Initial psychometric evaluation of the Perseverative Thinking Questionnaire in Peruvian undergraduates

Keywords: factor analysis, mental health, mental processes, psychological tests, validation study


Background: the Perseverative Thinking Questionnaire (PTQ) is a global measure of repetitive negative thinking, a core transdiagnostic dimension of mental health. Objectives: this study sought to examine the factor structure, reliability, and evidence of associative validity of the PTQ in Peruvian undergraduates. Method: data from 240 undergraduates (Mage = 20.33, 59% female) were evaluated with confirmatory factor analysis. After finding the best factor structure, reliability was estimated with coefficient omega. The correlation between the PTQ’s latent variable and cognitive fusion was examined as evidence of associative validity. Results: the PTQ proved to be essentially unidimensional since acceptable fit was obtained by the one-factor model with three correlations between errors (CFI = .945; RMSEA = .079). Reliability was high (ω = .927). The correlation between the PTQ and cognitive fusion was very large (ϕ = .876). Conclusion: the PTQ is an essentially unidimensional measure, thus only a global score should be computed. Associative validity should be further examined in future studies.


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Altan-Atalay, A., & Sarıtaş-Atalar, D. (2018). Psychometric qualities of Turkish version of Perseverative Thinking Questionnaire (PTQ). Journal of Rational - Emotive and Cognitive - Behavior Therapy, 1–15.

Arditte, K. A., Shaw, A. M., & Timpano, K. R. (2016). Repetitive negative thinking: A transdiagnostic correlate of affective disorders. Journal of Social and Clinical Psychology, 35(3), 181–201.

Auerbach, R. P., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D. D., Green, J. G., Hasking, P., Murray, E., Nock, M. K., Pinder-Amaker, S., Sampson, N. A., Stein, D. J., Vilagut, G., Zaslavsky, A. M., & Kessler, R. C. (2018). WHO World Mental Health Surveys International College Student Project: Prevalence and distribution of mental disorders. Journal of Abnormal Psychology, 127(7), 623–638.

Azevedo, J., Pereira, A. T., Amaral, A. P., Nogueira, V., Soares, M. J., Mota, D., & Macedo, A. (2017). Perseverative Thinking Questionnaire: Confirmatory factor analysis with two different samples. European Psychiatry, 41, S377–S378.

Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K. (2014). The nature, diagnosis, and treatment of neuroticism: Back to the future. Clinical Psychological Science, 2(3), 344–365.

Bauer, E. A., Braitman, A. L., Judah, M. R., & Cigularov, K. P. (2020). Worry as a mediator between psychosocial stressors and emotional sequelae: Moderation by contrast avoidance. Journal of Affective Disorders, 266, 456–464.

Blackledge, J. T. (2015). Cognitive defusion in practice: a clinician’s guide to assessing, observing, supporting change in your client. Context Press.

Borkovec, T. D., Robinson, E., Pruzinsky, T., & DePree, J. A. (1983). Preliminary exploration of worry: Some characteristics and processes. Behaviour Research and Therapy, 21(1), 9–16.

Brosseau-Liard, P. E., & Savalei, V. (2014). Adjusting incremental fit indices for nonnormality. Multivariate Behavioral Research, 49(5), 460–470.

Brosseau-Liard, P. E., Savalei, V., & Li, L. (2012). An investigation of the sample performance of two nonnormality corrections for RMSEA. Multivariate Behavioral Research, 47(6), 904–930.

Byrne, B. M. (2012). Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge.

Canty, A., & Ripley, B. (2020). boot: Bootstrap R (S-Plus) Functions (1.3-25).

Černis, E., Dunn, G., Startup, H. M., Kingdon, D., Wingham, G., Evans, N., Lister, R., Pugh, K., Cordwell, J., Mander, H., & Freeman, D. (2016). The Perseverative Thinking Questionnaire in patients with persecutory delusions. Behavioural and Cognitive Psychotherapy, 44(4), 472–481.

Chaves, B., Castro, J., Pereira, A. T., Soares, M. J., Amaral, A. P., Bos, S., Madeira, N., Nogueira, V., Roque, C., & Macedo, A. (2013). Preservative Thinking Questionnaire: Validation of the Portuguese version. I Congresso Mundial de Comportamentos de Saúde Infanto-Juvenil.

Chen, F., Bollen, K. A., Paxton, P., Curran, P. J., & Kirby, J. B. (2001). Improper solutions in structural equation models: Causes, consequences, and strategies. Sociological Methods & Research, 29(4), 468–508.

Devynck, F., Kornacka, M., Baeyens, C., Serra, É., Neves, J. F. das, Gaudrat, B., Delille, C., Taquet, P., Depraete, O., Tison, P., Sgard, F., Rousseau, A., & Romo, L. (2017). Perseverative Thinking Questionnaire (PTQ): French validation of a transdiagnostic measure of repetitive negative thinking. Frontiers in Psychology, 8, 2159.

