Creating a diagnostic assessment model for autism spectrum disorder by differentiating lexicogrammatical choices through machine learning.

Journal: PloS one
Published Date:

Abstract

This study explores the challenge of differentiating autism spectrum (AS) from non-AS conditions in adolescents and adults, particularly considering the heterogeneity of AS and the limitations ofssss diagnostic tools like the ADOS-2. In response, we advocate a multidimensional approach and highlight lexicogrammatical analysis as a key component to improve diagnostic accuracy. From a corpus of spoken language we developed, interviews and story-recounting texts were extracted for 64 individuals diagnosed with AS and 71 non-AS individuals, all aged 14 and above. Utilizing machine learning techniques, we analyzed the lexicogrammatical choices in both interviews and story-recounting tasks. Our approach led to the formulation of two diagnostic models: the first based on annotated linguistic tags, and the second combining these tags with textual analysis. The combined model demonstrated high diagnostic effectiveness, achieving an accuracy of 80%, precision of 82%, sensitivity of 73%, and specificity of 87%. Notably, our analysis revealed that interview-based texts were more diagnostically effective than story-recounting texts. This underscores the altered social language use in individuals with AS, a crucial aspect in distinguishing AS from non-AS conditions. Our findings demonstrate that lexicogrammatical analysis is a promising addition to traditional AS diagnostic methods. This approach suggests the possibility of using natural language processing to detect distinctive linguistic patterns in AS, aiming to enhance diagnostic accuracy for differentiating AS from non-AS in adolescents and adults.

Authors

  • Sumi Kato
    Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.
  • Kazuaki Hanawa
    Natural Language Processing Lab, Graduate School of Information Sciences, Tohoku University, Sendai, Japan.
  • Manabu Saito
    Department of Clinical Psychological Science, Graduate School of Health Sciences, Hirosaki University, Hirosaki, Japan.
  • Kazuhiko Nakamura
    Department of Neuropsychiatry, Graduate School of Medicine, Hirosaki University, Hirosaki, Japan.