Cited by 249Dementia and Cognitive Impairment ResearchNeurobiology of Language and BilingualismVoice and Speech Disorders

Speaking in Alzheimer’s Disease, is That an Early Sign? Importance of Changes in Language Abilities in Alzheimer’s Disease

Open access
Szatloczki, Greta, Hoffmann, Ildiko, Vincze, Veronika, Kalman, Janos, Pakaski, Magdolna·2015·Frontiers in Aging Neuroscience

Abstract

It is known that Alzheimer's disease (AD) influences the temporal characteristics of spontaneous speech. These phonetical changes are present even in mild AD. Based on this, the question arises whether an examination based on language analysis could help the early diagnosis of AD and if so, which language and speech characteristics can identify AD in its early stage. The purpose of this article is to summarize the relation between prodromal and manifest AD and language functions and language domains. Based on our research, we are inclined to claim that AD can be more sensitively detected with the help of a linguistic analysis than with other cognitive examinations. The temporal characteristics of spontaneous speech, such as speech tempo, number of pauses in speech, and their length are sensitive detectors of the early stage of the disease, which enables an early simple linguistic screening for AD. However, knowledge about the unique features of the language problems associated with different dementia variants still has to be improved and refined.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.3389/fnagi.2015.00195

Cites

7 of 7 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Changes in speech patterns, including verbal repetitions, pauses, and slowed speech, have been suggested as potential early indicators of cognitive impairment.

    “Changes in speech patterns, including verbal repetitions, pauses, and slowed speech, have been suggested as potential early indicators of cognitive impairment (20).”

    From Understanding older people's voice interactions with smart voice assistants: a new modified rule-based natural language processing model with human input (2024) · cites this paper as [20]

    The Phonetics and Phonology section identifies longer hesitations and slower speech in mild cognitive impairment, and the Abstract describes pauses and speech tempo as sensitive indicators of early Alzheimer’s disease. The copy does not identify verbal repetitions as an early speech-pattern indicator; its discussion of repetition concerns a language ability rather than repeated words in speech. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • Consistent with previous research, the speech interactions between older people and SVA appear to be influenced by cognitive decline, resulting in repetitions in their speech patterns.

    “Consistent with previous research (20, 21), the speech interactions between older people and SVA appear to be influenced by cognitive decline, resulting in repetitions in their speech patterns.”

    From Understanding older people's voice interactions with smart voice assistants: a new modified rule-based natural language processing model with human input (2024) · cites this paper as [20]

    The sections “The Relationship Between Language and Cognitive Functions in Alzheimer’s Disease” and “Alzheimer’s Disease and Language” link cognitive impairment with changes in speech; the supplied copy gives no page numbers. They do not discuss interactions with speech-based virtual assistants (SVA) or show that cognitive decline causes people to repeat themselves. The paper’s reference to “repetition abilities” concerns a language ability, not repetitive speech patterns. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 56

