National Institute for Health and Care Research

Measure

Children's Automatic Thoughts Scale (CATS)

Age range 7 — 16
Completion time 20 Minutes
Respondent Self Report
Problem areas
Anxiety Mood Problems

Overview

The CATS is a measure of negative self belief. Items ask respondents children about their negative beliefs around internalising and externalising problems.

Scoring & Interpretation

The measure is a 40-item questionnaire which asks children about the frequency that they have experienced specific negative beliefs over the last week. Endorsement of items is indicated on a 5-point scale from 'not at all' (0) to 'all the time' (4). Items cover four domains of cognition: physical threat (eg 'I'm going to get hurt'), social threat (eg 'People are thinking bad things about me'), hostility (eg 'Some people deserve what they get') and personal failure (eg 'Nothing ever works out for me anymore'). For each subscale, sum the item responses (see the original paper which reports the items that correspond to each subscale). An overall scale score can also be calculated by summing all item responses, with a maximum score of 160 (higher scores indicating more negative beliefs).

Psychometric Properties

Internal Consistency

Internal consistency is excellent for the overall scale (Cronbach's alpha = .95) and good - excellent for the four subscales. For physical threat, alpha = .85; for social threat, alpha = .92; for hostility, alpha = .85; and for personal failure, alpha = .92.

Test-Retest Reliability

Test-retest validity was strong at one month (r= .79) and three months (r= .76).

Factor Structure

Conformatory factor analyses supported four subscales relating to content of cognitions: physical threat; social threat; hostility and personal failure.

Validity

Measurement Invariance

Access

Not reported. Measure content is available in the original paper.
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