Effect of summer treatment program for children with attention deficit hyperactivity disorder assessed by neurological and cognitive studies

我们评估了2007- 2009年美国夏季治疗计划（STP）对日本ADHD儿童的疗效。参与STP的儿童总数为74人。STP在2007年进行了为期三周的日间露营，2008年和2009年分别进行了两周。在STP中使用了许多基于证据的技术（记分制，每日报告卡，正强化，暂停）。没有孩子从STP辍学。通过行为观察，所有儿童在多个功能领域均表现出积极的行为改变。经父母评估的ADHD评定量表、对立违抗障碍症状及其他问卷均有显著改善。不仅是行为改善，认知功能尤其是执行功能也有显著改善。STP治疗后ADHD患儿的睡眠参数无显著改善，与对照组相比无显著差异，但儿童和照顾者的主观睡眠问卷较对照组差。综上所述，2-3周STP方案不仅从行为角度来看有效，而且从认知功能的角度来看也是有效的。

We evaluated the efficacy of American summer treatment program (STP) on Japanese children with ADHD during 2007-9. The total number of children participated in STP was 74. The STP was run in a day camp-like setting for 3 weeks in 2007, and 2 weeks in 2008 and 2009. Many evidence based techniques (point system, daily report card, positive reinforcement, time out) were used in STP. No children dropped out from the STP. All children showed positive behavioral changes in multiple domains of functioning assessed by behavioral observation. The ADHD rating scale, symptoms of oppositional defiant disorder and other questionnaires evaluated by parents significantly improved after STP. Not only behavioral improvement, the significant improvement in cognitive functions particularly executive function were observed. The sleep parameters evaluated by actigram were not significantly improved in children with ADHD after STP and they were not significantly different compared to controls, although subjective sleep questionnaire for children and caregiver were worse compared to those in controls.In conclusion, 2-3 weeks STP program were effective not only from the behavioral standpoint but also from the standpoint of cognitive functions.