Sleep deprivation detected by voice analysis

Abstract

Sleep deprivation has an ever-increasing impact on individuals and societies. Yet, to date, there is no quick and objective test for sleep deprivation. Here, we used automated acoustic analyses of the voice to detect sleep deprivation. Building on current machine-learning approaches, we focused on interpretability by introducing two novel ideas: the use of a fully generic auditory representation as input feature space, combined with an interpretation technique based on reverse correlation. The auditory representation consisted of a spectro-temporal modulation analysis derived from neurophysiology. The interpretation method aimed to reveal the regions of the auditory representation that supported the classifiers decisions. Results showed that generic auditory features could be used to detect sleep deprivation successfully, with an accuracy comparable to state-of-the-art speech features. Furthermore, the interpretation revealed two distinct effects of sleep deprivation on the voice: a change in prosody and a change in timbre. Importantly, the relative balance of the two effects varied widely across individuals, even though the amount of sleep deprivation was controlled, thus confirming the need to characterize sleep deprivation at the individual level. Moreover, while the prosody factor correlated with subjective sleepiness reports, the timbre factor did not, consistent with the presence of both explicit and implicit consequences of sleep deprivation. Overall, the findings show that individual effects of sleep deprivation may be observed in vocal biomarkers. Future investigations correlating such markers with objective physiological measures of sleep deprivation could enable "sleep stethoscopes" for the cost-effective diagnosis of the individual effects of sleep deprivation. Author summarySleep deprivation has an ever-increasing impact on individuals and societies, from accidents to chronic conditions costing billions to health systems. Yet, to date, there is no quick and objective test for sleep deprivation. We show that sleep deprivation can be detected at the individual level with voice recordings. Importantly, we focused on interpretability, which allowed us to identify two independent effects of sleep deprivation on the voice: a change in prosody and a change in timbre. The results also revealed a striking variability in individual reactions to the same deprivation, further confirming the need to consider the effects of sleep deprivation at the individual level. Vocal markers could be correlated to specific underlying physiological factors in future studies, outlining possible cost-effective and non-invasive "sleep stethoscopes".