The bladder and bowel incontinence phobia severity scale

The Bladder and Bowel Incontinence Phobia Severity Scale (BBIPS) is the first validated scale developed to assess incontinence anxiety.Two total scores are derived from the BBIPSS, a bladder incontinence anxiety subscale score (8 items; Q1–8), and a bowel incontinence anxiety subscale score (7 items; Q9–15). Responses are based on a 5-point scale (“None of the time” to “All of the time”; 0 – 4 respectively) with higher values representative of greater bladder and bowel incontinence anxiety symptom severity.

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Study details:Kuoch, K. L. J., Meyer, D., Austin, D. W., & Knowles, S. R. (in press). Development and Validation of the Bladder and Bowel Incontinence Phobia Severity Scale (BBIPSS). Journal of Cognitive Psychotherapy.

Study abstract:The current research investigates the development and validation of the Bladder and Bowel Incontinence Phobia Severity Scale (BBIPSS) which assesses symptom severity of bladder and bowel incontinence phobia. Over two studies, two independent samples consisting of psychology students and respondents from the general public were used to validate the scale (study 1 n = 226; study 2 n = 377). A 15-item, two-factor model was confirmed in the second study where the two-factor BBIPSS was found to be a psychometrically valid measure of bladder and bowel incontinence phobia. Study 2 also demonstrated the BBIPSS had strong construct (convergent and divergent) validity. The BBIPSS did not display significant correlations with openness and gender (divergent validity) and displayed significant correlations with measures of depression, anxiety and stress (DASS), along with paruresis and parcopresis scores (SBBS; convergent validity), and BoBCAtS. The BBIPSS also demonstrated strong test-retest reliability (bladder r = 0.89; bowel r = 0.86) in a small sample of adults (n = 13). Overall, the scale provides researchers and clinicians with a reliable assessment tool to measure symptom severity of bladder and bowel incontinence phobia.