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Doll therapy (DT) has been studied in institutional settings, but the home role of emotionally personalized dolls is insufficiently reported. This case describes an 88-year-old woman with AD whose nocturnal agitation and repetitive vocalizations markedly decreased after reencountering her granddaughter’s childhood doll, with improved sleep continuity and daytime engagement.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/emotionally-personalized-doll-therapy-for-behavioral-symptoms-in-an-88-year-old-woman-with-alzheimers-disease-a-case-report/405743/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/emotionally-personalized-doll-therapy-for-behavioral-symptoms-in-an-88-year-old-woman-with-alzheimers-disease-a-case-report/405743.png","ImageObject",300,407,{"name":92,"@type":93},"Theodore","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What behavioral symptoms were targeted in this case?","Question",{"text":112,"@type":113},"The report focused on nocturnal agitation, repetitive vocalizations (repetitive speech), and restlessness, along with sleep disruption and hallucinatory speech.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was emotionally personalized doll therapy delivered?",{"text":117,"@type":113},"During a household rearrangement, the patient reencountered her granddaughter’s childhood doll and quickly formed an emotional attachment, engaging with it through caregiving behaviors such as cradling, rocking, singing, and feeding gestures.",{"name":119,"@type":110,"acceptedAnswer":120},"What changes were observed after introducing the doll?",{"text":121,"@type":113},"Within days, agitation and repetitive speech decreased substantially, sleep continuity improved, daytime activity increased, emotional expression became richer, and she showed less hallucinatory speech. 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Doll therapy (DT) has been explored as a nonpharmacological approach in institutional care, but the potential role of emotionally personalized dolls in home care remains underreported. We describe an 88-year-old woman with AD who presented with persistent nocturnal agitation, repetitive vocalizations, and restlessness despite stable pharmacological management. During a household rearrangement, she reencountered her granddaughter's childhood doll. She quickly developed a strong emotional attachment and engaged with the doll in caregiving behaviors (cradling, rocking, singing, and feeding gestures). Within days, her agitation and repetitive speech markedly decreased. Sleep continuity improved, daytime activity increased, and her emotional expression became richer. She was more cooperative at mealtimes, demonstrated modest motor gains, and on several occasions verbalized urinary needs. Hallucinatory speech diminished substantially. Notably, she refused interaction with other dolls, suggesting that the personal and emotional significance of this specific doll was central to the observed improvement. This case highlights the potential therapeutic value of integrating emotionally personalized objects into dementia care at home. Personalized doll therapy may help activate residual emotional memory and attachment systems, leading to meaningful behavioral improvements without changes in medication. While promising, these findings are limited to a single case and warrant further investigation through systematic studies.  \n1 | Introduction  \nAlzheimer's disease (AD) is a multifaceted, progressive neurodegenerative disorder characterized by widespread neuronal damage across multiple brain systems, leading to gradual cognitive decline and functional impairment [1, 2] . It is the most common cause of dementia, currently affecting more than 50 million people worldwide, a prevalence expected to rise in line with global population aging [3] . Beyond hallmark cognitive deficits, AD is almost invariably accompanied by behavioral and psychological symptoms of dementia (BPSD), including agitation, sleep  \ndisturbances, repetitive vocalizations, hallucinations, delusions, wandering, and mood changes [1] . These symptoms emerge in nearly all patients at some stage of the disease, substantially reducing quality of life and complicating disease management for both patients and caregivers.  \nBPSD represents a heterogeneous constellation of neuropsychiatric symptoms often classified into cognitive/perceptual, motor, affective, verbal, and vegetative domains [4] . Their occurrence is strongly associated with increased caregiver burden, higher risk of institutionalization, and rising healthcare costs.  \nThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.  \n© 2025 The Author(s). Clinical Case Reports publi","cbCairON8v3FddYP","https://ap.wps.com/l/cbCairON8v3FddYP","pdf",539034,"English","# Introduction\n## Behavioral and psychological symptoms of dementia (BPSD)\n## Nonpharmacological interventions\n## Doll therapy (DT)\n# Key Clinical Message","[{\"question\":\"What behavioral symptoms were targeted in this case?\",\"answer\":\"The report focused on nocturnal agitation, repetitive vocalizations (repetitive speech), and restlessness, along with sleep disruption and hallucinatory speech.\"},{\"question\":\"How was emotionally personalized doll therapy delivered?\",\"answer\":\"During a household rearrangement, the patient reencountered her granddaughter’s childhood doll and quickly formed an emotional attachment, engaging with it through caregiving behaviors such as cradling, rocking, singing, and feeding gestures.\"},{\"question\":\"What changes were observed after introducing the doll?\",\"answer\":\"Within days, agitation and repetitive speech decreased substantially, sleep continuity improved, daytime activity increased, emotional expression became richer, and she showed less hallucinatory speech. She also refused other dolls, suggesting the personal emotional significance of the specific doll mattered.\"}]","Emotionally Personalized Doll Therapy for Behavioral Symptoms in an 88-Year-Old Woman With Alzheimer's Disease - A Case Report | PDF",1790561654,13]