Psychometric Properties of the Children’s Automatic Thoughts Scale (CATS) in 10-16-year-old children in Golestan Province

Document Type : Original Article

Authors

1 Assistant Professor of clinical psychology, Faculty of Humanities and Social Sciences, Golestan University, Gorgan, Iran.

2 Department of Psychology, BG.C., Islamic Azad University, Bandar Gaz, Iran.

Abstract

Introduction: Negative automatic thoughts play a crucial role in childhood psychiatric disorders. It is essential to develop and validate an effective tool for assessing automatic thoughts in children. The aim of the present study is to investigate the psychometric properties of the Children’s Automatic Thoughts Scale (CATS) in children aged 10 to 16 years in Golestan Province.
Method: This study employed a survey methodology. The research sample consisted of 453 children aged 10 to 16 in Golestan Province, selected through a multistage cluster random sampling method. Participants were evaluated using the CATS, RCAMS, CDI, and YSR assessments. Finally, the data were analyzed using the Pearson correlation coefficient, Cronbach's alpha, and factor analysis.
Results: The results of the exploratory factor analysis of the CATS items revealed a four-factor structure. Cronbach's alpha values ranged from 0.70 to 0.86, and the test-retest reliability coefficients, measured over a 14-day interval, ranged from 0.68 to 0.83. Convergent validity was established by calculating the significant correlations between the total CATS score and its four subscales, as well as with the subscales of the YSR, RCAMS, and CDI
(p < 0.01).
Discussion and conclusion: The Persian version of CATS appears to have satisfactory psychometric properties and can be utilized in educational, clinical, and research settings.

Keywords


  • Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. Annual research review: a meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. J Child Psychol Psychiatry, 2015; 56(3): 345–365.

https://doi.org/‌10.1111/jcpp.12381

  • Bodden, D. H., Bo¨gels, S. M., Nauta, M. H., De Haan, E., Ringrose, J., Appelboom, B., et al Child versus family cognitive-behavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. J Am Acad Child Adolesc Psychiatry, 2008; 47(12): 1384–1394. https://doi.org/10.1097/CHI.0b013e318189148e
  • Sun, L., Rapee, R. M., Tao, X., Yan, Y., Wang, S., Xu, W., et al. Psychometric Properties of the Children’s Automatic Thoughts Scale (CATS) in Chinese Adolescents. Child Psychiatry Hum Dev, 2015; 46(4): 600-608.

https://doi.org 10.1007/s10578-014-0500-4

  • Philippi, C. L., Cornejo, M. D., Frost, C. P., Walsh, E. C., Hoks, R. M., Birn, R., et al. Neural and behavioral correlates of negative self-focused thought associated with depression. Hum. Brain Mapp, 2018; 39: 2246–2257.

https://doi.org 10.1002/hbm.24003

  • Hijne, K., Penninx, B. W., van Hemert, A. M., Spinhoven, P. The association of changes in repetitive negative thinking with changes in depression and anxiety. J Affect Disord, 2020; 275:157–164.

https://doi.org 10.1016/j.jad.2020.07.002

  • Tariq, A., Quayle, E., Lawrie, S. M., Reid, C., Chan, S. W. Y. Relationship between Early Maladaptive Schemas and Anxiety in Adolescence and Young Adulthood: A systematic review and meta-analysis. J Affect Disord, 2021; 295: 1462-1473.

https://doi.org 10.1016/j.jad.2021.09.031

  • Buschmann, T., Horn, R. A., Blankenship, V. R., Garcia, Y. E., & Bohan, K. B. The relationship between automatic thoughts and irrational beliefs predicting anxiety and depression, J. Ration. Emot. Cogn. Behav. Ther, 2018; 36: 137–162.

https://doi.org 10.1007/s10942-017-0278-y

  • Kaplan, V., Düken, M. E., Kaya, R., Almazan, J. Investigating the Effects of Cognitive-Behavioral-Therapy-based Psychoeducation Program on University Students’ Automatic Thoughts, Perceived Stress, and Self-efficacy Levels. J Research Health 2023; 13 (2):87-98.

http://dx.doi.org/10.32598/JRH.13.2.2125.1

  • Schwartz, R.M., & Garamoni, G. L. Cognitive balance and psychopathology—Evaluation of an information-processing model of positive and negative states of mind. Clin Psychol Rev, 1989; 9: 271–294.

https://doi.org/10.1016/0272-7358(89)90058-5

  • Kendall, P. C., & Chansky, T. E. Considering cognition in anxiety-disordered children. J Anxiety Disord,1991; 5: 167–185.

https://doi.org/10.1016/0887-6185(91)90027-Q

  • Tsumura H , Shimada H , Oshikawa Y , & Kawata Relationship Among Automatic Thoughts, Activities and Events, and Affect in Children.  Int J Cogn Ther, 2016; 9(3):1-14.

