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. Author manuscript; available in PMC: 2012 Sep 1.
Published in final edited form as: Psychol Assess. 2011 Sep;23(3):578–586. doi: 10.1037/a0022485
1. The patient [I] understood that his/her [my] thoughts, feelings, and behaviors can contribute to his/her [my] depression. 1 2 3 4 5
2. The patient [I] examined his/her [my] underlying assumptions (or schema) and how they contributed to his/her [my] depression. 1 2 3 4 5
3. The patient [I] identified automatic negative thoughts and completed thought records. 1 2 3 4 5
4. The patient [I] scheduled and participated in activities which improved his/her [my] mood. 1 2 3 4 5
5. The patient [I] looked for alternative explanations when he/she [I] had negative thoughts. 1 2 3 4 5
6. The patient [I] weighed the evidence for and against negative thoughts. 1 2 3 4 5
7. The patient [I] tested negative automatic thoughts or beliefs by setting up experiments. 1 2 3 4 5
8. The patient [I] stated his/her [my] thoughts in ways that could be tested. 1 2 3 4 5