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Updated: Mar 15, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Revised scoring and improved reliability for the Communication Patterns Questionnaire
Alexander O Crenshaw1, Andrew Christensen2, Donald H Baucom3
1Department of Psychology, University of Utah.
The Communication Patterns Questionnaire (CPQ) was revised to improve its reliability and accuracy in measuring couple communication, specifically the demand/withdraw pattern. The new structure enhances its utility in research and therapy.
Area of Science:
- Psychology
- Relationship Science
- Clinical Psychology
Background:
- The Communication Patterns Questionnaire (CPQ) is a key measure for couple communication, particularly the demand/withdraw pattern linked to negative relationship outcomes.
- Existing CPQ scoring uses limited items, potentially impacting psychometric properties like internal reliability.
- Modern psychometric standards require re-evaluation of the CPQ's factor structure and item usage.
Purpose of the Study:
- To re-examine the CPQ's factor structure using advanced analytical techniques.
- To improve the reliability and validity of CPQ scale scores by potentially including more items.
- To validate a revised CPQ factor structure across multiple samples.
Main Methods:
- Exploratory and confirmatory factor analyses were conducted on four distinct samples.
- The study re-evaluated the factor structure of the Communication Patterns Questionnaire (CPQ).
- Item content was analyzed for conceptual consistency with existing subscales.
Main Results:
- A 3-factor solution, comprising constructive communication and two demand/withdraw scales, demonstrated the best fit for the data.
- This 3-factor structure was successfully replicated across independent samples.
- Revised scales, incorporating additional items, showed significantly improved reliability and stronger associations with relationship satisfaction.
Conclusions:
- The revised 3-factor structure of the CPQ offers enhanced psychometric properties and broader conceptual coverage.
- The updated CPQ scales demonstrate improved reliability and stronger links to relationship satisfaction and therapeutic change.
- These findings support the use of the revised CPQ in clinical practice and relationship research.
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