An Automated Approach to Examining Pausing in the Speech of People With Dementia

Am J Alzheimers Dis Other Demen. 2020 Jan-Dec:35:1533317520939773. doi: 10.1177/1533317520939773.

Abstract

Dementia is a common neurodegenerative condition involving the deterioration of cognitive and communication skills. Pausing in the speech of people with dementia is a dysfluency that may be used to signal conversational trouble in social interaction. This study aimed to examine the speech-pausing profile within picture description samples from people with dementia and healthy controls (HCs) within the DementiaBank database using the Calpy computational speech processing toolkit. Sixty English-speaking participants between the ages of 53 and 88 years (Mage = 67.43, SD = 8.33; 42 females) were included in the study: 20 participants with mild cognitive impairment, 20 participants with moderate cognitive impairment, and 20 HCs. Quantitative analysis shows a progressive increase in the duration of pausing between HCs, the mild dementia group, and the moderate dementia group, respectively.

Keywords: conversation; dementia; machine learning; pausing; trouble.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cognitive Dysfunction / complications*
  • Cognitive Dysfunction / diagnosis
  • Cognitive Dysfunction / physiopathology*
  • Dementia / complications*
  • Dementia / diagnosis
  • Dementia / physiopathology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Speech / physiology*