Evidence map›Paper›PMID 24795682›Full record

ArticleFrontiers in psychology2014

Can Doll therapy preserve or promote attachment in people with cognitive, behavioral, and emotional problems? A pilot study in institutionalized patients with dementia.

Rita Pezzati, Valentina Molteni, Marco Bani, Carmen Settanta, Maria Grazia Di Maggio, Ivan Villa, Barbara Poletti, Rita B Ardito

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03224143 (Doll Therapy Efficacy for People With Dementia Living in Nursing Homes), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03224143 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Doll Therapy Efficacy for People With Dementia Living in Nursing Homes: a Randomized Single-blind Controlled Trial

TypeinterventionalSponsorUniversity of Applied Sciences and Arts of Southern SwitzerlandRan2017 to 2020Enrolled128ConditionsDementiaArmsDoll Therapy Intervention, active control group (SI)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Doctor Hope; Calming and Comforting Loneliness in Parkinson's Disease.Clinical parkinsonism & related disorders · 2022
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rita PezzatiUniversity of Applied Sciences and Arts of Southern Switzerland Manno, Switzerland ; Centro Terapia Cognitiva Como, Italy.
Valentina MolteniCentro Terapia Cognitiva Como, Italy ; Istituti Riuniti Airoldi e Muzzi Onlus Lecco, Italy.
Marco BaniCentro Terapia Cognitiva Como, Italy.
Carmen SettantaCenter for Cognitive Science, Department of Psychology, University of Turin Turin, Italy.
Maria Grazia Di MaggioIstituti Riuniti Airoldi e Muzzi Onlus Lecco, Italy.
Ivan VillaIstituti Riuniti Airoldi e Muzzi Onlus Lecco, Italy.
Barbara PolettiUniversity of Applied Sciences and Arts of Southern Switzerland Manno, Switzerland ; Department of Neurology and Laboratory of Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico Istituto Auxologico Italiano Milan, Italy.
Rita B ArditoCenter for Cognitive Science, Department of Psychology, University of Turin Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Doll therapy is a non-pharmacological intervention aimed at reducing behavioral and psychological disorders in institutionalized patients with dementia. This therapy as a care tool has been integrated into the context of long-term care institutions, in which the need to find solutions to cognitive, behavioral and emotional problems showed by people with dementia meets the primary objective of developing good care practices focusing on patients and their needs. In the present work we adopt the Bowlby's theory of attachment to investigate the effectiveness of Doll therapy. The hypothesis that we here propose is that the emotional experience of the person with dementia during Doll therapy activates caregiving and exploration systems together with the attachment one. To test this hypothesis we compared institutionalized patients with dementia undergoing Doll therapy with a control group and assessed measures of the relational dimension with the environment, such as gaze direction, behaviors of exploration, and behaviors of caregiving. We used an experimental protocol consisting of 10 non-consecutive sessions structured with the goal of recreating a situation of (1) separation from a known figure and (2) interaction with the environment in order to partially recreate the prototypical phases of the "Strange situation." All sessions were videotaped and analyzed through an observational grid. Results support the effectiveness of Doll therapy in promoting and maintaining the affective-relational dimension of attachment-caregiving and the attentive dimension of exploration in patients with advanced stage of dementia. Thus, our results suggest that the use of Doll therapy promotes clinically significant improvements in the ability to relate with the surrounding world. This may be important for managing and caring for patients with dementia in institutionalized context.

Indexed as

Alzheimer’s diseaseattachmentbehavioral problemscaregivingdementiaDoll therapyemotional problemsexploration

Identifiers

PMID24795682
PMCPMC4001059

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.