https://doi.org 10.1521/ijct_2016_09_07

  • Micco, A., Ehrenreich, J. T. Validity and specificity of the children's automatic thoughts scale in clinically anxious and non-clinical children.  Cognit Ther Res, 2009; 33(5): 532-536. https://doi.org/10.1007/s10608-009-9230-5
  • Everaert, J., Joormann, J. Emotion regulation habits related to depression: a longitudinal investigation of stability and change in repetitive negative thinking and positive reappraisal. J Affect Disord, 2020; 276: 738–747.

https://doi.org 10.1016/j.jad.2020.07.058

  • Schniering‌, C. A., Rapee, M. The structure of negative self-statements in children and adolescents: A confirmatory factor-analytic approach. J Abnorm Child Psychol, 2004; 32(1): 95–109. https://doi.org/10.1023/B:JACP.0000007583.90038.7a
  • Schniering, , Rapee, R. M. The Relationship Between Automatic Thoughts and Negative Emotions in Children and Adolescents: A Test of the Cognitive Content-Specificity Hypothesis. J Abnorm Psychol, 2017; 113(3): 464-70.

https://doi.org 10.1037/0021-843X.113.3.464

  • Calvete, E., Orue, I., Hankin, B. L. Early maladaptive schemas and social anxiety in adolescents: the mediating role of anxious automatic thoughts. J Anxiety Disord, 2013; 27(3): 278–288.

https://doi.org 10.1016/j.janxdis.2013.02.011

  • Wilkowski, B. M., Robinson, M. D. Associative and spontaneous appraisal processes independently contribute to anger elicitation in daily life. Emotion, 2010; 10(2): 181–189.

https://doi.org/10.1037/a0017742

  • Rapee, R. M., Schniering, A., Hudson, J. L. Anxiety disorders during childhood and adolescence: origins and treatment. Annu Rev Clin Psychol, 2009; 5: 311–341. https://doi.org 10.1146/annurev.clinpsy.032408.153628
  • Zahn-Waxler, C., Shirtcliff, E. A., Marceau, K. Disorders of childhood and adolescence: gender and psychopathology. Annu Rev Clin Psychol, 2008; 4(1): 275–303.

https://doi.org 10.1146/annurev.clinpsy.3.022806.091358

  • Ronan, K., Rowe, M., Kenny, D. A. Children’s anxious self-statement questionnaire (CASSQ): Development and validation. Paper presented at Association for advancement of behavior therapy convention. New York, 1988November.
  • Jolly, J. B., Dykman, R. A. Using self-report data to differentiate anxious and depressive symptoms in adolescents— Cognitive content specificity and global distress. Cognit Ther Res, 1994; 18: 25–37. https://doi.org 1007/BF02359393
  • Ronan, K. R., Kendall, P. C., Rowe, M. Negative affectivity in children—Development and validation of a selfstatement questionnaire. Cognit Ther Res, 1994; 18: 509–528.  

https://doi.org/10.1007/BF02355666

  • Sood, E., Kendall, P. Assessing anxious self-talk in youth: The Negative Affectivity Self-Statement Questionnaire—Anxiety Scale. Cognit Ther Res, 2007; 31: 603–618. https://doi.org 1007/s10608-006-9043-8
  • jalali, M., roshan, r., Pourahmadi, E. Psychometric properties of the Screen for Child Anxiety Related Emotional Disorders in 10-17yers old iranian students. Quarterly of Educational Measurement Allameh Tabataba’i University, Spring 2018; 9 (31): 65-97.

https://doi. rg/10.22054/jem.2018.29270.1693

[In Persian].

  • Mousavi, R., Moradi, A. R., Farzad, V., Mahdavi, E., Spence, S.Psychometric Properties of the Spence Children's Anxiety Scale with an Iranian Sample, Int J Psychol, 2007; 1(1): 1-16.

http://ijpb.ir/article-1-102-fa.html

http://joec.ir/article-1-416-fa.html [In Persian].

http://joec.ir/article-1-484-fa.html [In Persian].

  • Schniering, C. A., Rapee, R. M. Development and validation of a measure of children’s automatic thoughts: The children’s automatic thoughts scale. Behav Res Ther, 2002; 40(9): 1091–1109. https://doi.org/10.1016/S0005-7967(02)00022-0
  • Schniering, A., Lyneham‌, H. J. The Children's Automatic Thoughts Scale in a clinical sample: psychometric properties and clinical utility. Behav Res Ther, 2007; 45(8): 1931-40.

https://doi.org 10.1016/j.brat.2006.09.009.

