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  6. Speech Analysis For Detecting Depression In Older Adults: A Systematic Review

Speech analysis for detecting depression in older adults: a systematic review

Israel Martínez-Nicolás1, Diego Criado1, Fernando Gordillo1

  • 1Faculty of Psychology, University of Salamanca, Salamanca, Spain.

Frontiers in Psychology
|December 29, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Speech analysis offers a reliable, non-invasive method for detecting depression in older adults. Key speech markers like slower rate and altered pauses show significant diagnostic potential.

Area of Science:

  • Gerontology
  • Psychiatry
  • Speech-Language Pathology

Background:

  • Depression is more common in older adults than the general population.
  • Traditional depression assessments have limitations in older adults, including subjectivity and overlap with aging.
  • Speech analysis presents a promising, objective, non-invasive method for depression assessment in this demographic.

Purpose of the Study:

  • To systematically review speech characteristics associated with depression in older adults.
  • To evaluate the clinical potential of speech analysis for diagnosing depression in this age group.

Main Methods:

  • A systematic literature search was conducted across multiple databases (Medline, CINAHL, PsychINFO, IEEE, Web of Science) for studies published in the last 10 years.
  • Included studies focused on adults over 55 with depression and acoustic speech variables.
Keywords:
acoustic analysiscognitive impairmentdepressionolder adults

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  • Sixteen studies were selected, with quality assessed using JBI tools and speech parameters extracted.
  • Main Results:

    • Depressed older adults exhibited slower speech rates, increased pause duration and variability, reduced intensity, and altered voice quality.
    • Machine learning models achieved 76-95% accuracy in predicting depression, especially when controlling for age and gender.
    • Findings on fundamental frequency (F0) and formants were inconsistent, with some sex-specific differences observed.

    Conclusions:

    • Speech analysis is a reliable, non-invasive, and cost-effective tool for identifying depression in older adults.
    • Temporal, prosodic, and spectral speech features demonstrate strong diagnostic potential.
    • Further research with larger, diverse samples is needed to validate speech biomarkers as adjuncts to current assessments.
    speech