{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:11:46Z","timestamp":1778825506942,"version":"3.51.4"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T00:00:00Z","timestamp":1778803200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cognitive attentional syndrome and metacognitive beliefs are the two elements that comprise the metacognitive therapy model. The aim of the Multidimensional Cognitive Attentional Syndrome Scale (MCASS) is to comprehensively measure this construct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To test the validity and reliability of the Turkish version of the MCASS and its use in patients and controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 229 participants (115 patients and 114 healthy controls) were included in this study. Confirmatory factor analyses, internal consistency analyses (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      and McDonald\u2019s\n                      <jats:italic>\u03c9<\/jats:italic>\n                      ), concurrent validity analyses (correlations with relevant measures), test\u2013retest analyses, and measurement invariance analyses were conducted to determine the validity and reliability of the Turkish MCASS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Confirmatory factor analyses supported the seven-factor structure of the MCASS after excluding item 7 in the patients and controls. The internal consistency was acceptable to excellent (Cronbach\u2019s\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u202f=\u202f0.694\u20130.952 in patients, 0.695\u20130.954 in controls; McDonald\u2019s\n                      <jats:italic>\u03c9<\/jats:italic>\n                      \u202f=\u202f0.695\u20130.954 and 0.737\u20130.948, respectively). Test\u2013retest reliability was moderate to good (ICC\u202f=\u202f0.620\u20130.741 for subscales; ICC\u202f=\u202f0.705 for total score). The correlations between the MCASS subscales and the related constructs were generally moderate (\n                      <jats:italic>r<\/jats:italic>\n                      \u202f=\u202f0.316\u20130.522) except for external fixation. In terms of measurement invariance across clinical and non-clinical groups. Results supported configural and metric invariance, while partial support was found for strict invariance.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The Turkish modified 20-item MCASS is a suitable tool for clinical and non-clinical settings. However, diagnosis-specific cognitive attentional syndrome scales are needed for comprehensive assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1787616","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:41:57Z","timestamp":1778823717000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychometric properties and measurement invariance of the Turkish version of the multidimensional cognitive attentional syndrome scale"],"prefix":"10.3389","volume":"17","author":[{"given":"Kadir","family":"Ozdel","sequence":"first","affiliation":[{"name":"Department of Psychiatry, Ankara Etlik City Hospital, University of Health Sciences (Saglik Bilimleri \u00dcniversitesi)","place":["Ankara, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sukru Erkil","family":"Cetinel","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Ankara Etlik City Hospital","place":["Ankara, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sedat","family":"Batmaz","sequence":"additional","affiliation":[{"name":"Department of Psychology, Ankara Social Sciences University","place":["Ankara, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Ercan","family":"Altinoz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Eskisehir Osmangazi University","place":["Eskisehir, T\u00fcrkiye"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,15]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"589","DOI":"10.5498\/wjp.v11.i9.589","article-title":"Cognitive attentional syndrome and metacognitive beliefs as potential treatment targets for metacognitive therapy in bipolar disorder","volume":"11","author":"Batmaz","year":"2021","journal-title":"World J. Psychiatry"},{"key":"ref2","volume-title":"Investigating the Relationship between meta-Cognitive Beliefs, Thought fusion Beliefs and Worry, in Relation to Obsessive-Compulsive Behaviours and Symptoms within the General Population","author":"Bose","year":"2014"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1207\/S15328007SEM0902_5","article-title":"Evaluating goodness-of-fit indexes for testing measurement invariance","volume":"9","author":"Cheung","year":"2002","journal-title":"Struct. Equ. Model."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1037\/pas0001003","article-title":"Development and validation of the multidimensional cognitive attentional syndrome scale (MCASS)","volume":"33","author":"Conboy","year":"2021","journal-title":"Psychol. Assess."},{"key":"ref5","author":"Ek\u015fi","year":"2018"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"27","DOI":"10.1111\/cdep.12008","article-title":"Dealing with missing data in developmental research","volume":"7","author":"Enders","year":"2013","journal-title":"Child Dev. Perspect."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"2178","DOI":"10.1016\/j.sbspro.2010.07.433","article-title":"The short version of ruminative response scale: reliability, validity and its relation to psychological symptoms","volume":"5","author":"Erdur-Baker","year":"2010","journal-title":"Procedia Soc. Behav. Sci."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1016\/j.paid.2012.03.017","article-title":"Attentional control moderates the relationship between activation of the cognitive attentional syndrome and symptoms of psychopathology","volume":"53","author":"Fergus","year":"2012","journal-title":"Personal. Individ. Differ."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/j.psychres.2013.04.020","article-title":"The cognitive attentional syndrome: examining relations with mood and anxiety symptoms and distinctiveness from psychological inflexibility in a clinical sample","volume":"210","author":"Fergus","year":"2013","journal-title":"Psychiatry Res."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"692","DOI":"10.1037\/a0023242","article-title":"Development of a measure of experiential avoidance: the multidimensional experiential avoidance questionnaire","volume":"23","author":"G\u00e1mez","year":"2011","journal-title":"Psychol. Assess."