Drost, J., van der Does, W., van Hemert, A. M., Penninx, B. W., & Spinhoven, P. (2014). Repetitive negative thinking as a transdiagnostic factor in depression and anxiety: A conceptual replication. Behaviour Research and Therapy, 63, 177–183.

Duffy, A., Saunders, K. E. A., Malhi, G. S., Patten, S., Cipriani, A., McNevin, S. H., MacDonald, E., & Geddes, J. (2019). Mental health care for university students: a way forward? The Lancet Psychiatry, 6(11), 885–887.

Dunn, T. J., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105(3), 399–412.

Ehring, T., Raes, F., Weidacker, K., & Emmelkamp, P. M. G. (2012). Validation of the Dutch version of the Perseverative Thinking Questionnaire (PTQ-NL). European Journal of Psychological Assessment, 28(2), 102–108.

Ehring, T., & Watkins, E. R. (2008). Repetitive negative thinking as a transdiagnostic process. International Journal of Cognitive Therapy, 1(3), 192–205.

Ehring, T., Zetsche, U., Weidacker, K., Wahl, K., Schönfeld, S., & Ehlers, A. (2011). The Perseverative Thinking Questionnaire (PTQ): Validation of a content-independent measure of repetitive negative thinking. Journal of Behavior Therapy and Experimental Psychiatry, 42(2), 225–232.

Epskamp, S. (2019). semPlot: Path diagrams and visual analysis of various SEM packages’ output (1.1.2).

Erickson, T. M., Newman, M. G., & Tingey, J. L. (2020). Worry and rumination. In J. S. Abramowitz & S. M. Blakey (Eds.), Clinical handbook of fear and anxiety: Maintenance processes and treatment mechanisms. (pp. 133–151). American Psychological Association.

Gillanders, D. T., Bolderston, H., Bond, F. W., Dempster, M., Flaxman, P. E., Campbell, L., Kerr, S., Tansey, L., Noel, P., Ferenbach, C., Masley, S., Roach, L., Lloyd, J., May, L., Clarke, S., & Remington, B. (2014). The development and initial validation of the Cognitive Fusion Questionnaire. Behavior Therapy, 45(1), 83–101.

Harvey, A. G., Watkins, E. R., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders. Oxford University Press.

Hayduk, L. A., & Littvay, L. (2012). Should researchers use single indicators, best indicators, or multiple indicators in structural equation models? BMC Medical Research Methodology, 12(1), 159.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and Commitment Therapy: The process and practice of mindful change (2nd ed.). Guilford Press.

Hong, R. Y., & Cheung, M. W.-L. (2015). The structure of cognitive vulnerabilities to depression and anxiety: Evidence for a common core etiologic process based on a meta-analytic review. Clinical Psychological Science, 3(6), 892–912.

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55.

Hur, J., Heller, W., Kern, J., & Berenbaum, H. (2016). A bi-factor approach to modeling the structure of worry and rumination. Journal of Experimental Psychopathology, 8(3), 252–264.

Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., & Rosseel, Y. (2019). semTools: Useful tools for structural equation modeling (0.5-2.912).

Kami, M., Moloodi, R., Mazidi, M., Ehring, T., Mansoori, A. K., Nodooshan, M. B., Mazinani, Z., Molavi, M.-R., & Momeni, F. (2019). Measuring repetitive thinking in Iran: Psychometric properties of Persian version of Perseverative Thinking Questionnaire. Personality and Individual Differences, 148, 101–109.

Kornacka, M., Buczny, J., & Layton, R. L. (2016). Assessing repetitive negative thinking using categorical and transdiagnostic approaches: A comparison and validation of three Polish language adaptations of self-report questionnaires. Frontiers in Psychology, 7, 322.

Kotov, R., Gamez, W., Schmidt, F., & Watson, D. (2010). Linking “big” personality traits to anxiety, depressive, and substance use disorders: A meta-analysis. Psychological Bulletin, 136(5), 768–821.

Liu, C., Liu, Z., & Yuan, G. (2020). The longitudinal influence of cyberbullying victimization on depression and posttraumatic stress symptoms: The mediation role of rumination. Archives of Psychiatric Nursing.

Mansell, W., & McEvoy, P. M. (2017). A test of the core process account of psychopathology in a heterogenous clinical sample of anxiety and depression: A case of the blind men and the elephant? Journal of Anxiety Disorders, 46, 4–10.

McEvoy, P. M., & Brans, S. (2013). Common versus unique variance across measures of worry and rumination: Predictive utility and mediational models for anxiety and depression. Cognitive Therapy and Research, 37(1), 183–196.

McLaughlin, K. A., & Nolen-Hoeksema, S. (2011). Rumination as a transdiagnostic factor in depression and anxiety. Behaviour Research and Therapy, 49(3), 186–193.

