Beyond surface form: A pipeline for semantic analysis in Alzheimer's Disease detection from spontaneous speech

Alzheimer's Disease (AD) is a progressive neurodegenerative condition that adversely affects cognitive abilities. Language-related changes can be automatically identified through the analysis of outputs from linguistic assessment tasks, such as picture description. Language models show promise as a basis for screening tools for AD, but their limited interpretability poses a challenge in distinguishing true linguistic markers of cognitive decline from surface-level textual patterns. To address this issue, we examine how surface form variation affects classification performance, with the goal of assessing the ability of language models to represent underlying semantic indicators. We introduce a novel approach where texts surface forms are transformed by altering syntax and vocabulary while preserving semantic content. The transformations significantly modify the structure and lexical content, as indicated by low BLEU and chrF scores, yet retain the underlying semantics, as reflected in high semantic similarity scores, isolating the effect of semantic information, and finding models perform similarly to if they were using the original text, with only small deviations in macro-F1. We also investigate whether language from picture descriptions retains enough detail to reconstruct the original image using generative models. We found that image-based transformations add substantial noise reducing classification accuracy. Our methodology provides a novel way of looking at what features influence model predictions, and allows the removal of possible spurious correlations. We find that just using semantic information, language model based classifiers can still detect AD. This work shows that difficult to detect semantic impairment can be identified, addressing an overlooked feature of linguistic deterioration, and opening new pathways for early detection systems.

"Once Upon a Time..." Literary Narrative Connectedness Progresses with Grade Level: Potential Impact on Reading Fluency and Literacy Skills

Selecting an appropriate book is crucial for fostering reading habits in children. While children exhibit varying levels of complexity when generating oral narratives, the question arises: do children's books also differ in narrative complexity? This study explores the narrative dynamics of literary texts used in schools, focusing on how their complexity evolves across different grade levels. Using Word-Recurrence Graph Analysis, we examined a dataset of 1,627 literary texts spanning 13 years of education. The findings reveal significant exponential growth in connectedness, particularly during the first three years of schooling, mirroring patterns observed in children's oral narratives. These results highlight the potential of literary texts as a tool to support the development of literacy skills.