  1. Appell J. Kertesz A. Fishman M. (1982). A study of language functioning in Alzheimer patients. Brain Lang. 17, 73– 91. 10.1016/0093-934X(82)90006-2 7139272 · DOI
  2. Axer H. Klingner C. M. Prescher A. (2013). Fiber anatomy of dorsal and ventral language streams. Brain Lang. 127, 192– 204. 10.1016/j.bandl.2012.04.015 22632814 · DOI
  3. Balthazar M. L. F. Martinelli J. E. Cendes F. Damasceno B. P. (2007). Lexical semantic memory in amnestic mild cognitive impairment and mild Alzheimer’s disease. Arquivos de Neuropsiquiatria 65, 619– 622. 10.1590/S0004-282X2007000400014 17876402 · DOI
  4. Barth S. Schönknecht P. Pantel J. Schröder J. (2005). Mild cognitive impairment and Alzheimer’s disease: an investigation of the CERAD-NP test battery. Fortschr. Neurol. Psychiatr. 73, 568– 576. 10.1055/s-2004-830249 16217697 · DOI
  5. Bayles K. A. Boone D. R. (1982). The potential of language tasks for identifying senile dementia. J. Speech Hear. Disord. 47, 210– 217. 10.1044/jshd.4702.210 7176601 · DOI
  6. Bayles K. A. Kaszniak A. W. Tomoeda C. K. (1987). Communication and Cognition in Normal Aging and Dementia. Boston, MA: College-Hill Press.
  7. Bayles K. A. Tomoeda C. K. Trosset W. (1992). Relation of linguistic abilities of Alzheimer’s patients to stage of disease. Brain Lang. 42, 454– 472. 10.1016/0093-934X(92)90079-T 1377076 · DOI
  8. Bernal B. Altman N. (2010). The connectivity of the superior longitudinal fasciculus: a tractography DTI study. Magn. Reson. Imaging 28, 217– 225. 10.1016/j.mri.2009.07.008 19695825 · DOI · Paper page
  9. Bickel C. Pantel J. Eysenbach K. Schröder J. (2000). Syntactic comprehension deficits in Alzheimer’s disease. Brain Lang. 71, 432– 448. 10.1006/brln.1999.2277 10716871 · DOI
  10. Caramelli P. Mansur L. L. Nitrini R. (1998). “Language and communication disorders in dementia of the Alzheimer type,” in Handbook of Neurolinguistics, eds Stemmer B. Whitaker H. A. (San Diego, CA: Academic Press), 463– 473.
  11. Croot K. Hodges J. R. Xuereb J. Patterson K. (2000). Phonological and articulatory impairment in Alzheimer’s disease: a case series. Brain Lang. 75, 277– 309. 10.1006/brln.2000.2357 11049669 · DOI
  12. Cardoso S. Silva D. Maroco J. de Mendonca A. Guerreiro M. (2014). Non-literal language deficits in mild cognitive impairment. Psychogeriatr. 14, 222– 228. 25495083
  13. De Lacoste M. C. Kirkpatrick J. B. Ross E. D. (1985). Topography of the human corpus callosum. J. Neuropathol. Exp. Neurol. 44, 578– 591. 10.1097/00005072-198511000-00004 4056827 · DOI
  14. Dos Santos V. Thomann P. A. Wüstenberg T. Seidl U. Essig M. Schröder J. (2011). Morphological cerebral correlates of CERAD test performance in mild cognitive impairment and Alzheimer’s disease. J. Alzheimers Dis. 23, 411– 420. 10.3233/JAD-2010-100156 21116054 · DOI
  15. Duong A. Whitehead V. Hanratty K. Chertkow H. (2006). The nature of lexico-semantic processing deficits in mild cognitive impairment. Neuropsychologia 44, 1928– 1935. 10.1016/j.neuropsychologia.2006.01.034 16616942 · DOI
  16. Emery V. O. B. (2000). Language impairment in dementia of the Alzheimer type: a hierarchical decline? Int. J. Psychiatry Med. 30, 145– 164. 10.2190/X09P-N7AU-UCHA-VW08 11001278 · DOI
  17. Feinberg T. E. Farah M. J. (1997). Behavioural Neurology and Neuropsychology. New York, NY: McGraw-Hill.
  18. Forbes K. E. Venneri A. Shanks M. F. (2002). Distinct patterns of spontaneous speech deterioration: a mild predictor of Alzheimer’s disease. Brain Cogn. 48, 356– 361. 12030467
  19. Garrard P. Maloney L. M. Hodges J. R. Patterson K. (2005). The effects of very early Alzheimer’s disease on the characteristics of writing by a renowned author. Brain 128, 250– 260. 10.1093/brain/awh341 15574466 · DOI
  20. Giffard B. Desgranges B. Nore-Mary F. Lalevee C. Beaunieux H. de la Sayette V. (2002). The dynamic time course of semantic memory impairment in Alzheimer’s disease: clues from hyperpriming and hypopriming effects. Brain 125, 2044– 2057. 10.1093/brain/awf209 12183350 · DOI
  21. Giffard B. Desgranges B. Nore-Mary F. Lalevee C. de la Sayette V. Pasquier F. (2001). The nature of semantic memory deficits in Alzheimer’s disease: new insights from hyperpriming effects. Brain 124, 1522– 1532. 10.1093/brain/124.8.1522 11459744 · DOI
  22. Hirni D. I. Kivisaari S. L. Monsch A. U. Taylor K. I. (2013). Distinct neuroanatomical bases of episodic and semantic memory performance in Alzheimer’s disease. Neuropsychologia 51, 930– 937. 10.1016/j.neuropsychologia.2013.01.013 23369803 · DOI
  23. Hodges J. R. (1994). Cognitive Assessment for Clinicians. New York, NY: Oxford University Press, 5– 19.
  24. Hodges J. R. Salmon D. P. Butters N. (1992). Semantic memory impairment in Alzheimer’s disease: failure of access or degraded knowledge? Neuropsychologia 30, 301– 314. 10.1016/0028-3932(92)90104-T 1603295 · DOI
  25. Hoffmann I. Németh D. Dye C. Pákáski M. Irinyi T. Kálmán J. (2010). Temporal features of spontaneous speech in Alzheimer’s disease. Int. J. Speech Lang. Pathol. 12, 29– 34. 10.3109/17549500903137256 20380247 · DOI
  26. Jarrold W. Peintner B. Wilkins D. Vergryi D. Richey C. Gorno-Tempini M. L. (2014). “Aided diagnosis of dementia type through computer-based analysis of spontaneous speech,” in Proceedings of CLPsych (Baltimore, MD), 27– 37.
  27. Juncos-Rabadán O. Pereiro A. X. Facal Y. D. Rodríguez N. (2010). Una revisión de la investigación sobre lenguaje en el deterioro cognitivo leve. Revista de Logopedia, Foniatría y Audiología 30, 73– 83. 10.1016/S0214-4603(10)70119-4 · DOI
  28. Kempler D. (2004). Neurocognitive Disorders in Aging. Thousand Oaks, CA: SAGE.
  29. Kempler D. Zelinski E. M. (1994). “Language in dementia and normal aging,” in Dementia and normal aging, eds Huppert F. A. Brayne C. O’Connor D. W. (Cambridge: Cambridge University Press), 331– 365.
  30. Kempler S. Marquis J. Thompson M. (2001). Longitudinal change in language production: effects of aging and dementia on grammatical complexity and propositional concent. Psychol. Aging 16, 600– 614. 10.1037/0882-7974.16.4.600 11766915 · DOI
