Background:Research suggests that the metacognitive model is applicable to clinical child populations. However, few measures related to the model are available for younger age groups. A key concept of the model is the cognitive attentional syndrome (CAS), which encompasses the individual’s worry and rumination, maladaptive coping strategies, and metacognitive beliefs. While the CAS has been successfully measured in adults, this has not yet been attempted in children.Aims:The aim of this study was to adapt a measure of the CAS for use with children and investigate the measure’s associations with anxiety, worry, depression and metacognitions.Methods:Our study included 127 children with anxiety disorders aged 7–13 years. The adult measure of CAS was adapted for use with children and administered at pre- and post-treatment. We examined the correlations between variables and the ability of the CAS measure to explain variance in anxious symptomatology, as well as the measure’s sensitivity to treatment change.Results:The adapted measure, CAS-1C, displayed strong associations with overall anxiety, depression, worry and metacognitions. The CAS-1C explained an additional small amount of variance in anxiety and worry symptoms after accounting for metacognitions, which may be due to the measure also assessing thinking styles and coping strategies. Furthermore, the measure displayed sensitivity to treatment change.Conclusions:The child measure of the CAS is a brief tool for collecting information on metacognitive beliefs and strategies that maintain psychopathology according to the metacognitive model, and it can be used to monitor treatment changes in these components.

中文翻译：

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儿童认知注意综合征的评估：对 CAS-1 的改编

背景：研究表明元认知模型适用于临床儿童人群。然而，很少有与该模型相关的措施可用于年轻群体。该模型的一个关键概念是认知注意综合征 (CAS)，它包括个人的担忧和沉思、适应不良的应对策略和元认知信念。虽然 CAS 已在成人中成功测量，但尚未在儿童中尝试过。目的：本研究的目的是调整 CAS 测量以用于儿童，并调查该测量与焦虑、担忧、抑郁和元认知。方法：我们的研究包括 127 名 7-13 岁的焦虑症儿童。CAS 的成人测量适用于儿童，并在治疗前和治疗后进行。我们检查了变量之间的相关性和 CAS 测量解释焦虑症状变化的能力，以及测量对治疗变化的敏感性。结果：调整后的测量，CAS-1C，与整体焦虑、抑郁、担忧有很强的相关性和元认知。CAS-1C 解释了在考虑元认知后焦虑和担忧症状的额外少量差异，这可能是由于该措施还评估了思维方式和应对策略。此外，该测量显示出对治疗变化的敏感性。结论：CAS的儿童测量是一个简单的工具，用于根据元认知模型收集关于维持精神病理学的元认知信念和策略的信息，它可用于监测这些方面的治疗变化。成分。