Schniering Carolyn A, Lyneham Heidi J
Department of Psychology, Macquarie University, Sydney NSW, Australia.
Behav Res Ther. 2007 Aug;45(8):1931-40. doi: 10.1016/j.brat.2006.09.009. Epub 2006 Oct 31.
The aim of this study was to examine the psychometric properties and clinical utility of the Children's Automatic Thoughts Scale (CATS; Schniering, C. A., & Rapee, R. M. (2002). Development and validation of a measure of children's automatic thoughts: The Children's Automatic Thoughts Scale. Behaviour Research and Therapy, 40, 1091-1109) in a large sample of anxious youth. The participants were 891 referred children and adolescents. Participants completed the CATS and a wide range of symptom measures, and were assessed via a structured diagnostic interview. Previous community-based psychometric properties were confirmed. The scale was highly sensitive to treatment change, and showed evidence of cognitive specificity with reductions in threat and failure beliefs, but not in hostility beliefs following treatment. The CATS demonstrated good convergent validity with related anxiety and depression scales, and moderate discriminant validity was found across anxious, anxious-depressed and anxious-oppositional groups. Implications for the assessment of child anxiety, and difficulties around children "faking good" on anxiety measures are discussed.
本研究旨在检验儿童自动思维量表（CATS；施尼林，C.A.，&拉佩，R.M.（2002年）。一种儿童自动思维测量工具的编制与验证：儿童自动思维量表。《行为研究与治疗》，40，1091 - 1109）在大量焦虑青少年样本中的心理测量特性及临床效用。参与者为891名转诊的儿童和青少年。参与者完成了儿童自动思维量表及一系列症状测量，并通过结构化诊断访谈进行评估。先前基于社区的心理测量特性得到了证实。该量表对治疗变化高度敏感，且显示出认知特异性的证据，即治疗后威胁和失败信念有所减少，但敌意信念未减少。儿童自动思维量表与相关焦虑和抑郁量表具有良好的聚合效度，并且在焦虑组、焦虑抑郁组和焦虑对立组之间发现了适度的区分效度。文中讨论了该量表对儿童焦虑评估的意义，以及儿童在焦虑测量中“假装良好”的相关困难。
