UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

The Cognitive and Behavioural Responses to Symptoms Questionnaire (CBRQ): Development, reliability and validity across several long‐term conditions

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. Green open access

[thumbnail of British J Health Psychol - 2023 - Picariello - The Cognitive and Behavioural Responses to Symptoms Questionnaire  CBRQ  .pdf]
Preview
Text
British J Health Psychol - 2023 - Picariello - The Cognitive and Behavioural Responses to Symptoms Questionnaire CBRQ .pdf - Published Version

Download (407kB) | Preview

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
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
Downloads since deposit
2Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item