  31. Laske C. Sohrabi H. R. Frost S. M. de Ipína K. L. Garrard P. Buscema M. (2015). Innovative diagnostic tools for early detection of Alzheimer’s disease. Alzheimers Dement. 11, 561– 578. 10.1016/j.jalz.2014.06.004 25443858 · DOI · Paper page
  32. Laws K. R. Duncan A. Gale T. M. (2010). ‘Normal’ semantic-phonemic fluency discrepancy in Alzheimer’s disease? A meta-analytic study. Cortex 46, 595– 601. 10.1016/j.cortex.2009.04.009 19560132 · DOI
  33. Liu Y. Spulber G. Lehtimaki K. K. Könönen M. Hallikainen I. Gröhn H. (2011). Diffusion tensor imaging and tract-based spatial statistics in Alzheimer’s disease and mild cognitive impairment. Neurobiol. Aging 32, 1558– 1571. 10.1016/j.neurobiolaging.2009.10.006 19913331 · DOI · Paper page
  34. López-de-Ipiña K. Alonso J. B. Travieso C. M. Solé-Casals J. Egiraun H. Faundez-Zanuy M. (2013). On the selection of non-invasive methods based on speech analysis oriented to automatic Alzheimer disease diagnosis. Sensor 13, 6730– 6745. 10.3390/s130506730 23698268 PMC3690078 · DOI · Paper page
  35. Martínez-Sánchez F. Meilán J. J. G. García-Sevilla J. Carro J. Arana M. J. (2013). Oral reading fluency analysis in patients with Alzheimer disease and asymptomatic control subjects. Neurología 28, 325– 331. 10.1016/j.nrl.2012.07.012 23046975 · DOI
  36. Meilán J. J. G. Martínez-Sanchez F. Carrol J. Sánchez J. A. Pérez E. (2012). Acoustic markers associated with impairment in language processing in Alzheimer’s disease. Span. J. Psychol. 15, 2081– 2090. 10.5209/rev_SJOP.2012.v15.n2.38859 22774422 · DOI
  37. Morris R. G. (1996). The Cognitive Neuropsychology of Alzheimer-Type Dementia. New York: Oxford University Press.
  38. Nebes R. D. Brady C. B. Huff F. J. (1989). Automatic and attentional mechanisms of semantic priming in Alzheimer’s disease. J. Clin. Exp. Neuropsychol. 11, 219– 230. 10.1080/01688638908400884 2925832 · DOI
  39. Petersen R. C. Doody R. Kurz A. Mohs R. C. Morris J. C. Rabins P. V. (2001). Current concepts in mild cognitive impairment. Arch. Neurol. 58, 1985– 1992. 10.1001/archneur.58.12.1985 11735772 · DOI · Paper page
  40. Rapp A. M. Wild B. (2011). Nonliteral language in Alzheimer dementia: a review. JINS. 17, 207– 218. 21241530
  41. Ripich D. N. (1994). Functional communication with AD patient: a caregiver training program. Alzheimer Dis. Assoc. Disord. 8, 95– 109. 10.1097/00002093-199404000-00011 7999352 · DOI
  42. Ritchie K. Artero S. Touchon J. (2001). Classification criteria for mild cognitive impairment: a population-based validation study. Neurology 56, 37– 42. 10.1212/WNL.56.1.37 11148233 · DOI
  43. Roalf D. R. Moberg P. J. Xie S. X. Wolk D. A. Moelter S. T. Arnold S. E. (2013). Comparative accuracies of two common screening instruments for classification of Alzheimer’s disease, mild cognitive impairment, and healthy aging. Alzheimer Dement. 9, 529– 537. 10.1016/j.jalz.2012.10.001 23260866 PMC4036230 · DOI
  44. Roark B. Mitchell M. Hosom J. P. Hollingshead K. Kave J. (2011). Spoken language derived measures for detecting mild cognitive impairment. IEEE Transaction on Audio, Speech Language Processing 19, 2081– 2090. PMC3244269 22199464
  45. Saito A. Takeda K. (2001). Semantic cueing effects on word retrieval in aphasic patients with lexical retrieval deficit. Brain Lang. 77, 1– 9. 10.1006/brln.2000.2388 11247652 · DOI
  46. Small J. A. Kemper S. Lyons K. (1997). Sentence comprehension in Alzheimer’s disease. Effects of grammatical complexity, speech rate, and repetition. Psychol. Aging 12, 3– 11. 10.1037/0882-7974.12.1.3 9100263 · DOI
  47. Smith S. R. Murdoch B. E. Chenery H. J. (1989). Semantic abilities in dementia of the Alzheimer type 1: lexical semantics. Brain Lang. 36, 314– 324. 10.1016/0093-934X(89)90084-9 2920289 · DOI
  48. Taler V. Phillips N. A. (2008). Language performance in Alzheimer’s disease and mild cognitive impairment: a comparative review. J. Clin. Exp. Neuropsychol. 30, 501– 556. 10.1080/13803390701550128 18569251 · DOI · Paper page
  49. Teipel S. Ehlers I. Erbe A. Holzmann C. Lau E. Hauenstein K. (2014). Structural connectivity changes underlying altered working memory networks in mild cognitive impairment: a three-way image fusion analysis. J. Neuroimaging 10, 101. 10.1111/jon.12178 25354135 · DOI
  50. Tóth L. Gosztolya G. Vincze V. Hoffmann I. Szatlóczki G. Biró E. (2015). “Automatic detection of mild cognitive impairment from spontaneous speech using ASR,” in Interspeech 2015 Tutorials & Main Conference, Germany: Dresden.
  51. Tsantali E. Economidis D. Tsolaki M. (2013). Could language deficits really differentiate mild cognitive impairment (MCI) from mild Alzheimer’s disease. Arch. Gerontol. Geriatr. 57, 263– 270. 10.1016/j.archger.2013.03.011 23628238 · DOI
  52. Vertesi A. Lever J. A. Molloy D. W. Sanderson B. Tuttle I. Pokoradi L. (2001). Standardized mini-mental state examination. Use and interpretation. Can. Fam. Physician 47, 2018– 2023. 11723596 PMC2018449
  53. Visch-Brink E. G. Hagelstein M. Middelkoop H. A. M. Cammen T. M. J. (2004). Naming and semantic processing in Alzheimer dementia: a coherent picture? Brain Lang. 91, 11– 12. 10.1016/j.bandl.2004.06.101 · DOI
  54. Weiner M. F. Neubecker K. E. Bret M. E. Hynan L. S. (2008). Language in Alzheimer’s disease. J. Clin. Psychiatry 69, 1223– 1227. 10.4088/JCP.v69n0804 18505305 PMC3177322 · DOI
  55. Wutzler A. Becker R. Lammler G. Hayerkamp W. Steinhanen-Thiessen E. (2013). The anticipatory proportion as an indicator of language impairment in early-stage cognitive disorder in the elderly. Dement. Gertatr. Cogn. Disord. 36, 300– 309. 10.1159/000350808 24022211 · DOI
  56. Zhang Y. Schuff N. Camacho M. Chao L. L. Fletcher T. P. Yaffe K. (2013). MRI markers for mild cognitive impairment: comparisons between white matter integrity and gray matter volume measurements. PLoS ONE 8: e66367. 10.1371/journal.pone.0066367 23762488 PMC3675142 · DOI

