The Cosmetic Procedure Screening Questionnaire (COPS) (or also called the Body Image Questionnaire in non-cosmetic settings) is designed to screen for Body Dysmorphic Disorder. It can also be used as an outcome measure in the treatment of BDD. There are two versions.
1) A weekly 9 item version adopted by IAPT as an outcome measure. The items are scored from 0 (least impaired) to 8 (most impaired). The score is achieved by summing all the items. Items 1, 2 and 4 are reversed (that is if the person circles “8” then this is a score of zero, circling “7” is scored as ‘1’ and so on). The total scores range from 0 to 72 with a higher score reflecting greater impairment and symptoms of BDD. Individuals who score 40 or more are likely to have a diagnosis of BDD (“caseness”). Reliable change score is >10. It can be used without my permission so long as you cite it in any publication.
Download the weekly BIQ as used in IAPT
2) A 10 item version used for assessment in specialist service in which the first item is disregarded in the scoring. Items 2, 3 and 5 are reverse scored. The total scores range from 0 to 72 with a higher score reflecting greater impairment and symptoms of BDD. The scores for caseness and reliable change are the same as the for the weekly version. Our group is currently evaluating a version for adolescents. The BIQ/COPS can be used without my permission so long as you cite it in any publication.
The longer adult BIQ/ COPS used for assessment
Polish version of the BIQ/ COPS
Al Arfaj, A. M., Al Otaibi, T. M., Obeid, A. A., Alkhunaizi, A. A., Subhan, Y. S., & Al Arfaj, A. (2016). 1. Development validation and testing of an arabic version of the cosmetic procedure screening questionnaire COPS for body dysmorphic disorder. Kuwait Medical Journal, 48(1), 38-41.
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
Kallianta, A., Bacopoulou, F., Vlachakis, D., Kokka, I., Chrousos, G. P., & Darviri, C. (2021). Validation of the Cosmetic Procedure Screening (COPS) Questionnaire in the Greek language. EMBnet. journal, 26.
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), 1026-1035.
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, 65:530-532. http://dx.doi.org/10.1016/j.bjps.2011.09.007
Download the COPS 2012 paper
Download the extended version of the COPS 2012 paper
Yurtsever, I., Matusiak, Ł., Szepietowska, M., Wójcik, E., Veale, D., & Szepietowski, J. C. (2021). Cosmetic Procedure Screening Questionnaire (COPS): creation and validation of the Polish language version. Postepy dermatologii i alergologii, 38(5), 881–886. https://doi.org/10.5114/ada.2020.96704