Body Checking Cognitions Scale (BCCS)

doi:10.1017/9781009398275.020

Chapter 19 - Body Checking Cognitions Scale (BCCS)

Published online by Cambridge University Press: aN Invalid Date NaN

Victoria A. Mountford ,

Anne M. Haase and

Glenn Waller

Edited by

Virginia Ramseyer Winter ,

Tracy L. Tylka and

Antoinette M. Landor

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Virginia Ramseyer Winter: Affiliation:
University of Minnesota
Tracy L. Tylka: Affiliation:
Ohio State University
Antoinette M. Landor: Affiliation:
University of Missouri

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Summary

The 21-item Body Checking Cognitions Scale (BCCS) assesses the beliefs that maintain the individual’s use of unhealthy levels of body checking. The BCCS can be administered online or in-person to adolescents and adults (with or without an eating disorder), and is free to use in research and clinical settings. This chapter first discusses the importance of body checking and the cognitions that maintain it. It then describes the development of the BCCS, scoring of the measure and its subscales, and how it can be administered. The chapter then details the validity, reliability, factor structure and internal consistency of the measure, all of which support the use of a 19-item version of the measure. The BCCS has been shown to have four factors in most studies (using exploratory and confirmatory factor analysis), though there have also been suggestions that two factors might be a viable model. Translations into a number of languages have been conducted. The full BCCS is presented, along with the scoring key and instructions for administration.

Keywords

Body Checking Cognitions Scale BCCS body checking beliefs objective verification reassurance safety beliefs body control scale development psychometric evidence factor structure reliability validity administration scoring translations

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Type: Chapter
Information: Handbook of Body Image-Related Measures , pp. 55 - 60

DOI: https://doi.org/10.1017/9781009398275.020 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2025

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References

Fairburn, C. G. (2008). Cognitive Behavior Therapy and Eating Disorders. Guilford Press.Google Scholar

Giannini, M., Gori, A., & Barbagli, V. (2010). Body Checking Cognitions Scale: Proprietà psicometriche della versione italiana [Body Checking Cognitions Scale: Psychometric properties of the Italian version]. Counseling: Giornale Italiano di Ricerca e Applicazioni, 3(2), 209–225.Google Scholar

Haase, A. M., Mountford, V., & Waller, G. (2007). Understanding the link between body checking cognitions and behaviors: The role of social physique anxiety. International Journal of Eating Disorders, 40(3), 241–246. https://doi.org/10.1002/eat.20356.CrossRef Google Scholar PubMed

Haase, A. M., Mountford, V., & Waller, G. (2011). Associations between body checking and disordered eating behaviors in nonclinical women. International Journal of Eating Disorders, 44(5), 465–468. https://doi.org/10.1002/eat.20837.CrossRef Google Scholar PubMed

Herpertz, S., Fichter, M., Herpertz-Dahlmann, B., Hilbert, A., Tuschen-Caffier, B., Vocks, S., & Zeeck, A. (Eds.). (2018). S3 Joint German Guideline ‘Diagnosis and treatment of eating disorders’. 2nd ed. German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM). https://higherlogicdownload.s3.amazonaws.com/AEDWEB/27a3b69a-8aae-45b2-a04c2a078d02145d/UploadedImages/Resources/German_ED_diagnosis_and_treatment.pdf.Google Scholar

Kachani, A. T., Barbosa, A. L. R., Brasiliano, S., Cordás, T. A., Hochgraf, P. B., & Conti, M. A. (2011). Portuguese (Brazil) translation, cross-cultural adaptation and content validity of body checking cognitions scale – BCCS [Article@Tradução, adaptação transcultural para o português (Brasil) e validação de conteúdo da Body Checking Cognitions Scale (BCCS)]. Revista de Psiquiatria Clinica, 38(1), 13–18.CrossRef Google Scholar

Kachani, A. T., Barroso, L. P., Brasiliano, S., Cordás, T. A., & Hochgraf, P. B. (2015). Body checking and eating cognitions in Brazilian outpatients with eating disorders and non psychiatric controls. Eating Behaviors, 19, 184–187. https://doi.org/10.1016/j.eatbeh.2015.09.009.CrossRef Google Scholar PubMed

Kachani, A. T., Barroso, L. P., Brasiliano, S., Hochgraf, P. B., Cordás, T. A., & Conti, M. A. (2013). Psychometric evaluation of the Body Checking Cognitions Scale (BCCS) Portuguese version. Perceptual and Motor Skills, 116(1), 175–186. https://doi.org/10.2466/08.02.15.PMS.116.1.175-186.CrossRef Google Scholar PubMed

Kato, D., Yoshie, M., & Ishihara, M. (2018). The eating attitudes and mental health in Japanese female university students. In I. J. Lobera (Ed)., Weight Loss (pp. 43–58). InTech Open. http://dx.doi.org/10.5772/intechopen.74627.CrossRef Google Scholar

Koskina, A., Mountford, V. A., & Tchanturia, K. (2016). The impact of perceptual, cognitive and behavioural factors on dissociative experiences and body disturbance in eating disorders: An exploratory study. Advances in Eating Disorders, 4(1), 59–74. DOI: https://doi.org/10.1080/21662630.2015.1116016.CrossRef Google Scholar

