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Caregivers’ care-related thoughts critically effect their well-being. Currently, there is a lack of validated measures to systematically assess caregivers’ functional and dysfunctional thoughts. We therefore aimed to develop a measure of caregivers’ thoughts that assesses not only their dysfunctional but also their functional thoughts in multiple domains. A pool of potential questionnaire items was generated from therapy sessions with caregivers and was rated by experts. A sample of 322 main family caregiver s  (M age  = 63.9 years) of a person with dementia then completed a set of 28 items about their care-related thoughts and a number of related measures at three measurement points. Items were then aggregated via a formative measurement approach based on theoretical considerations. Correlational analyses were used to examine the construct validity of the subscale scores. The final 28-item scale assesses caregiving thoughts in four distinct domains:  dysfunctional caregiving standards, self-care, dysfunctional assumptions about dementia , and  acceptance . The correlational analyses demonstrated the subscales’ construct validity, by showing that scale scores are meaningfully related to theoretically relevant constructs. The Caregiving Thoughts Scale is a promising measure of caregivers’ thoughts in four important domains. The scale can be applied in clinical research settings.

The Caregiver Thoughts Scale: An Instrument to Assess Functional and Dysfunctional Thoughts about Caregiving