Experimentelle Untersuchungen zu einer multimodalen verhaltensmedizinischen Intervention bei Kindern mit ADHS

Abstract

This study examined the combined effects of Methlphenidate (MPD) and response cost token training (RCT) regarding the clinical and neuropsychological effects. Using a controlled study design, 40 children with ADHD were randomized into a treatment (MPD plus RCT) and a control group (parental education; community care, CC). The treatment group received a multimodal summer camp training (ASCT; 2,5 weeks) including elements of social skill training, attention training and sports all over the day. In all daily situations and activities RCT was systematically applied. We assessed executive functions using a German computerized adaptation of the Continuous Performance test and the trail making test before the training, 6 months and 24 months follow ups. The groups differed significantly in the clinical as well the neuropsychological effects. The intensive RCT (ASCT-group) showed a significant long-term effect even two years after the treatment period. In conclusion, these data suggest that learning processes based on intensive response cost training (operant conditioning) could lead to clnical improvements and substantial alterations in the frontal lobe.