synopsis（简介）

The Automatic Thoughts Questionnaire – Believability (ATQ-B-15) (Netemeyer et al., 2002) is a 15-item self-report measure designed to assess the degree of believability of cognitions associated with depression. The scale does not measure the frequency of unhelpful thoughts, but rather measures the extent to which the client believes the thoughts to be true.

The ATQ-B is a frequently used tool in Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999). Consistent with the ACT concept of fusion, the ATQ-B asks how much the client believed a thought when they felt depressed/sad. Given that changes in believability of unhelpful thoughts occur independently of reductions in their frequency (Zettle & Hayes, 1986), the believability and fusion of thoughts is an important aspect to target in therapy (Zettle, Rains & Hayes, 2011).

The scale can also be integrated into treatment using Cognitive Behaviour Therapy.

The ATQ has been found to be a reliable measure of cognitive change in depression in response to ACT and can therefore be a useful measure of progress in therapy (Zettle et al., 2011).

自动想法问卷--可信度（ATQ-B-15）（Netemeyer 等人，2002 年）是一个包含 15 个项目的自我报告量表，旨在评估与抑郁有关的认知的可信度。该量表不测量无益想法的频率，而是测量客户认为这些想法真实的程度。
ATQ-B 是接受与承诺疗法（ACT；Hayes、Strosahl 和 Wilson，1999 年）中经常使用的工具。与 ACT 的融合概念一致，ATQ-B 询问客户在感到沮丧/悲伤时对某种想法的相信程度。鉴于无益想法可信度的变化与想法频率的降低无关（Zettle & Hayes，1986 年），因此想法的可信度和融合度是治疗的一个重要方面（Zettle、Rains & Hayes，2011 年）。
该量表还可与认知行为疗法结合使用。
研究发现，ATQ 是衡量抑郁症患者对认知行为疗法的认知变化的可靠指标，因此可以作为衡量治疗进展的有用指标（Zettle 等人，2011 年）。

Validity and Reliability（效度和信度）

Psychometric evaluation of the ATQ-B 30-item version showed that it had good internal stability in both clinical (n = 177) and nonclinical (n = 249) populations (Cronbach’s alpha = .95 and .97, respectively; Zettle, 2010, as cited in Zettle et al., 2011). Test–retest reliability for the ATQ-B over 3 months with a non-clinical sample was .85 and it correlated significantly with the BDI for both populations (r = .53 and .58, respectively), providing evidence of the measure’s construct validity.
The ATQ-15 was developed by Netemeyer et al. (2002) from the original 30-item version (Hollon & Kendall, 1980). Netemeyer et al. (2002) assessed the ATQ-15 using two samples (N=434 and N=419) and found that it had a single factor, with an alpha of .96. Two additional cross-validation samples (N=163 and N=91) also showed support for the 15-item reduced version (Netemeyer et al.,2002).
The ATQ-15 was found to be negatively correlated with self-esteem (r = -.63) and childhood wellbeing (r = -.38) and positively correlated to social anxiety (r = .56), neurotic / obsessive thoughts (r = .70) , and pathological gambling (r = .46; Netemeyer et al., 2002).

对 ATQ-B 30 个条目版本进行的心理测量评估表明，它在临床样本（n = 177）和非临床样本（n = 249）中都具有良好的内部稳定性（Cronbach's alpha = .95 和 .97；Zettle，2010 年，转引自 Zettle 等人，2011 年）。在非临床样本中，ATQ-B 在 3 个月内的重测信度为 0.85，并且在这两个人群中，ATQ-B 都与 BDI 显著相关（r 分别为 0.53 和 0.58），从而证明了该测量的构建效度。
ATQ-15 是由 Netemeyer 等人（2002 年）从最初的 30 个项目版本（Hollon & Kendall，1980 年）发展而来。Netemeyer 等人（2002 年）使用两个样本（N=434 和 N=419）对 ATQ-15 进行了评估，发现它只有一个因子，α 值为 0.96。另外两个交叉验证样本（样本数=163 和样本数=91）也显示，15 个项目的缩减版得到了支持（Netemeyer 等人，2002 年）。
研究发现，ATQ-15 与自尊（r = -.63）和童年幸福（r = -.38）呈负相关，而与社交焦虑（r = .56）、神经质/强迫思维（r = .70）和病态赌博（r = .46；Netemeyer 等人，2002 年）呈正相关。

Scoring and Interpretation（得分解释）

The respondent is asked to rate how much he/she BELIEVED a given thought when they had it on a 5-point scale (1 = Not at all, to 5 = Totally). Scores are summed across the 15 items to form an ATQ-B index ranging from 15 to 75. A higher score indicates a higher level of cognitive fusion with depressive thoughts.

A descriptor is provided to give an overall indication of how ‘fused’ the client is to these thoughts. This descriptor is determined by the average response to the questions.

ATQ-B scores can be used to track progress in therapy over time. Successful therapy should see ATQ-B scores reduce over time, reflecting a reduction in fusion.

Based on ACT theory, a client’s ability to distance themselves from depressive thoughts would decrease the control exerted by these thoughts and result in a reduction of depression symptomatology.

Note that the ATQ-B does not measure the frequency of unhelpful thoughts, but rather the extent to which unhelpful thoughts are believed.

受访者被要求用 5 级量表（1 = 完全不相信，5 = 完全相信）来评定自己在产生某种想法时的相信程度。将 15 个项目的得分相加，得出 ATQ-B 指数，范围在 15 到 75 之间。分数越高，表明抑郁想法的认知融合程度越高。
我们还提供了一个描述符，以全面说明客户与这些想法的 "融合 "程度。该描述符由对问题的平均回答决定。
ATQ-B 分数可用于跟踪治疗的进展情况。治疗成功后，ATQ-B 分数会随着时间的推移而降低，反映出融合程度的降低。
根据 ACT 理论，客户与抑郁想法保持距离的能力会降低这些想法的控制力，从而导致抑郁症状的减轻。
请注意，ATQ-B 并不测量无益想法的频率，而是测量无益想法被相信的程度。