending on the ProM tasks used. Global self-control and rule-consciousness were the personality variables that contributed the most in the prediction of the scores in the ProM tasks that were used.

Motivational versus volitional mediation of passivity in institutionalized older people.

The relationship between perceived loss of control and passivity in social activities in a non-handicapped institutionalized elderly population was assessed. Perceived loss of control was assessed from three different types of expectancies: low action-outcome expectancies, high situation-outcome expectancies, and low efficacy expectancies. Passivity scores were reported by the staff. The effect of these three types of expectancies on passivity was analyzed in terms of motivation and volition, which were treated as mediating variables. Overall analysis of the structural equations, as well as partial hierarchical regression analyses, showed that efficacy expectancies were good predictors of passivity, but this was not the case for the action-outcome and situation-outcome expectancies. These results lend more support to a volitional rather than to a motivational interpretation of the effect of control on passivity. The implications of these results for intervention and for a differentiated conception of expectancies are discussed.