Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model

Autism spectrum disorder (ASD) is diagnosed on the basis of speech and communication differences, amongst other symptoms. Since conversations are essential for building connections with others, it is important to understand the exact nature of differences between autistic and non-autistic verbal beh...

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Main Authors: I. S. Plank, J. C. Koehler, A. M. Nelson, N. Koutsouleris, C. M. Falter-Wagner
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1257569/full
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author I. S. Plank
J. C. Koehler
A. M. Nelson
N. Koutsouleris
N. Koutsouleris
N. Koutsouleris
C. M. Falter-Wagner
author_facet I. S. Plank
J. C. Koehler
A. M. Nelson
N. Koutsouleris
N. Koutsouleris
N. Koutsouleris
C. M. Falter-Wagner
author_sort I. S. Plank
collection DOAJ
description Autism spectrum disorder (ASD) is diagnosed on the basis of speech and communication differences, amongst other symptoms. Since conversations are essential for building connections with others, it is important to understand the exact nature of differences between autistic and non-autistic verbal behaviour and evaluate the potential of these differences for diagnostics. In this study, we recorded dyadic conversations and used automated extraction of speech and interactional turn-taking features of 54 non-autistic and 26 autistic participants. The extracted speech and turn-taking parameters showed high potential as a diagnostic marker. A linear support vector machine was able to predict the dyad type with 76.2% balanced accuracy (sensitivity: 73.8%, specificity: 78.6%), suggesting that digitally assisted diagnostics could significantly enhance the current clinical diagnostic process due to their objectivity and scalability. In group comparisons on the individual and dyadic level, we found that autistic interaction partners talked slower and in a more monotonous manner than non-autistic interaction partners and that mixed dyads consisting of an autistic and a non-autistic participant had increased periods of silence, and the intensity, i.e. loudness, of their speech was more synchronous.
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spelling doaj.art-45acf71158914a6c94260a9556ab1ba72023-11-06T16:06:42ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-11-011410.3389/fpsyt.2023.12575691257569Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction modelI. S. Plank0J. C. Koehler1A. M. Nelson2N. Koutsouleris3N. Koutsouleris4N. Koutsouleris5C. M. Falter-Wagner6Department of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, GermanyDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, GermanyDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, GermanyDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, GermanyMax Planck Institute of Psychiatry, Munich, GermanyInstitute of Psychiatry, Psychology and Neuroscience, King’s College, London, United KingdomDepartment of Psychiatry and Psychotherapy, LMU University Hospital, LMU Munich, Munich, GermanyAutism spectrum disorder (ASD) is diagnosed on the basis of speech and communication differences, amongst other symptoms. Since conversations are essential for building connections with others, it is important to understand the exact nature of differences between autistic and non-autistic verbal behaviour and evaluate the potential of these differences for diagnostics. In this study, we recorded dyadic conversations and used automated extraction of speech and interactional turn-taking features of 54 non-autistic and 26 autistic participants. The extracted speech and turn-taking parameters showed high potential as a diagnostic marker. A linear support vector machine was able to predict the dyad type with 76.2% balanced accuracy (sensitivity: 73.8%, specificity: 78.6%), suggesting that digitally assisted diagnostics could significantly enhance the current clinical diagnostic process due to their objectivity and scalability. In group comparisons on the individual and dyadic level, we found that autistic interaction partners talked slower and in a more monotonous manner than non-autistic interaction partners and that mixed dyads consisting of an autistic and a non-autistic participant had increased periods of silence, and the intensity, i.e. loudness, of their speech was more synchronous.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1257569/fullspeechturn-takingdiagnostic classificationautismprediction modelconversation
spellingShingle I. S. Plank
J. C. Koehler
A. M. Nelson
N. Koutsouleris
N. Koutsouleris
N. Koutsouleris
C. M. Falter-Wagner
Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
Frontiers in Psychiatry
speech
turn-taking
diagnostic classification
autism
prediction model
conversation
title Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
title_full Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
title_fullStr Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
title_full_unstemmed Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
title_short Automated extraction of speech and turn-taking parameters in autism allows for diagnostic classification using a multivariable prediction model
title_sort automated extraction of speech and turn taking parameters in autism allows for diagnostic classification using a multivariable prediction model
topic speech
turn-taking
diagnostic classification
autism
prediction model
conversation
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1257569/full
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