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On the other hand, there was no significant difference in the score of ADAS-cog. Exposure to cedar fragrance improved behavioral and psychological symptoms of dementia (BPSD) in Alzheimer type dementia and may reduce the burden of nursing care. In addition to its effectiveness, the procedure is simple and minimally invasive and would be a valuable non-pharmaceutical treatment. © 2020 The Authors. Neuropsychopharmacology Reports published by John Wiley Sons Australia, Ltd on behalf of the Japanese Society of NeuropsychoPharmacology