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.

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.

Speech pauses, alongside content and structure, offer a valuable and non-invasive biomarker for detecting dementia. This work investigates the use of pause-enriched transcripts in transformer-based language models to differentiate the cognitive states of subjects with no cognitive impairment, mild cognitive impairment, and Alzheimer's dementia based on their speech from a clinical assessment. We address three binary classification tasks: Onset, monitoring, and dementia exclusion. The performance is evaluated through experiments on a German Verbal Fluency Test and a Picture Description Test, comparing the model's effectiveness across different speech production contexts. Starting from a textual baseline, we investigate the effect of incorporation of pause information and acoustic context. We show the test should be chosen depending on the task, and similarly, lexical pause information and acoustic cross-attention contribute differently.

Automated dementia screening enables early detection and intervention, reducing costs to healthcare systems and increasing quality of life for those affected. Depression has shared symptoms with dementia, adding complexity to diagnoses. The research focus so far has been on binary classification of dementia (DEM) and healthy controls (HC) using speech from picture description tests from a single dataset. In this work, we apply established baseline systems to discriminate cognitive impairment in speech from the semantic Verbal Fluency Test and the Boston Naming Test using text, audio and emotion embeddings in a 3-class classification problem (HC vs. MCI vs. DEM). We perform cross-corpus and mixed-corpus experiments on two independently recorded German datasets to investigate generalization to larger populations and different recording conditions. In a detailed error analysis, we look at depression as a secondary diagnosis to understand what our classifiers actually learn.

The detection of pathologies from speech features is usually defined as a binary classification task with one class representing a specific pathology and the other class representing healthy speech. In this work, we train neural networks, large margin classifiers, and tree boosting machines to distinguish between four pathologies: Parkinson's disease, laryngeal cancer, cleft lip and palate, and oral squamous cell carcinoma. We show that latent representations extracted at different layers of a pre-trained wav2vec 2.0 system can be effectively used to classify these types of pathological voices. We evaluate the robustness of our classifiers by adding room impulse responses to the test data and by applying them to unseen speech corpora. Our approach achieves unweighted average F1-Scores between 74.1% and 97.0%, depending on the model and the noise conditions used. The systems generalize and perform well on unseen data of healthy speakers sampled from a variety of different sources.

For dementia screening and monitoring, standardized tests play a key role in clinical routine since they aim at minimizing subjectivity by measuring performance on a variety of cognitive tasks. In this paper, we report a study consisting of a semistandardized history taking followed by two standardized neuropsychological tests, namely the SKT and the CERAD-NB. The tests include basic tasks such as naming objects, learning word lists, but also widely used tools such as the MMSE. Most of the tasks are performed verbally and should thus be suitable for automated scoring based on transcripts. For the first batch of 30 patients, we analyze the correlation between expert manual evaluations and automatic evaluations based on manual and automatic transcriptions. For both SKT and CERAD-NB, we observe high to perfect correlations using manual transcripts; for certain tasks with lower correlation, the automatic scoring is stricter than the human reference since it is limited to the audio. Using automatic transcriptions, correlations drop as expected and are related to recognition accuracy; however, we still observe high correlations of up to 0.98 (SKT) and 0.85 (CERADNB). We show that using word alternatives helps to mitigate recognition errors and subsequently improves correlation with expert scores.

Personal Narrative (PN) is the recollection of individuals’ life experiences, events, and thoughts along with the associated emotions in the form of a story. Compared to other genres such as social media texts or microblogs, where people write about experienced events or products, the spoken PNs are complex to analyze and understand. They are usually long and unstructured, involving multiple and related events, characters as well as thoughts and emotions associated with events, objects, and persons. In spoken PNs, emotions are conveyed by changing the speech signal characteristics as well as the lexical content of the narrative. In this work, we annotate a corpus of spoken personal narratives, with the emotion valence using discrete values. The PNs are segmented into speech segments, and the annotators annotate them in the discourse context, with values on a 5-point bipolar scale ranging from -2 to +2 (0 for neutral). In this way, we capture the unfolding of the PNs events and changes in the emotional state of the narrator. We perform an in-depth analysis of the inter-annotator agreement, the relation between the label distribution w.r.t. the stimulus (positive/negative) used for the elicitation of the narrative, and compare the segment-level annotations to a baseline continuous annotation. We find that the neutral score plays an important role in the agreement. We observe that it is easy to differentiate the positive from the negative valence while the confusion with the neutral label is high. Keywords: Personal Narratives, Emotion Annotation, Segment Level Annotation