BLOOD-INJECTION- INJURY PHOBIA INVETORY

Question 1

What is the Blood Injection Injury Invetory (BIIPI)?

Answer 1

An 18-item self-report measure used to assess the severity of fear related to blood, injections and injuries.

Question 2

How is the BIIPI set up?

Answer 2

1. The patient is presented with a situation.
2. They have to evaluate the different reactions they may experience in that situation (cognitive, physiological, behavioural reactions) on a 0-3 rating scale.

the situation will relate to the phobia

Question 3

How is the BIIPI scored?

Answer 3

• Items/situations rated on a 0-3 rating scale.
• 0=Never
• 1=Sometimes
• 2=Almost always
• 3=Always

NSAA

Question 4

Can you give an example of an item on the BIPI?

Answer 4

• Situation: When I see blood on my arm or finger after pricking myself with a needle.
• Examples response: ‘I think I might faint’ 0-3 rating scale.

Question 5

Name 2 strengths and 2 weaknesses of the BIPI

Answer 5

Strengths= Holistic and comprehensive. Clinical utility.
Weakness= Self-report bias. Limited understanding of causes.

Question 6

Explain 1 strength of the BIPI relating to holism?

Answer 6

• BIPI= Comprehensive as it measures fear + evalutes cognitive, physiological,behavioural responses.
• Holistic approach= Useful for understanding people who may experience a 2 phase response (anxiety-fainting)

two-phase response—an initial spike in anxiety followed by a sudden drop in blood pressure leading to fainting.

Question 7

Explain another strength of the BIPI- relating to clinical utility.

Answer 7

• Identification- Helps identify who need treatment due to symptom severity
• Tracking- Can track improvements over time (particularly in exposure therapy/ CBT)
• Treatment planning- Can aid in treatment planning by highlighting specific triggers (some may fear needles but not blood, while others fear both).

Question 8

Explain one weakness of the BIPI relating to self-report bias.

Answer 8

• Relies on self-awareness, honesty and mood of day they completed the questionnaire.
• Some may overestimate their fear (attention) or underestimate (shame).
• Reducing the accuracy- lowering validity.

Question 9

Explain 1 weakness of the BIPI relating to limited understanding/reductionism

Answer 9

• Provides limited understanding of underlying causes or individual differences. (trauma-witnessing severe injury, family history of BII- genetic predisposition)

Question 10

What is the aim of the BIPI?

Answer 10

• DIAGNOSE individuals who experience EXTREME physiological reactions when exposed to such stimuli