Maïano, C., Morin, A. J. S., Aimé, A., Lepage, G., & Bouchard, S. (2021). Psychometric properties of the Body Checking Questionnaire (BCQ) and of the Body Checking Cognitions Scale (BCCS): A bifactor-exploratory structural equation modeling approach. Assessment, 28(2), 632–646. https://doi.org/10.1177/1073191119858411.CrossRef Google Scholar PubMed

Meyer, C., McPartlan, L., Rawlinson, A., Bunting, J., & Waller, G. (2011). Body-related behaviours and cognitions: Relationship to eating psychopathology in non-clinical women and men. Behavioural and Cognitive Psychotherapy, 39(5), 591–600. https://doi.org/10.1017/S1352465811000270.CrossRef Google Scholar PubMed

Mountford, V., Haase, A., & Waller, G. (2006). Body checking in the eating disorders: Associations between cognitions and behaviors. International Journal of Eating Disorders, 39(8), 708–715. https://doi.org/10.1002/eat.20279.CrossRef Google Scholar PubMed

Mountford, V., Haase, A. M., & Waller, G. (2007). Is body checking in the eating disorders more closely related to diagnosis or to symptom presentation? Behaviour Research and Therapy, 45(11), 2704–2711. https://doi.org/10.1016/j.brat.2007.07.008.CrossRef Google Scholar PubMed

Neubauer, K., Bender, C., Tuschen-Caffier, B., Svaldi, J., & Blechert, J. (2010). Erfassung dysfunktionaler Kognitionen zum Body Checking: Eine deutschsprachige Version der Body Checking Cognitions Scale (BCCS) [Assessment of dysfunctional cognitions in body checking: A German version of the body checking cognitions scale (BCCS)]. Zeitschrift für Klinische Psychologie und Psychotherapie, 39(4), 251–260. https://doi.org/10.1026/1616-3443/a000056.CrossRef Google Scholar

Nikodijevic, A., Buck, K., Fuller-Tyszkiewicz, M., de Paoli, T., & Krug, I. (2018). Body checking and body avoidance in eating disorders: Systematic review and meta-analysis. European Eating Disorders Review, 26(3), 159–185. https://doi.org/10.1002/erv.2585.CrossRef Google Scholar PubMed

Reas, D. L., Whisenhunt, B. L., Netemeyer, R., & Williamson, D. A. (2002). Development of the Body Checking Questionnaire: A self-report measure for body checking behaviors. International Journal of Eating Disorders, 31(3), 324–333. https://doi.org/10.1002/eat.10012.CrossRef Google Scholar PubMed

Reas, D. L., White, M. A., & Grilo, C. M. (2006). Body Checking Questionnaire: Psychometric properties and clinical correlates in obese men and women with binge eating disorder. International Journal of Eating Disorders, 39(4), 326–331. https://doi.org/10.1002/eat.20236.CrossRef Google Scholar PubMed

Smith, J. M., Whisenhunt, B. L., Buchanan, E. M., & Hudson, D. L. (2019). Evaluating the effectiveness of ecological momentary assessment and intervention targeting body checking behaviors. Eating Disorders, 27(6), 521–537. https://doi.org/10.1080/10640266.2018.1560850.CrossRef Google Scholar PubMed

Swami, V., & Barron, D. (2019). Translation and validation of body image instruments: Challenges, good practice guidelines, and reporting recommendations for test adaptation. Body Image, 31, 204–220. https://doi.org/10.1016/j.bodyim.2018.08.014.CrossRef Google Scholar PubMed

Swami, V., Todd, J., & Barron, D. (2021). Translation and validation of body image instruments: An addendum to Swami and Barron (2019) in the form of frequently asked questions. Body Image, 37, 214–224. https://doi.org/10.1016/j.bodyim.2021.03.002.CrossRef Google Scholar PubMed

Xavier, G. S., Pasian, S. R., & Almeida, S. S. (2015). Assessment of body image: Instruments available in Brazil. Psico-USF, 20(3), 529–545. https://doi.org/10.1590/1413-82712015200314.CrossRef Google Scholar

Waller, G., Corstorphine, E., Cordery, H., Hinrichsen, H., Lawson, R., Mountford, V., & Russell, K. (2007). Cognitive-Behavioral Therapy for the Eating Disorders: A Comprehensive Treatment Guide. Cambridge University Press.CrossRef Google Scholar

Waller, G., Sines, J., Meyer, C., & Mountford, V. (2008). Body checking in the eating disorders: Association with narcissistic characteristics. Eating Behaviors, 9(2), 163–169. https://doi.org/10.1016/j.eatbeh.2007.07.004.CrossRef Google Scholar PubMed

Waller, G., Turner, H., Tatham, M., Mountford, V., & Wade, T. (2019). Brief Cognitive Behavioural Therapy for Non-underweight Patients: CBT-T for Eating Disorders. Routledge.CrossRef Google Scholar

White, E. K., & Warren, C. S. (2014). The influence of social anxiety on the body checking behaviors of female college students. Body Image, 11(4), 458–463. https://doi.org/10.1016/j.bodyim.2014.07.008.CrossRef Google Scholar PubMed

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