Cited by

Sorted by citations

Authors
Szatloczki, G., Hoffmann, I., Vincze, V., Kalman, J., & Pakaski, M.
Affiliations
University of Szeged (HU)
Venue
Frontiers in Aging Neuroscience
Published
2015-10-20
Volume
7
Pages
195-195
ISSN
1663-4365 (ISSN-L)
OpenAlex
W2158516192
Cited by
249
References
7
Citations by year
2026: 26 · 2025: 22 · 2024: 28 · 2023: 35 · 2022: 26 · 2021: 31 · 2020: 27 · 2019: 21 · 2018: 14 · 2017: 14 · 2016: 5
FWCI
1.52
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Aging Neuroscience (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • SZTE Publicatio Repozitórium (University of Szeged) (acceptedVersion, other-oa)
  • Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
  • Hungarian National Research (TÁMOP-4.2.2.A-11/1/KONV-2012-0073)
  • János Bolyai Research Scholarship of the Hungarian Academy of Sciences (BO/00254/12)
  • National Excellence Program (A/2-11-1-2012-0001)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
  • Health Sciences › Medicine › Physiology › Voice and Speech Disorders
Keywords
Alzheimer's disease, early diagnosis, prodromal Alzheimer's disease, spontaneous speech, speech tempo, speech pauses, linguistic analysis, language domains

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review