Cognitive Therapy and Research

, Volume 33, Issue 5, pp 532–536 | Cite as

Validity and Specificity of the Children’s Automatic Thoughts Scale in Clinically Anxious and Non-clinical Children

Brief Report


The present study is a preliminary examination of the internal, criterion, and convergent validity of the Children’s Automatic Thoughts Scale (CATS; Schniering and Rapee 2002), a developmentally sensitive measure of cognitions associated with childhood internalizing and externalizing disorders, among clinically anxious and non-clinical children. Participants included 40 children (ages 7–14) with a clinical anxiety disorder and 40 non-clinical children with no prior anxiety disorder diagnosis. Results supported the internal consistency and criterion validity of the measure. In addition, controlling for age, sex, and clinical status, convergent validity was largely supported, with the Physical Threat subscale correlating with self-report of generalized anxiety and separation anxiety, and the Social Threat and Personal Failure subscales correlating with self-report of social anxiety and major depression. Limitations and suggestions for further research on the utility of the CATS are discussed.


Children Anxiety Cognition Self-report 


  1. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed text revision). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  2. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. Oxford: University Press.Google Scholar
  3. Beck, A. T., & Clark, D. A. (1988). Anxiety and depression: An information-processing perspective. Anxiety Research, 1, 23–36.Google Scholar
  4. Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the revised child anxiety and depression scale in a clinical sample. Behaviour Research and Therapy, 43, 309–322. doi: 10.1016/j.brat.2004.02.004.PubMedCrossRefGoogle Scholar
  5. Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A revised child anxiety and depression scale. Behaviour Research and Therapy, 38, 835–855. doi: 10.1016/S0005-7967(99)00130-8.PubMedCrossRefGoogle Scholar
  6. Epkins, C. C. (1996). Cognitive specificity and affective confounding in social anxiety and dysphoria in children. Journal of Psychopathology and Behavioral Assessment, 18, 83–101. doi: 10.1007/BF02229104.CrossRefGoogle Scholar
  7. Epkins, C. C. (2000). Cognitive specificity in internalizing and externalizing problems in community and clinic-referred children. Journal of Clinical Child Psychology, 29, 199–208. doi: 10.1207/S15374424jccp2902_6.PubMedCrossRefGoogle Scholar
  8. Leung, P. W. L., & Wong, M. M. T. (1998). Can cognitive distortions differentiate between internalising and externalising disorders. Journal of Child Psychology and Psychiatry and Allied Disciplines, 39, 263–269. doi: 10.1017/S0021963097001868.CrossRefGoogle Scholar
  9. Micco, J. A., & Ehrenreich, J. T. (2008). Children’s interpretation and avoidant response biases in response to non-salient and salient situations: Relationships with mothers’ threat perception and coping expectations. Journal of Anxiety Disorders, 22, 371–385. doi: 10.1016/j.janxdis.2007.03.009.PubMedCrossRefGoogle Scholar
  10. Schniering, C. A., & Lyneham, H. J. (2007). The children’s automatic thoughts scale in a clinical sample: Psychometric properties and clinical utility. Behaviour Research and Therapy, 45, 1931–1940. doi: 10.1016/j.brat.2006.09.009.PubMedCrossRefGoogle Scholar
  11. Schniering, C. A., & Rapee, R. M. (2002). Development and validation of a measure of children’s automatic thoughts. Behaviour Research and Therapy, 40, 1091–1109. doi: 10.1016/S0005-7967(02)00022-0.PubMedCrossRefGoogle Scholar
  12. Schniering, C. A., & Rapee, R. M. (2004a). The structure of negative self-statements in children and adolescents: A confirmatory factor-analytic analytic approach. Journal of Abnormal Child Psychology, 32, 95–109. doi: 10.1023/B:JACP.0000007583.90038.7a.PubMedCrossRefGoogle Scholar
  13. Schniering, C. A., & Rapee, R. M. (2004b). The relationship between automatic thoughts and negative emotions in children and adolescents: A test of the cognitive content-specificity hypothesis. Journal of Abnormal Psychology, 113, 464–470. doi: 10.1037/0021-843X.113.3.464.PubMedCrossRefGoogle Scholar
  14. Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for DSM-IV, child and parent versions. San Antonio: Psychological Corporation.Google Scholar
  15. SPSS Inc. (2004). SPSS base 12.0 for windows user’s guide. Chicago: SPSS Inc.Google Scholar
  16. Treadwell, K. R. H., & Kendall, P. C. (1996). Self-talk in youth with anxiety disorders: States of mind, content specificity, and treatment outcome. Journal of Consulting and Clinical Psychology, 64, 941–950. doi: 10.1037/0022-006X.64.5.941.PubMedCrossRefGoogle Scholar
  17. Vasey, M. W., & MacLeod, C. (2001). Information-processing factors in childhood anxiety: A review and developmental perspective. In M. W. Vasey & M. R. Dadds (Eds.), The Developmental Psychopathology of Anxiety (pp. 253–277). New York: Oxford.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Clinical and Research Program in Pediatric PsychopharmacologyMassachusetts General HospitalCambridgeUSA
  2. 2.Center for Anxiety and Related Disorders at Boston UniversityBostonUSA
  3. 3.Department of PsychologyUniversity of MiamiCoral GablesUSA

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