Automatic Speech Recognition (ASR) is a critical component of any fully-automated speech-based dementia detection model. However, despite years of speech recognition research, little is known about the impact of ASR accuracy on dementia detection. In this paper, we experiment with controlled amounts of artificially generated ASR errors and investigate their influence on dementia detection. We find that deletion errors affect detection performance the most, due to their impact on the features of syntactic complexity and discourse representation in speech. We show the trend to be generalisable across two different datasets for cognitive impairment detection. As a conclusion, we propose optimising the ASR to reflect a higher penalty for deletion errors in order to improve dementia detection performance.

Understanding the vulnerability of linguistic features extracted from noisy text is important for both developing better health text classification models and for interpreting vulnerabilities of natural language models. In this paper, we investigate how generic language characteristics, such as syntax or the lexicon, are impacted by artificial text alterations. The vulnerability of features is analysed from two perspectives: (1) the level of feature value change, and (2) the level of change of feature predictive power as a result of text modifications. We show that lexical features are more sensitive to text modifications than syntactic ones. However, we also demonstrate that these smaller changes of syntactic features have a stronger influence on classification performance downstream, compared to the impact of changes to lexical features. Results are validated across three datasets representing different text-classification tasks, with different levels of lexical and syntactic complexity of both conversational and written language.