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

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.

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

Dementia and depression are the most prevalent neuropsychiatric disorders in geriatric populations, and their overlapping symptoms pose major challenges for differential diagnosis. In this study, we investigate open-weights Large Language Models (LLMs) for predicting dementia and depression severity from speech samples collected during standardized history taking interviews with 154 German-speaking subjects. We introduce an observer-based Global Depression Scale (GDS-D) aligned with the established Global Deterioration Scale (GDS), enabling parallel global staging of affective and cognitive symptoms. We compare three LLMs (Mistral 3.1, DeepHermes, Qwen3) in two settings: (1) zero-shot prediction and (2) LLM-based feature extraction for Support Vector Regression, using human and pause-enriched transcripts. Results show that LLMs effectively predict depression severity in zero-shot settings (best MAE of 0.60), while dementia assessment benefits substantially from structured feature extraction (best MAE of 0.78), reducing errors by up to 35% over zero-shot baselines. Pause-enriched transcripts achieve competitive performance with human transcriptions, demonstrating the viability of fully automatic screening pipelines for differential neuropsychiatric assessment.

The PARLO Dementia Corpus: A German Multi-Center Resource for Alzheimer's Disease

Early and accessible detection of Alzheimer's disease (AD) remains a major challenge, as current diagnostic methods often rely on costly and invasive biomarkers. Speech and language analysis has emerged as a promising non-invasive and scalable approach to detecting cognitive impairment, but research in this area is hindered by the lack of publicly available datasets, especially for languages other than English. This paper introduces the PARLO Dementia Corpus (PDC), a new multi-center, clinically validated German resource for AD collected across nine academic memory clinics in Germany. The dataset comprises speech recordings from individuals with AD-related mild cognitive impairment and mild to moderate dementia, as well as cognitively healthy controls. Speech was elicited using a standardized test battery of eight neuropsychological tasks, including confrontation naming, verbal fluency, word repetition, picture description, story reading, and recall tasks. In addition to audio recordings, the dataset includes manually verified transcriptions and detailed demographic, clinical, and biomarker metadata. Baseline experiments on ASR benchmarking, automated test evaluation, and LLM-based classification illustrate the feasibility of automatic, speech-based cognitive assessment and highlight the diagnostic value of recall-driven speech production. The PDC thus establishes the first publicly available German benchmark for multi-modal and cross-lingual research on neurodegenerative diseases.

Bias and Fairness in Self-Supervised Acoustic Representations for Cognitive Impairment Detection

Speech-based detection of cognitive impairment (CI) offers a promising non-invasive approach for early diagnosis, yet performance disparities across demographic and clinical subgroups remain underexplored, raising concerns around fairness and generalizability. This study presents a systematic bias analysis of acoustic-based CI and depression classification using the DementiaBank Pitt Corpus. We compare traditional acoustic features (MFCCs, eGeMAPS) with contextualized speech embeddings from Wav2Vec 2.0 (W2V2), and evaluate classification performance across gender, age, and depression-status subgroups. For CI detection, higher-layer W2V2 embeddings outperform baseline features (UAR up to 80.6\%), but exhibit performance disparities; specifically, females and younger participants demonstrate lower discriminative power (\(AUC\): 0.769 and 0.746, respectively) and substantial specificity disparities (\(Δ_{spec}\) up to 18\% and 15\%, respectively), leading to a higher risk of misclassifications than their counterparts. These disparities reflect representational biases, defined as systematic differences in model performance across demographic or clinical subgroups. Depression detection within CI subjects yields lower overall performance, with mild improvements from low and mid-level W2V2 layers. Cross-task generalization between CI and depression classification is limited, indicating that each task depends on distinct representations. These findings emphasize the need for fairness-aware model evaluation and subgroup-specific analysis in clinical speech applications, particularly in light of demographic and clinical heterogeneity in real-world applications.

Reading Between the Waves: Robust Topic Segmentation Using Inter-Sentence Audio Features

Spoken content, such as online videos and podcasts, often spans multiple topics, which makes automatic topic segmentation essential for user navigation and downstream applications. However, current methods do not fully leverage acoustic features, leaving room for improvement. We propose a multi-modal approach that fine-tunes both a text encoder and a Siamese audio encoder, capturing acoustic cues around sentence boundaries. Experiments on a large-scale dataset of YouTube videos show substantial gains over text-only and multi-modal baselines. Our model also proves more resilient to ASR noise and outperforms a larger text-only baseline on three additional datasets in Portuguese, German, and English, underscoring the value of learned acoustic features for robust topic segmentation.

