Picariello, Federica;
Chilcot, Joseph;
Chalder, Trudie;
Herdman, David;
Moss‐Morris, Rona;
(2023)
The Cognitive and Behavioural Responses to Symptoms Questionnaire (CBRQ): Development, reliability and validity across several long‐term conditions.
British Journal of Health Psychology
, 28
(2)
pp. 619-638.
10.1111/bjhp.12644.
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Abstract
Objectives Cognitive and behavioural responses to symptoms can worsen or maintain the severity of symptoms across long‐term conditions (LTCs). Although the Cognitive and Behavioural Responses Questionnaire (CBRQ) has been used in research, its original development and psychometric properties as a transdiagnostic measure have not been reported. Our aim was to evaluate the psychometric properties of the CBRQ and a recently proposed short version, across different LTCs. Design Psychometric validation study. Methods Confirmatory factor analysis (CFA) tested the factor structure of the CBRQ in two datasets from the CBRQ's original development; (chronic fatigue syndrome,N = 230; and multiple sclerosis,N = 221) and in additional groups: haemodialysis (N = 174), inflammatory bowel disease (N = 182) and chronic dizziness (N = 185). Scale reliability and construct validity were assessed. The factor structure of the shortened CBRQ (CBRQ‐SF) was also assessed. Results CFA revealed that a 7‐or 8‐factor structure had generally appropriate fit supporting the originally proposed 7 factors (Fear avoidance, Damage beliefs, Catastrophising, Embarrassment avoidance, Symptom focusing, All‐or‐nothing behaviour and Avoidance/Resting behaviour). Omega coefficients indicated satisfactory internal reliability. Correlations with related constructs suggested construct validity. The scale appeared sensitive to change. The CBRQ‐SF also displayed good psychometric quality, with a better model fit than the CBRQ. Conclusions The CBRQ and the shortened version were shown to be reliable and valid at assessing a range of cognitive and behavioural responses to symptoms, highlighting the multi‐symptom, transdiagnostic properties of this questionnaire. Further research is necessary to determine the test–retest reliability and sensitivity to change of the CBRQ and CBRQ‐SF and a thorough evaluation of the content validity of the items.
Type: | Article |
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Title: | The Cognitive and Behavioural Responses to Symptoms Questionnaire (CBRQ): Development, reliability and validity across several long‐term conditions |
Open access status: | An open access version is available from UCL Discovery |
DOI: | 10.1111/bjhp.12644 |
Publisher version: | http://dx.doi.org/10.1111/bjhp.12644 |
Language: | English |
Additional information: | © 2023 The British Psychological Society. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
Keywords: | CBRQ, cognitive, factor analysis, psychometrics, reliability, symptoms, transdiagnostic, validity |
UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences |
URI: | https://discovery.ucl.ac.uk/id/eprint/10200771 |
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