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Chapter 61 - Cosmetic Procedure Screening Scale (COPS) and Body Image Questionnaire (BIQ-9)

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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 10-item Cosmetic Procedure Screening Scale (COPS; Veale et al., 2012) is used to screen for body dysmorphic disorder (BDD) within cosmetic settings and is often used as an outcome measure in the treatment of BDD. It can be used to predict dissatisfaction with a cosmetic procedure. The 9-item Body Image Questionnaire (BIQ-9) omits the first COPS item and is considered a weekly version of the COPS. A labia specific version, the COPS-L and a penis specific version, the COPS-P are also available. This chapter first discusses the development of the COPS and then provides evidence of its psychometrics. More specifically, the COPS is unidimensional, although the BIQ-9 has been found to contain two factors (interference/avoidance, other BDD symptoms) among adolescents. Internal consistency reliability, sensitivity to change, test-retest reliability, and convergent validity support the use of the COPS and BIQ-9. Next, this chapter provides the COPS items in their entirety, instructions for administration and scoring, and the item response scale. Links to known translations are included. Logistics of use, such as permissions, copyright, and contact information, are available for readers.

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Publisher: Cambridge University Press
Print publication year: 2025

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References

Bala, M., Quinn, R., Jassi, A., Monzani, B., & Krebs, G. (2021). Are body dysmorphic symptoms dimensional or categorical in nature? A taxometric investigation in adolescents. Psychiatry Research, 305, 114201. https://doi.org/10.1016/j.psychres.2021.114201.CrossRefGoogle ScholarPubMed
Schneider, S. C., Baillie, A. J., Mond, J., Turner, C. M., & Hudson, J. L. (2018). Measurement invariance of a body dysmorphic disorder symptom questionnaire across sex: The Body Image Questionnaire–Child and Adolescent Version. Assessment, 25(8), 10261035. https://doi.org/10.1177/1073191116679504.CrossRefGoogle ScholarPubMed
Veale, D., Ellison, N., Werner, T., Dodhia, R., Serfaty, M., & Clarke, A. (2012) Development of a cosmetic procedure screening questionnaire (COPS) for body dysmorphic disorder. Journal of Plastic Reconstructive and Aesthetic Surgery, 65, 530532. http://dx.doi.org/10.1016/j.bjps.2011.09.007.CrossRefGoogle ScholarPubMed
Veale, D., Eshkevari, E., Ellison, N., Cardozo, L., Robinson, D., & Kavouni, A. (2013). Validation of Genital Appearance Satisfaction Scale and COPS-L. Journal of Psychosomatic Obstetrics and Gynocology, 34(1), 4652. http://dx.doi.org/10.3109/0167482X.2012.756865.CrossRefGoogle Scholar
Veale, D., Eshkevari, E., Ellison, N., Costa, A., Robinson, D., Kavouni, A., & Cardozo, L. (2014). Psychological characteristics and motivation of women seeking labiaplasty. Psychological Medicine, 44(3), 555566. https://doi.org/10.1017/s0033291713001025.Google Scholar
Veale, D., Eshkevari, E., Kanakam, N., Ellison, N., Costa, A., & Werner, T. (2014). The Appearance Anxiety Inventory: Validation of a process measure in the treatment of body dysmorphic disorder. Behavioural and Cognitive Psychotherapy, 42(5), 605616. https://doi.org/10.1017/s1352465813000556.CrossRefGoogle ScholarPubMed
Veale, D., Miles, S., Read, J., Miles, S., Troglia, A., Phillips, R., et al. (2015). Penile Dysmorphic Disorder: Development of a screening scale. Archives of Sexual Behavior, 44(8), 23112321. http://dx.doi.org/10.1007/s10508-015-0484-6.CrossRefGoogle ScholarPubMed

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