Cognitive Therapy and Research

, Volume 39, Issue 2, pp 193–203 | Cite as

The Cognitive Behavioural Processes Questionnaire: A Preliminary Analysis within Student, Mixed Clinical and Community Samples and the Identification of a Core Transdiagnostic Process

  • Trishna PatelEmail author
  • Warren Mansell
  • David Veale
Original Article


Theorists have highlighted the commonalities in cognitive and behavioural processes across multiple disorders i.e. transdiagnostic approach. We report two studies that tested the psychometric properties of a new scale to assess these processes. The Cognitive and Behavioural Processes Questionnaire (CBP-Q) was developed as a 15-item measure. In Study 1, the CBP-Q was administered to a student (n = 172) sample with a range of standardised measures of the processes and symptom measures. Study 2 repeated the evaluation in a mixed clinical group (n = 161) and a community control group (n = 57). An exploratory factor analysis resulted in a 12-item version of the CBP-Q, consisting of a single factor. The measure demonstrated good internal consistency, test–retest stability and satisfactory convergent and divergent validity in both studies. Correlations with symptom-based measures showed increased engagement in these cognitive and behavioural processes to be associated with higher levels of symptomatology. The scale was elevated in the clinical relative to the community group and there were no differences in scores between broad diagnostic groupings (anxiety vs. mood vs. other). The CBP-Q has good psychometric properties. The findings are consistent with the transdiagnostic approach and indicate that a single, as yet unspecified factor may account for the shared variance across cognitive and behavioural maintenance processes.


Transdiagnostic Cognitive processes Behavioural processes Control theory 



This study presents independent research part-funded by the National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. We would like to acknowledge support from the Institute of Psychiatry, King’s College London, which allowed volunteers from the community to be given the option of receiving a £10 high street voucher. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. We would like to thank Matthew Jones Chesters (UEL) for his statistical advice, as well as Lucy Serpell (UCL), and Six Degrees Social Enterprise for their help with recruitment.

Conflict of Interest

Trishna Patel, Warren Mansell and David Veale declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and institutional). Informed consent was obtained from all individual subjects participating in the study. If any identifying information is contained in the paper the following statement is also necessary—Additional informed consent was obtained from any subjects for whom identifying information appears in this paper.

Animal Rights

No animal studies were carried out by the authors for this article.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.School of PsychologyUniversity of East LondonLondonUK
  2. 2.University of ManchesterManchesterUK
  3. 3.South London and Maudsley NHS Foundation TrustLondonUK
  4. 4.The Institute of PsychiatryKing’s College LondonLondonUK

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