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

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-01-23 DOI:10.1111/bjhp.12644

Federica Picariello, Joseph Chilcot, Trudie Chalder, David Herdman, Rona Moss-Morris

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引用次数: 1

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.

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对症状的认知和行为反应问卷(CBRQ):在几个长期条件下的发展、信度和效度

目的对症状的认知和行为反应可以在长期条件下恶化或维持症状的严重程度（LTCs）。尽管认知和行为反应问卷（CBRQ）已被用于研究，但其最初的发展和作为一种跨诊断测量的心理测量特性尚未报道。我们的目的是评估CBRQ和最近提出的短版本在不同LTCs中的心理测量特性。设计心理测量学验证研究。方法验证性因子分析（CFA）从CBRQ最初发展的两个数据集中检验了CBRQ的因子结构；（慢性疲劳综合征，N=230；多发性硬化症，N=221）和其他组：血液透析（N=174）、炎症性肠病（N=182）和慢性头晕（N=185）。评定量表信度和结构有效性。还评估了缩短CBRQ-SF的因子结构。结果CFA显示，7或8因素结构通常适合支持最初提出的7个因素（恐惧回避、损害信念、灾难、尴尬回避、症状集中、要么全有要么全无行为和回避/休息行为）。Omega系数表明内部可靠性令人满意。与相关构念的相关性表明构念的有效性。天平似乎对变化很敏感。CBRQ-SF也显示出良好的心理测量质量，模型拟合度比CBRQ更好。结论CBRQ和缩短版在评估一系列对症状的认知和行为反应方面是可靠和有效的，突出了该问卷的多症状、跨诊断特性。需要进一步的研究来确定测试-再测试的可靠性和对CBRQ和CBRQ-SF变化的敏感性，并对项目的内容有效性进行全面评估。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.