  • Bodden, D. H., Bo¨gels, S. M., Nauta, M. H., De Haan, , Ringrose, J., Appelboom, C., & et al. Child versus family cognitivebehavioral therapy in clinically anxious youth: an efficacy and partial effectiveness study. J Am Acad Child Adolesc Psychiatry, 2008; 47(12): 1384–1394. https://doi.org 10.1097/CHI.0b013e318189148e
  • Schniering, C. A., & Lyneham, H. J. The children’s automatic thoughts scale in a clinical sample: Psychometric properties and clinical utility. Behav Res Ther, 2007; 45: 1931– 1940.

https://doi.org/10.1016/j.brat.2006.09.009

  • Hogendoorn , S. M., Wolters, H., Vervoort, L.,  Prins, P. M., Boer, F., Kooij, E., & et al. Measuring negative and positive thoughts in children: an adaptation of the Children’s Automatic Thoughts Scale (CATS). Cognit Ther Res, 2010; 34(5): 467-478.

 https://doi.org 10.1007/s10608-010-9306-2

  • Carter, M. M., Miller, O., Sbrocco, T., Suchday, S., Lewis, E. L. Factor structure of the anxiety sensitivity index among African American college students. Psychol Assess, 2000; 11(3): 525–533.

https://doi.org/10.1037/1040-3590.11.4.525

  • Guilford, J.P. Rotation problems in factor analysis. Psychol Bull, 1974; 81(8): 498-501.

https://doi.org/10.1037/h0036783

  • Comrey, A. L, Lee, H. B. A first course in Factor Analysis. 3rd ed Hillsdale, New Jersey: Erlbaum; 1992. https://doi.org/10.4324/9781315827506
  • Ferguson, A.‌, Takane, Y‌. Statistical analysis in psychology and education. 6rd ed. New York: McGrawHill;1989.https://books.google.com/books/about/Statistical_Analysis_in_Psychology_and_E.html?id=QGpHAAAAMAAJ
  • Kovacs M. The Children’s Depression Inventory (CDI) manual North Tanawanda.New York, NY: Multi-Health Systems; 1992.

https://www.scienceopen.com/book?vid=761e0bdc-c7a2-44a1-9730-c8aa4bed7424

  • Reynolds, C. R., Richmond, B. O. What I think and Feel: A revised measure of children’s manifest anxiety. J Abnorm Child Psychol, 1978; 6(2): 271-280.

https://doi.org 10.1007/BF00919131.

  • Achenbach, T. M., & Rescolar, L. A. Manual for the ASEBA school age: From & Profiles. Burlington, VT: university of Vermont, Department of psychiatry; 2001.

https://doi.org 10.4236/wjns.2018.81002

  • Sitanerios, G., & Kovacs, M. Use of the Children’s Depression Inventory. In M. E. Marvish (Ed.), The use of psychological testing for treatment planning and outcomes assessment (2nd ed.) (pp. 267-298). Mahwah, NJ: Erlbaum;
  • Masip, F., Amador-Campos, J. A., Gómez-Benito, J., & del Barrio, V. Psychometric Properties of the Children's Depression Inventory in Community and Clinical Sample, Span J Psychol, 2010; 13(2): 990-9.

https://doi.org/10.1017/S1138741600002638

  • Dehshiri, Gh. R., Najafi, M., Shikhi, M., Habibi Askarabad, M. Investigating Primary Psychometric Properties of Children's Depression Inventory (CDI). Journal of Family Research 2009; 5(2): 159- 177.

https://jfr.sbu.ac.ir/article_95448.html

[In Persian].

  • Reynolds, C. R., Richmond, B. O. Factor structure and construct validity of “what I think and Feel”: The Revised Children’s Manifest Anxiety Scale. J Pers Assess 1979; 43(3): 281-283. https://doi.org/10.1207/s15327752jpa4303_9
  • Taghavi, M. R. Normative assessment of the children's overt anxiety scale for students of different educational levels in Shiraz. Journal of Social and Human Sciences of Shiraz University, 2005; 4: 33-45. https://www.sid.ir/paper/13367/fa [In Persian].
  • Streiner, D. L., Norman, G. R. Health measurement scales: a practical guide to their development and use. Oxford: Oxford University; 1995: 71-5.

https://books.google.com/books/about/Health_Measurement_Scales.html?id=JH3OBAAAQBAJ

  • Field, A. P. [Discovering statistics using SPSS]. 10th ed. London: Sage; 2009: 131-66. 28.
  • Tabachnick BG, Fidell, LS. Using multivariate statistics. Harlow: Pearson Education Limited; 2013: 612- 785.
  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. Evaluating the use of exploratory factor analysis inpsychologicalresearch. Psychological Methods, 1999; 4: 272-299. https://doi.org/10.1037/1082-989X.4.3.272
  • Nunnally, J. C., Bernstein, I. H. Psychometric theory. 3rd ed. New York: McGraw-Hill, 1994: 246.
  • Cecen-Erogul, A. R. Psychometric properties of the Children's Automatic Thoughts Scale (CATS) in Turkish children with age and gender differences. JCBPR, 2013; 13(2): 355-370.

https://doi.org/10.1037/t42808-000

  • Mifsud, C., Rapee, R. M. Early intervention for childhood anxiety in a school setting: Outcomes for an economically disadvantaged population. J Am Acad Child Adolesc Psychiatry, 2005; 44: 996–1004. https://doi.org 10.1097/01.chi.0000173294.13441.87