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"355","DOI":"10.30773\/pi.2019.02.11.1","article-title":"Validity and reliability of cognitive attentional syndrome-1 questionnaire","volume":"16","author":"G\u00fcnd\u00fcz","year":"2019","journal-title":"Psychiatry Investig."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jcbs.2012.09.004","article-title":"Contextual behavioral science: creating a science more adequate to the challenge of the human condition","volume":"1","author":"Hayes","year":"2012","journal-title":"J. Contextual Behav. Sci."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/13546805.2022.2126303","article-title":"Cultural adaptation and validation of the Arabic version of the multidimensional cognitive attentional syndrome scale (MCASS)","volume":"28","author":"Helmy","year":"2023","journal-title":"Cogn. Neuropsychiatry"},{"key":"ref14","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline","year":"2023"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.comppsych.2019.02.007","article-title":"Cognitive-attentional syndrome\u2013the psychometric properties of the CAS-1 and multi-measure CAS-based clinical diagnosis","volume":"91","author":"Kowalski","year":"2019","journal-title":"Compr. Psychiatry"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"2325","DOI":"10.1007\/s11136-019-02177-x","article-title":"Systematic review of the measurement properties of the depression anxiety stress scales\u201321 by applying updated COSMIN methodology","volume":"28","author":"Lee","year":"2019","journal-title":"Qual. Life Res."},{"key":"ref17","volume-title":"18th Annual Conference of the Australian Psychological Society","author":"Lovibond","year":"1983"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1016\/0005-7967(90)90132-3","article-title":"Why worry? The cognitive function of anxiety","volume":"28","author":"Mathews","year":"1990","journal-title":"Behav. Res. Ther."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.jbtep.2006.12.002","article-title":"Why social anxiety persists: an experimental investigation of the role of safety behaviours as a maintaining factor","volume":"39","author":"McManus","year":"2008","journal-title":"J. Behav. Ther. Exp. Psychiatry"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1016\/j.janxdis.2008.08.007","article-title":"An empirical test of the metacognitive model of obsessive-compulsive symptoms: fusion beliefs, beliefs about rituals, and stop signals","volume":"23","author":"Myers","year":"2009","journal-title":"J. Anxiety Disord."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1037\/0022-3514.61.1.115","article-title":"A prospective study of depression and posttraumatic stress symptoms after a natural disaster: The 1989 Loma Prieta earthquake","volume":"61","author":"Nolen-Hoeksema","year":"1991","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"292","DOI":"10.1007\/s41811-019-00056-4","article-title":"Measuring the cognitive attentional syndrome associated with emotional distress: psychometric properties of the CAS-1","volume":"12","author":"Nordahl","year":"2019","journal-title":"Int. J. Cogn. Ther."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"2211","DOI":"10.3389\/fpsyg.2018.02211","article-title":"The efficacy of metacognitive therapy: a systematic review and meta-analysis","volume":"9","author":"Normann","year":"2018","journal-title":"Front. Psychol."},{"key":"ref24","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1002\/9780470713143.ch2","volume-title":"Worry and its Psychological Disorders: Theory, Assessment and Treatment","author":"Papageorgiou","year":"2006"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1002\/cpp.2345","article-title":"Effectiveness of metacognitive interventions for mental disorders in adults\u2014a systematic review and meta-analysis (METACOG)","volume":"26","author":"Philipp","year":"2019","journal-title":"Clin. Psychol. Psychother."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"189","DOI":"10.3389\/fpsyg.2016.00189","article-title":"Using genetic algorithms in a large nationally representative American sample to abbreviate the multidimensional experiential avoidance questionnaire","volume":"7","author":"Sahdra","year":"2016","journal-title":"Front. Psychol."},{"key":"ref27","volume-title":"Measurement Error Studies at the National Center for Education Statistics (NCES 97-464)","author":"Salvucci","year":"1997"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5455\/JCBPR.274847","article-title":"The psychometric properties of Turkish version of depression anxiety stress Scale-21 (DASS-21) in health control and clinical samples","volume":"7","author":"Sari\u00e7am","year":"2018","journal-title":"J. Cogniti. Behav. Psychother. Res."},{"key":"ref29","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/9780470713143.ch14","volume-title":"Worry and its Psychological Disorders: Theory, Assessment and Treatment","author":"Sibrava","year":"2006"},{"key":"ref30","first-page":"293","volume-title":"Treatment of Obsessive Compulsive Disorder","author":"Steketee","year":"1995"},{"key":"ref31","first-page":"67","article-title":"\u00dcstbili\u015f \u00d6l\u00e7e\u011fi-30'un T\u00fcrk\u00e7e Uyarlamas\u0131v, Ge\u00e7erli\u011fi, G\u00fcvenirli\u011fi, Kayg\u0131 ve Obsesif-Komp\u00fclsif Belirtilerle \u0130li\u015fkisi","volume":"19","author":"Tosun","year":"2008","journal-title":"Turk Psikiyatri Dergisi"},{"key":"ref32","volume-title":"Metacognitive Therapy for Anxiety and Depression","author":"Wells","year":"2011"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/S0005-7967(03)00147-5","article-title":"A short form of the metacognitions questionnaire: properties of the MCQ-30","volume":"42","author":"Wells","year":"2004","journal-title":"Behav. Res. Ther."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1016\/s0005-7967(96)00050-2","article-title":"Modelling cognition in emotional disorder: the S-REF model","volume":"34","author":"Wells","year":"1996","journal-title":"Behav. Res. Ther."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1787616\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:42:00Z","timestamp":1778823720000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1787616\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":34,"alternative-id":["10.3389\/fpsyg.2026.1787616"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1787616","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,15]]},"article-number":"1787616"}}