A univariate and network analysis approach to studying connected speech in Subjective Cognitive Decline

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Publicado en:Alzheimer's & Dementia vol. 21 (Dec 1, 2025)
Autor Principal: Pellerin, Sophie
Outros autores: Brambati, Simona Maria
Publicado:
John Wiley & Sons, Inc.
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Acceso en liña:Citation/Abstract
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022 |a 1552-5260 
022 |a 1552-5279 
024 7 |a 10.1002/alz70857_103284  |2 doi 
035 |a 3286822053 
045 0 |b d20251201 
100 1 |a Pellerin, Sophie  |u University of Montreal, Montréal, QC, Canada, 
245 1 |a A univariate and network analysis approach to studying connected speech in Subjective Cognitive Decline 
260 |b John Wiley & Sons, Inc.  |c Dec 1, 2025 
513 |a Journal Article 
520 3 |a Background Widespread Connected Speech (CS) changes (e.g., slower speech rate, more word repetitions, lower lexical diversity, reduced syntactic complexity) have been documented in Mild Cognitive Impairment (MCI). Nevertheless, the CS profile of individuals with Subjective Cognitive Decline (SCD; who are often considered to be at an even earlier stage of Alzheimer's disease (AD)), potential relationships between CS features in SCD, and how CS samples produced by individuals with SCD compare to those produced by controls and individuals with MCI remain unclear. The aim of this study was to compare the CS features and relationships between these features in SCD to those of controls and individuals with MCI. Method Thirty CS features, part of all CS domains (e.g., fluency (e.g., filled pauses), lexical (e.g., word frequency), syntactic (e.g., subordinate clauses)) were extracted using Natural Language Processing techniques from the CS samples of 156 controls, 109 individuals with SCD, and 239 individuals with MCI. Groups were compared using ANCOVA models on the extracted CS features. Gaussian Graphical Models were then used to construct a CS network for each group with the CS features. Result The ANCOVA analyses showed an increased speech rate (versus controls and individuals with MCI) and a lower local coherence (versus controls) in SCD. Moreover, our network analysis revealed increased (e.g., proportion of nouns, semantic idea density), decreased (e.g., proportions of pronouns and verbs), or intermediate (e.g., word valence) standardized node strength centralities in the SCD network compared to the Control and MCI networks. Examination of prominent edges in the SCD network revealed a similar pattern, with some increased (e.g., word frequency – noun valence), decreased (e.g., number of words – efficiency), and intermediate weights (e.g., word frequency – noun frequency) compared to the other networks. Conclusion Our results suggest subtle CS changes in SCD, mainly in the lexical and semantic domains. Furthermore, our network analysis demonstrates that SCD represents an intermediate stage between healthy aging and MCI. Finally, we show that network analysis helps gain a different and more in‐depth understanding of CS in the early stages of the AD continuum. 
653 |a Nouns 
653 |a Analysis 
653 |a Network analysis 
653 |a Speech rate 
653 |a Fluency 
653 |a Subjectivity 
653 |a Politics 
653 |a Speech 
653 |a Cognition 
653 |a Lexical semantics 
653 |a Word frequency 
653 |a Cognitive impairment 
653 |a Connotation 
653 |a Coherence 
653 |a Statistical analysis 
653 |a Aging 
653 |a Subordination (Grammatical) 
653 |a Pauses 
653 |a Natural language processing 
653 |a Graphical models 
653 |a Syntactic complexity 
653 |a Alzheimer's disease 
653 |a Valence 
653 |a Semantics 
700 1 |a Brambati, Simona Maria  |u Université de Montréal, Montréal, QC, Canada, 
773 0 |t Alzheimer's & Dementia  |g vol. 21 (Dec 1, 2025) 
786 0 |d ProQuest  |t Consumer Health Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3286822053/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3286822053/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch