Mitigating Confounding in Speech-Based Dementia Detection through Weight Masking

Fuente: arXiv
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Main Authors: Sheng, Zhecheng, Ding, Xiruo, Hur, Brian, Li, Changye, Cohen, Trevor, Pakhomov, Serguei
Format: Preprint
Published: 2025
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author Sheng, Zhecheng
Ding, Xiruo
Hur, Brian
Li, Changye
Cohen, Trevor
Pakhomov, Serguei
author_facet Sheng, Zhecheng
Ding, Xiruo
Hur, Brian
Li, Changye
Cohen, Trevor
Pakhomov, Serguei
contents Deep transformer models have been used to detect linguistic anomalies in patient transcripts for early Alzheimer's disease (AD) screening. While pre-trained neural language models (LMs) fine-tuned on AD transcripts perform well, little research has explored the effects of the gender of the speakers represented by these transcripts. This work addresses gender confounding in dementia detection and proposes two methods: the $\textit{Extended Confounding Filter}$ and the $\textit{Dual Filter}$, which isolate and ablate weights associated with gender. We evaluate these methods on dementia datasets with first-person narratives from patients with cognitive impairment and healthy controls. Our results show transformer models tend to overfit to training data distributions. Disrupting gender-related weights results in a deconfounded dementia classifier, with the trade-off of slightly reduced dementia detection performance.
format Preprint
id arxiv_https___arxiv_org_abs_2506_05610
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Mitigating Confounding in Speech-Based Dementia Detection through Weight Masking
Sheng, Zhecheng
Ding, Xiruo
Hur, Brian
Li, Changye
Cohen, Trevor
Pakhomov, Serguei
Computation and Language
Deep transformer models have been used to detect linguistic anomalies in patient transcripts for early Alzheimer's disease (AD) screening. While pre-trained neural language models (LMs) fine-tuned on AD transcripts perform well, little research has explored the effects of the gender of the speakers represented by these transcripts. This work addresses gender confounding in dementia detection and proposes two methods: the $\textit{Extended Confounding Filter}$ and the $\textit{Dual Filter}$, which isolate and ablate weights associated with gender. We evaluate these methods on dementia datasets with first-person narratives from patients with cognitive impairment and healthy controls. Our results show transformer models tend to overfit to training data distributions. Disrupting gender-related weights results in a deconfounded dementia classifier, with the trade-off of slightly reduced dementia detection performance.
title Mitigating Confounding in Speech-Based Dementia Detection through Weight Masking
topic Computation and Language
url https://arxiv.org/abs/2506.05610