MAIN
The Covert and Overt Reassurance Seeking
Inventory (CORSI): Development, validation and
psychometric analyses
Adam S. Radomsky* , Rachael L. Neal , Chris L. Parrish, Stefanie L. Lavoie and Sarah E. Schell
Concordia University, Montréal, Quebec, Canada
*Corresponding author. Email: Adam.Radomsky@concordia.ca
(Received 18 December 2018; revised 5 August 2020; accepted 7 August 2020)
Abstract
Background: Reassurance seeking (RS) is motivated by perceived general and social/relational threats
across disorders, yet is often under-recognized because it occurs in covert (i.e. subtle) and overt forms.
Covert safety-seeking behaviour may maintain disorders by preventing corrective learning and is
therefore important to identify effectively.
Aims: This study presents the validation and psychometric analyses of a novel measure of covert and overt,
general and social/relational threat-related interpersonal RS.
Method: An initial 30-item measure was administered to an undergraduate sample (N = 1626), as well as
to samples of individuals diagnosed with obsessive compulsive disorder (OCD; n = 50), anxiety disorders
(n = 60) and depression (n = 30). The data were subjected to exploratory and confirmatory factor analyses,
and validation analyses.
Results: An exploratory factor analysis using principal axis factoring with oblique rotation yielded five
interpretable factors, after removing four complex items. The resulting 26-item measure, the Covert
and Overt Reassurance Seeking Inventory (CORSI), evidenced good convergent and divergent validity
and accounted for 54.99% of the total variance after extraction. Factor correlations ranged from
r = .268 to .736, suggesting that they may be tapping into unique facets of RS behaviour. In
comparison with undergraduate participants, all clinical groups had significantly higher total scores
[t (51.80–840) = 3.92–5.84, p < .001]. The CFA confirmed the five-factor model with good fit
following the addition of four covariance terms (goodness of fit index = .897, comparative fit
index = .918, Tucker–Lewis index = .907, root mean square error approximation = .061).
Conclusion: The CORSI is a brief, yet comprehensive and psychometrically strong measure of problematic
RS. With further validation, the CORSI has potential for use within clinical and research contexts.
Keywords: anxiety; assessment; depression; obsessive-compulsive disorder or OCD; reassurance seeking; validation
Introduction
Reassurance seeking (RS) is a behaviour recognized for its role in maintaining various mental
disorders. Despite its prevalence (e.g. Starcevic et al., 2012), facets of RS are under-represented
in existing measures. The aim of this paper is to present the development, validation and
psychometric analyses of a novel measure of RS behaviour.
Individuals with mental disorders including obsessive-compulsive disorder (OCD), depression
and anxiety disorders [e.g. generalized anxiety disorder (GAD); social anxiety disorder (SAD)]
may seek reassurance in ways that become repetitive and detrimental (e.g. American
Psychiatric Association, 2013; Beesdo-Baum et al., 2012; Coyne, 1976; Heerey and Kring,
2007; Parrish and Radomsky, 2010; Warwick and Salkovskis, 1985). Individuals with such
© British Association for Behavioural and Cognitive Psychotherapies 2020
Behavioural and Cognitive Psychotherapy, 2020, page 1 of 18
doi:10.1017/S1352465820000703