McNeish, D. (2018). Thanks coefficient alpha, we’ll take it from here. Psychological Methods, 23(3), 412–433.

Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.

Morgan, G., Hodge, K., Wells, K., & Watkins, M. (2015). Are fit indices biased in favor of bi-factor models in cognitive ability research?: A comparison of fit in correlated factors, higher-Order, and bi-factor models via Monte Carlo simulations. Journal of Intelligence, 3(1), 2–20.

Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3(5), 400–424.

Reise, S. P. (2012). The rediscovery of bifactor measurement models. Multivariate Behavioral Research, 47(5), 667–696.

Reise, S. P., Moore, T. M., & Haviland, M. G. (2010). Bifactor models and rotations: Exploring the extent to which multidimensional data yield univocal scale scores. Journal of Personality Assessment, 92(6), 544–559.

Revelle, W. (2018). psych: Procedures for Personality and Psychological Research (1.8.12).

Rhemtulla, M., Brosseau-Liard, P. E., & Savalei, V. (2012). When can categorical variables be treated as continuous? A comparison of robust continuous and categorical SEM estimation methods under suboptimal conditions. Psychological Methods, 17(3), 354–373.

Rodriguez, A., Reise, S. P., & Haviland, M. G. (2016). Evaluating bifactor models: Calculating and interpreting statistical indices. Psychological Methods, 21(2), 137–150.

Rosseel, Y. (2012). lavaan: An R package for structural equation modeling. Journal of Statistical Software, 48(2), 1–36.

Ruiz, F. J., Flórez, C. L., García-Martín, M. B., Monroy-Cifuentes, A., Barreto-Montero, K., García-Beltrán, D. M., Riaño-Hernández, D., Sierra, M. A., Suárez-Falcón, J. C., Cardona-Betancourt, V., & Gil-Luciano, B. (2018). A multiple-baseline evaluation of a brief acceptance and commitment therapy protocol focused on repetitive negative thinking for moderate emotional disorders. Journal of Contextual Behavioral Science, 9, 1-14.

Ruiz, F. J., Riaño-Hernández, D., Suárez-Falcón, J. C., & Luciano, C. (2016). Effect of a one-session ACT protocol in disrupting repetitive negative thinking: A randomized multiple-baseline design. International Journal of Psychology and Psychological Therapy, 16(3), 213–233.

Ruiz, F. J., Suárez-Falcón, J. C., Riaño-Hernández, D., & Gillanders, D. T. (2017). Psychometric properties of the Cognitive Fusion Questionnaire in Colombia. Revista Latinoamericana de Psicología, 49(1), 80–87.

Satorra, A., & Bentler, P. M. (2001). A scaled difference chi-square test statistic for moment structure analysis. Psychometrika, 66(4), 507–514.

Savalei, V., & Reise, S. P. (2019). Don’t forget the model in your model-based reliability coefficients: A reply to McNeish (2018). Collabra: Psychology, 5(1), 36.

Spinhoven, P., Drost, J., van Hemert, B., & Penninx, B. W. (2015). Common rather than unique aspects of repetitive negative thinking are related to depressive and anxiety disorders and symptoms. Journal of Anxiety Disorders, 33, 45–52.

Topper, M., Molenaar, D., Emmelkamp, P. M. G., & Ehring, T. (2014). Are rumination and worry two sides of the same coin? A structural equation modelling approach. Journal of Experimental Psychopathology, 5(3), 363–381.

Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27(3), 247–259.

Valencia, P. D., & Falcón, C. (2019). Estructura factorial del Cuestionario de Fusión Cognitiva en universitarios de Lima. Interacciones. Revista de Avances En Psicología, 5(2), e167.

Viladrich, C., Angulo-Brunet, A., & Doval, E. (2017). A journey around alpha and omega to estimate internal consistency reliability. Anales de Psicología, 33(3), 755–782.

Watkins, E. R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163–206.

Yang, Y., & Green, S. B. (2011). Coefficient Alpha: A reliability coefficient for the 21st century? Journal of Psychoeducational Assessment, 29(4), 377–392.

Yuan, K.-H., & Bentler, P. M. (2000). Three likelihood-based methods for mean and covariance structure analysis with nonnormal missing data. Sociological Methodology, 30(1), 165–200.

Zvolensky, M. J., Kauffman, B. Y., Bogiaizian, D., Viana, A. G., Bakhshaie, J., & Peraza, N. (2019). Worry among Latinx college students: relations to anxious arousal, social anxiety, general depression, and insomnia. Journal of American College Health, 1–8.
How to Cite
Valencia, P. (2020, December 8). Initial psychometric evaluation of the Perseverative Thinking Questionnaire in Peruvian undergraduates. LIBERABIT. Revista Peruana De Psicología, 26(2), e404.
Research articles