{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:20:22Z","timestamp":1788441622168,"version":"build-2803163510"},"reference-count":28,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Although the importance of biopsychosocial models for chronic diseases is emphasized nowadays, the lack of assessment tools to meet this need draws attention. This study was planned to assess the validity, reliability, and responsiveness of the Cognitive Exercise Therapy Approach\u2010Biopsychosocial Questionnaire (BETY\u2010BQ) in patients with fibromyalgia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Hospital Anxiety and Depression Scale (HADS), Mindful Attention Awareness Scale, Health Assessment Questionnaire, the Fibromyalgia Impact Questionnaire, and Short\u2010Form 36 (SF\u201036) were used for the validity of BETY\u2010BQ. For the reliability study, evaluations were repeated at 1\u2010week intervals and for the responsiveness, the same scales were applied to patients under medical treatment at 3\u2010month intervals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The correlations of BETY\u2010BQ with the other scales were found to be moderate to high (respectively <jats:italic>r<\/jats:italic>\u00a0=\u00a0.591, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001 and <jats:italic>r<\/jats:italic>\u00a0=\u00a0.441, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0\u2212.419, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0.617, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0.722, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a0\u2212.580 and \u2212.374, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001 and <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and with SF\u201036 sub\u2010parameters were found to be weak\u2010moderate. The test\u2010retest method was used for reliability, and the correlation between the responses was very high (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.901, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). The intraclass correlation coefficient (ICC) was found to be high (ICC\u00a0=\u00a00.899, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). Cronbach's alpha (<jats:italic>\u03b1<\/jats:italic>) value was found to be .947. In the correlation analysis of time\u2010dependent changes, BETY\u2010BQ correlated weakly with other scales and moderately correlated with HADS (HADS\u2010anxiety <jats:italic>r<\/jats:italic>\u00a0=\u00a0.489, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.006, HADS\u2010depression <jats:italic>r<\/jats:italic>\u00a0=\u00a0.500, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.005).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BETY\u2010BQ was presented in the literature as a valid, reliable, and sensitive scale that can be used both in the biopsychosocial evaluation and as an easily understood, practical scale that can be answered in a short time in the practices of healthcare professionals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.14325","type":"journal-article","created":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T05:10:13Z","timestamp":1651641013000},"page":"685-691","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["The reliability, validity, and responsiveness of Cognitive Exercise Therapy Approach\u2010Biopsychosocial Questionnaire for patients with fibromyalgia"],"prefix":"10.1111","volume":"25","author":[{"given":"Mahbuba","family":"Zahid","sequence":"first","affiliation":[{"name":"Kocaeli Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2992-0698","authenticated-orcid":false,"given":"Edibe","family":"Unal","sequence":"additional","affiliation":[{"name":"Faculty of Physical Therapy and Rehabilitation Hacettepe University  Ankara 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