Towards Multi-Level Transcript Segmentation: LoRA Fine-Tuning for Table-of-Contents Generation

Segmenting speech transcripts into thematic sections benefits both downstream processing and users who depend on written text for accessibility. We introduce a novel approach to hierarchical topic segmentation in transcripts, generating multi-level tables of contents that capture both topic and subtopic boundaries. We compare zero-shot prompting and LoRA fine-tuning on large language models, while also exploring the integration of high-level speech pause features. Evaluations on English meeting recordings and multilingual lecture transcripts (Portuguese, German) show significant improvements over established topic segmentation baselines. Additionally, we adapt a common evaluation measure for multi-level segmentation, taking into account all hierarchical levels within one metric.

Generalizing to Unseen Disaster Events: A Causal View

Due to the rapid growth of social media platforms, these tools have become essential for monitoring information during ongoing disaster events. However, extracting valuable insights requires real-time processing of vast amounts of data. A major challenge in existing systems is their exposure to event-related biases, which negatively affects their ability to generalize to emerging events. While recent advancements in debiasing and causal learning offer promising solutions, they remain underexplored in the disaster event domain. In this work, we approach bias mitigation through a causal lens and propose a method to reduce event- and domain-related biases, enhancing generalization to future events. Our approach outperforms multiple baselines by up to +1.9% F1 and significantly improves a PLM-based classifier across three disaster classification tasks.

Pitfalls and Limits in Automatic Dementia Assessment

Current work on speech-based dementia assessment focuses on either feature extraction to predict assessment scales, or on the automation of existing test procedures. Most research uses public data unquestioningly and rarely performs a detailed error analysis, focusing primarily on numerical performance. We perform an in-depth analysis of an automated standardized dementia assessment, the Syndrom-Kurz-Test. We find that while there is a high overall correlation with human annotators, due to certain artifacts, we observe high correlations for the severely impaired individuals, which is less true for the healthy or mildly impaired ones. Speech production decreases with cognitive decline, leading to overoptimistic correlations when test scoring relies on word naming. Depending on the test design, fallback handling introduces further biases that favor certain groups. These pitfalls remain independent of group distributions in datasets and require differentiated analysis of target groups.

Personalized Fine-Tuning with Controllable Synthetic Speech from LLM-Generated Transcripts for Dysarthric Speech Recognition

In this work, we present our submission to the Speech Accessibility Project challenge for dysarthric speech recognition. We integrate parameter-efficient fine-tuning with latent audio representations to improve an encoder-decoder ASR system. Synthetic training data is generated by fine-tuning Parler-TTS to mimic dysarthric speech, using LLM-generated prompts for corpus-consistent target transcripts. Personalization with x-vectors consistently reduces word error rates (WERs) over non-personalized fine-tuning. AdaLoRA adapters outperform full fine-tuning and standard low-rank adaptation, achieving relative WER reductions of ~23% and ~22%, respectively. Further improvements (~5% WER reduction) come from incorporating wav2vec 2.0-based audio representations. Training with synthetic dysarthric speech yields up to ~7% relative WER improvement over personalized fine-tuning alone.

Adapter-Based Multi-Agent AVSR Extension for Pre-Trained ASR Models

We present an approach to Audio-Visual Speech Recognition that builds on a pre-trained Whisper model. To infuse visual information into this audio-only model, we extend it with an AV fusion module and LoRa adapters, one of the most up-to-date adapter approaches. One advantage of adapter-based approaches, is that only a relatively small number of parameters are trained, while the basic model remains unchanged. Common AVSR approaches train single models to handle several noise categories and noise levels simultaneously. Taking advantage of the lightweight nature of adapter approaches, we train noise-scenario-specific adapter-sets, each covering individual noise-categories or a specific noise-level range. The most suitable adapter-set is selected by previously classifying the noise-scenario. This enables our models to achieve an optimum coverage across different noise-categories and noise-levels, while training only a minimum number of parameters. Compared to a full fine-tuning approach with SOTA performance our models achieve almost comparable results over the majority of the tested noise-categories and noise-levels, with up to 88.5% less trainable parameters. Our approach can be extended by further noise-specific adapter-sets to cover additional noise scenarios. It is also possible to utilize the underlying powerful ASR model when no visual information is available, as it remains unchanged.