# CogBench: A Large Language Model Benchmark for Multilingual Speech-Based Cognitive Impairment Assessment

arXiv: https://arxiv.org/abs/2508.03360 · HTML: https://mlsanity.com/paper/2508.03360/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 6 of its 29 references that are in the map.
- First posted on arXiv 5 Aug 2025.

## Builds on (most cited first, 6 of 6)

- [MiniCPM-V: A GPT-4V Level MLLM on Your Phone](https://mlsanity.com/paper/2408.01800/) (2024)
- [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)
- [Reinforcement Learning Outperforms Supervised Fine-Tuning: A Case Study on Audio Question Answering](https://mlsanity.com/paper/2503.11197/) (2025)
- [MiniGPT-Med: Large Language Model as a General Interface for Radiology Diagnosis](https://mlsanity.com/paper/2407.04106/) (2024)
- [Alzheimer's Dementia Recognition Using Acoustic, Lexical, Disfluency and Speech Pause Features Robust to Noisy Inputs](https://mlsanity.com/paper/2106.15684/) (2021)

## Built on by (most cited first, 1 of 1)

- [Cross-Linguistic Persona-Driven Data Synthesis for Robust Multimodal Cognitive Decline Detection](https://mlsanity.com/paper/2602.07978/) (2026)

## Abstract (arXiv)

Automatic assessment of cognitive impairment from spontaneous speech offers a promising, non-invasive avenue for early cognitive screening. However, current approaches often lack generalizability when deployed across different languages and clinical settings, limiting their practical utility. In this study, we propose CogBench, the first benchmark designed to evaluate the cross-lingual and cross-site generalizability of large language models (LLMs) for speech-based cognitive impairment assessment. Using a unified multimodal pipeline, we evaluate model performance on three speech datasets spanning English and Mandarin: ADReSSo, NCMMSC2021-AD, and a newly collected test set, CIR-E. Our results show that conventional deep learning models degrade substantially when transferred across domains. In contrast, LLMs equipped with chain-of-thought prompting demonstrate better adaptability, though their performance remains sensitive to prompt design. Furthermore, we explore lightweight fine-tuning of LLMs via Low-Rank Adaptation (LoRA), which significantly improves generalization in target domains. These findings offer a critical step toward building clinically useful and linguistically robust speech-based cognitive assessment tools.