April 12, 2020

RBQ-2A

Last updated on July 30, 2021

The Adult Repetitive Behaviours Questionnaire-2 (RBQ-2A) is a self-administered questionnaire that measures restricted and repetitive behaviours in adults.

Dr. Natalie’s rating: 5 stars for appropriate and respectful wording, 5 stars for clarity & lack of ambiguity, and 5 stars for testing accuracy.

 

Take the test here:


Who the test is designed for

Sue Leekam, one of the authors of the paper and director of the Wales Autism Research Centre at Cardiff University, says:

Many measures used for research and diagnoses of autism rely on parents, teachers or caregivers to report the behaviors of individuals with the condition. What our research has done is develop a test where individuals can report on their own behaviors.


What it tests

The RBQ-2A tests one of the core diagnostic criteria for autism, restricted and repetitive behaviours (RRBs).[2]Diagnostic criteria for Autism Spectrum Disorder | CDC These are behaviors such as repetitive movements such as rocking and hand-flapping, ritualistic behavior, circumscribed interests, and sensory sensitivities.


Versions & translations


Taking the test

The RBQ-2A consists of 20 statements, giving you 3 choices for each statement:

  1.  Never or rarely
  2.  One or more time daily
  3.  15 or more times daily

You can take the test at the end of this post, or by clicking the link below.

RBQ-2A

Scoring 

  • Scoring range: 20–60
  • Threshold score: 26
    • 36 average autistic score
    • 25 non-autistic score

Validity


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Discussion

Natalie:

The RBQ-2A is my favourite test for autism. The main reason being is that it is respectful towards autistics. It is one of the first times I can walk away from a test and not be infuriated at the lack of knowledge and the disrespect to people on the spectrum. The statements are easily understood, familiar, and relevant to me—unlike many I encountered in other tests.

Kendall:

At first, I was annoyed in Section 1 by the choices One or more times daily and 15 or more times daily. The activities listed aren’t something I typically notice, let alone count.

Sections 2, 3, and 4 choices made my answer clear and quick.

The test is quick, concise, and focused. (Kendall)


Embrace Autism | RBQ-2A | icon Test

RBQ-2A

Read each question carefully and choose the answer you feel is most representative. There are no right or wrong answers, or trick questions.

  • Q1. Do you like to arrange items in rows or patterns?
    1.  Never or rarely
    2.  One or more time daily
    3.  15 or more times daily
  • Q2. Do you repetitively fiddle with items? (e.g. spin, twiddle, bang, tap, twist, or flick anything repeatedly?)
    1. Never or rarely
    2.  One or more time daily
    3.  15 or more times daily
  • Q3. Do you like to spin yourself around and around?
    1. Never or rarely
    2.  One or more time daily
    3.  15 or more times daily
  • Q4. Do you rock backwards and forwards, or side to side, either when sitting or when standing?
    1. Never or rarely
    2.  One or more time daily
    3.  15 or more times daily
  • Q5. Do you pace or move around repetitively (e.g. walk to and fro across a room, or around the same path in the garden?)
    1. Never or rarely
    2.  One or more time daily
    3.  15 or more times daily
  • Q6. Do you make repetitive hand and/or finger movements? (e.g. flap, wave, or flick your hands or fingers repetitively?)
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q7. Do you have a fascination with specific objects (e.g. trains, road signs, or other things?)
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q8. Do you like to look at objects from particular or unusual angles?
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q9. Do you have a special interest in the smell of people or objects?
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q10. Do you have a special interest in the feel of different surfaces?
    1.  Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q11. Do you have any special objects you like to carry around?
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q12. Do you collect or hoard items of any sort?
    1. Never or rarely
    2.  Mild or occasional
    3.  Marked or notable
  • Q13. Do you insist on things at home remaining the same? (e.g. furniture staying in the same place, things being kept in certain places, or arranged in certain ways?)
    1. Never or rarely
    2.  Mild or occasional (does not affect others)
    3.  Marked or notable (occasionally affects others)
  • Q14. Do you get upset about minor changes to objects (e.g. flecks of dirt on your clothes, minor scratches on objects?)
    1. Never or rarely
    2.  Mild or occasional (does not affect others)
    3.  Marked or notable (occasionally affects others)
  • Q15. Do you insist that aspects of daily routine must remain the same?
    1.  Never or rarely
    2.  Mild or occasional (does not affect others)
    3.  Marked or notable (occasionally affects others)
  • Q16. Do you insist on doing things in a certain way or re-doing things until they ‘‘just right’’?
    1. Never or rarely
    2.  Mild or occasional (does not affect others)
    3.  Marked or notable (occasionally affects others)
  • Q17. Do you play the same music, game or video, or read the same book repeatedly?
    1. Never or rarely
    2.  Mild or occasional (not entirely resistant to change or new things)
    3. Marked or notable (occasionally affects others)
  • Q18. Do you insist on wearing the same clothes or refuse to wear new clothes?
    1. Never or rarely
    2.  Mild or occasional (not entirely resistant to change or new things)
    3.  Marked or notable (will tolerate changes when necessary)
  • Q19. Do you insist on eating the same foods, or a very small range of foods, at every meal?
    1. Never or rarely
    2.  Mild or occasional (not entirely resistant to change or new things)
    3.  Marked or notable (will tolerate changes when necessary)
  • Q20. What sort of activity will you choose if you are left to occupy yourself?
    1. A range of different and flexible self-chosen activities
    2.  Some varied and flexible interests but commonly choose the same activities
    3.  Almost always choose from a restricted range of repetitive activities

Answer Key:

  • Count how many questions you answered #3 to, then multiply that number by 3.
  • Count how many questions you answered #2 to, then multiply that number by 2.
  • Count how many questions you answered #1 to, then multiply that number by 1.
  • Total score = Add the 3 numbers above.

Next steps

After the RBQ-2A, the tests below are suggested.

 

Autism Spectrum Quotient (AQ)

A simple screening test that is used as a basis for pursuing a formal autism evaluation

 

VIA Inventory of Strengths (VIA)

Measures social camouflaging behaviours in adults

 

Empathy Quotient (EQ)

Measures Theory of Mind

 

Online autism tests can play an essential role in self-discovery and may inform your decision to pursue a formal diagnosis. For a formal assessment, please see a knowledgeable professional trained in assessing autism.


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If you are looking for an autism assessment,
Dr. Natalie Engelbrecht can offer help!
You can find more information here:

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This article
was written by:
dr-natalie-engelbrecht
I’m a dually licensed registered psychotherapist and naturopathic doctor, and a Canadian leader in trauma, PTSD, and integrative medicine strictly informed by scientific research.And not only do I happen to be autistic, but my autism plays a significant role in who I am as a doctor and how I interact with and care for my patients and clients.

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