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

我们评估了2007年至2009年期间美国夏季治疗计划（STP）对日本ADHD儿童的疗效。参加保护儿童方案的儿童总数为74人。2007年，STP在类似于日间营地的环境中运行了3周，2008年和2009年运行了2周。STP中使用了许多基于证据的技术（评分系统、每日报告卡、积极强化、暂停）。没有一个孩子从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变化。ADHD评定量表、对立违抗性障碍症状和父母评估的其他问卷在STP后显著改善。观察到不仅行为改善，认知功能特别是执行功能的显著改善。虽然儿童和看护者的主观睡眠问卷与对照组相比更差，但STP后ADHD儿童的活动图评估的睡眠参数没有显著改善，与对照组相比也没有显著差异。总之，2-3周STP计划不仅从行为角度来看是有效的，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.