Yamashita Yushiro, Mukasa Akiko, Honda Yuko, Anai Chizuru, Kunisaki Chie, Koutaki Jun-ichi, Motoyama Satoko, Miura Naoki, Sugimoto Ami, Ohya Takashi, Nakashima Masayuki, Nagamitsu Shin-ichiro, Gnagy Elizabeth M, Greiner Andrew R, Pelham William E, Matsuishi Toyojiro
Department of Pediatrics and Child Health, Kurume University School of Medicine, Fukuoka, Japan.
Brain Dev. 2010 Feb;32(2):115-22. doi: 10.1016/j.braindev.2008.12.004. Epub 2009 Jan 17.
We reported the results of the 3-week summer treatment program (STP) for children with attention deficit hyperactivity disorder (ADHD) in 2006. The STP was based on methods established by Professor Pelham in Buffalo, NY and has been used in a number of studies and at a number of sites in the U.S. This is the first STP outside North America. Thirty-six children age 6-12 years with ADHD participated. The collection of evidence-based behavioral modification techniques that comprises the STP's behavioral program (e.g., point system, daily report card, positive reinforcement, time out) was used. Most children showed positive behavioral changes in multiple domains of functioning, demonstrated by significant improvement in points earned daily, which reflect behavior frequencies. Only one child with ADHD co-morbid with pervasive developmental disorder required an individualized program for excessive time outs. The ADHD rating scale, symptoms of oppositional defiant disorder, and hyperactivity/inattention in Strength and Difficulties Questionnaires evaluated by parents significantly improved after STP. Although the 3-week STP was much shorter than most STPs run in the U.S., the program is more intensive than typical outpatient treatment, providing 105h of intervenion in 3 weeks. The short-term effect of the STP was demonstrated for Japanese children with ADHD.
2006年，我们报告了针对注意力缺陷多动障碍（ADHD）儿童的为期3周的暑期治疗项目（STP）的结果。该STP基于纽约州布法罗市佩勒姆教授确立的方法，已在美国的多项研究和多个地点使用。这是北美以外的首个STP。36名6至12岁的ADHD儿童参与其中。采用了构成STP行为项目的循证行为矫正技术集合（例如，积分系统、每日报告卡、正强化、暂停）。大多数儿童在多个功能领域表现出积极的行为变化，这通过每日获得的积分显著改善得以证明，积分反映行为频率。只有一名患有ADHD且合并广泛性发育障碍的儿童因过多的暂停需要个性化项目。经家长评估，ADHD评定量表、对立违抗障碍症状以及《长处与困难问卷》中的多动/注意力不集中情况在STP后显著改善。尽管为期3周的STP比美国开展的大多数STP短得多，但该项目比典型的门诊治疗更密集，在3周内提供105小时的干预。STP对日本ADHD儿童的短期效果得到了证明。
