# Going Beyond the Cookie Theft Picture Test: Detecting Cognitive Impairments using Acoustic Features

arXiv: https://arxiv.org/abs/2206.05018 · HTML: https://mlsanity.com/paper/2206.05018/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 7 of its 31 references that are in the map.
- First posted on arXiv 10 Jun 2022.

## Builds on (most cited first, 7 of 7)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [Emotion Recognition from Speech Using Wav2vec 2.0 Embeddings](https://mlsanity.com/paper/2104.03502/) (2021)
- [Unsupervised Speech Recognition](https://mlsanity.com/paper/2105.11084/) (2021)
- [Alzheimer's Dementia Recognition through Spontaneous Speech: The ADReSS Challenge](https://mlsanity.com/paper/2004.06833/) (2020)
- [Detecting cognitive decline using speech only: The ADReSSo Challenge](https://mlsanity.com/paper/2104.09356/) (2021)
- [The INTERSPEECH 2021 Computational Paralinguistics Challenge: COVID-19 Cough, COVID-19 Speech, Escalation & Primates](https://mlsanity.com/paper/2102.13468/) (2021)

## Built on by (most cited first, 3 of 3)

- [Infusing Acoustic Pause Context into Text-Based Dementia Assessment](https://mlsanity.com/paper/2408.15188/) (2024)
- [Enhancing and Exploring Mild Cognitive Impairment Detection with W2V-BERT-2.0](https://mlsanity.com/paper/2501.16201/) (2025)
- [Mitigating Scoring Errors and Compensating for Nonverbal Subtests in Speech-Based Dementia Assessment](https://mlsanity.com/paper/2606.18979/) (2026)

## Abstract (arXiv)

Standardized tests play a crucial role in the detection of cognitive impairment. Previous work demonstrated that automatic detection of cognitive impairment is possible using audio data from a standardized picture description task. The presented study goes beyond that, evaluating our methods on data taken from two standardized neuropsychological tests, namely the German SKT and a German version of the CERAD-NB, and a semi-structured clinical interview between a patient and a psychologist. For the tests, we focus on speech recordings of three sub-tests: reading numbers (SKT 3), interference (SKT 7), and verbal fluency (CERAD-NB 1). We show that acoustic features from standardized tests can be used to reliably discriminate cognitively impaired individuals from non-impaired ones. Furthermore, we provide evidence that even features extracted from random speech samples of the interview can be a discriminator of cognitive impairment. In our baseline experiments, we use OpenSMILE features and Support Vector Machine classifiers. In an improved setup, we show that using wav2vec 2.0 features instead, we can achieve an accuracy of up to 85%.