Psychometric properties of the Cognitive and Behavioural Responses Questionnaire (CBRQ) in adolescents with Chronic Fatigue Syndrome

Maria Loades, Silia Vitoratou, Katharine E. Rimes, Sheila Ali, Trudie Chalder

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To better understand the maintenance of chronic fatigue syndrome (CFS), a valid and reliable measure of cognitive and behavioural responses to symptoms is required. Such a measure could also assess beliefs and coping behaviours in the context of fatigue in other somatic conditions.

We aimed to establish the psychometric properties of both the Cognitive and Behavioural Responses Questionnaire (CBRQ) and its shortened version (CBRQ-S) in adolescents with CFS.

The full questionnaire was completed by a clinical cohort of adolescents (n = 121) presenting to specialist CFS units in the UK.

Both the CBRQ and CBRQ-S had good internal consistency. The CBRQ scores were strongly associated with depression, anxiety, school and social functioning, but weakly associated with fatigue and physical functioning, providing evidence of validity.

Both the 40-item and the 18-item versions of the CBRQ were found to be reliable and valid in adolescents with CFS. To minimize unnecessary burden, the 18-item version is favoured. Using this assessment tool in future studies, including intervention studies, may help to better target interventions during clinical practice and improve outcomes.
Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalBehavioural and Cognitive Psychotherapy
Early online date22 May 2019
Publication statusPublished - 10 Mar 2020


  • CFS
  • adolescents
  • behavioural
  • cognitive
  • psychometric

ASJC Scopus subject areas

  • Clinical Psychology

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