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Coronavirus Reassurance-Seeking Behaviors Scale

Coronavirus Reassurance-Seeking Behaviors Scale

What is CRBS

The Coronavirus Reassurance-Seeking Behaviors Scale (CRBS) is a self-report measure of reassurance-seeking behaviors associated with concerns over coronavirus infection. Although it is generally considered helpful to be mindful of signs of COVID-19, excessive reassurance seeking may lead to negative consequences, such as increased anxiety, for some people. Therefore, the CRBS was developed to help clinicians and researchers measure the frequency that a person engages in coronavirus-related, reassurance-seeking behavior.

CRBS Printable PDF

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CRBS Scoring and Interpretation

Each item of the CRBS is rated on a 5-point scale, ranging from 0 (not at all) to 4 (nearly every day), based on experiences over the past 2 weeks. This scaling format is consistent with the DSM-5’s cross-cutting symptom measure. Severity scores are obtained by summing responses to all items, with total scores (M = 6.23; SD = 5.51) ranging from 0 to 20. Although clinical cut-off scores have not yet been determined, CRBS total scores ≥ 12 suggest above average reassurance-seeking activity. Clinical judgement should guide the interpretation of the CRBS results.

CRBS Score and Interpretation

Table 4
CRBS ScoreInterpretation

0 – 11

None

12 or above

Above average reassurance-seeking activity

PsyPack can automatically score the CRBS assessment and prepare corresponding tables and graphs.

CRBS sample result

Sample Report of CRBS

Domain

Anxiety, Coronaphobia

What does CRBS measure

The purpose of the evaluation is to:

  • measure reassurance-seeking behaviors associated with concerns over coronavirus infection.

Administration

Self-administered

Type of outcome tool

Clinical

Assessment modes

Questionnaire

Age and eligibility

18 years and above

Estimated time

Less than 2 minutes

Notes

Since the questionnaire relies on client self-report, all responses should be verified by the clinician, and a definitive diagnosis is made on clinical grounds taking into account how well the client understood the questionnaire, as well as other relevant information from the client.

Psychometric properties: The CRBS was developed on a large sample of adults (N = 453) residing across the United States. The CRBS is a reliable instrument (α = .90), with solid factorial (single-factor) and construct (correlated with dysfunctional coronavirus anxiety, generalized anxiety, depression, and health anxiety) validity.

Scoring and interpretation: Each item of the CRBS is rated on a 5-point scale, ranging from 0 (not at all) to 4 (nearly every day), based on experiences over the past 2 weeks. This scaling format is consistent with the DSM-5’s cross-cutting symptom measure. Severity scores are obtained by summing responses to all items, with total scores (M = 6.23; SD = 5.51) ranging from 0 to 20. Although clinical cut-off scores have not yet been determined, CRBS total scores ≥ 12 suggest above average reassurance-seeking activity. Clinical judgement should guide the interpretation of the CRBS results.

Attribution and References

Lee, S. A., Jobe, M. C., Mathis, A. A., & Gibbons, J. A. (2020). Incremental validity of coronaphobia: Coronavirus anxiety explains depression, generalized anxiety, and death anxiety. Journal of Anxiety Disorders,74, 1-4.