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Psychometric Evaluation of the Five Facet Mindfulness Questionnaire in a Clinical Sample of African Americans

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Abstract

The Five Facet Mindfulness Questionnaire (FFMQ), a widely used and comprehensive assessment of mindfulness, has demonstrated promising psychometric properties among non-clinical and clinical samples and among diverse international samples. Yet, to date, no studies have examined its factor structure, reliability, and validity in a clinical sample of United States (USA) underrepresented minorities. The current study addressed this by investigating the factor structure, internal consistency, test-retest reliability, and construct validity of the FFMQ among 283 low-income African American adults with a recent suicide attempt. Exploratory factor analysis revealed a 20-item, five-factor measure: acting with awareness, describing, non-judging, observing, and non-reacting. Confirmatory factor analysis supported this reduced item five-factor structure. Internal consistency coefficients ranged from 60–86, but test-retest reliability coefficients did not support the temporal stability. Construct validity was supported; FFMQ facets were correlated with theoretically related constructs, such as self-compassion and self-criticism. Several facets were negatively associated with depressive symptoms and suicidal ideation, and the describing facet demonstrated unique predictive validity for depressive symptoms. These findings support the cultural relevance and utility of the FFMQ with African Americans with significant psychological distress.

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References

  • Abercrombie, P. D., Zamora, A., & Korn, A. P. (2007). Lessons learned providing a Minfdulness-based stress reduction program for low-income multiethnic women with abnormal pap smears. Holistic Nursing Practice, 21, 26–34. doi:10.1097/00004650-200701000-00006.

    Article  PubMed  Google Scholar 

  • Aguado, J., Luciano, J. V., Cebolla, A., Serrano-Blanco, A., Soler, J., & Garcia-Campayo, J. (2015). Bifactor analysis and construct validity of the Five Facet Mindfulness Questionnaire (FFMQ) in non-clinical Spanish samples. Froniters in Psychology, 6. doi:10.3389/fpsyg.2015.00404.

  • Astin, J. A., Shapiro, S. L., Eisenberg, D. M., & Forys, K. L. (2003). Mind-body medicine: state of the science implications for practice. The Journal of the American Board of Family Practice, 16, 131–147. doi:10.3122/jabfm.16.2.131.

    Article  PubMed  Google Scholar 

  • Baer, R. A. (2003). Mindfulness training as a clinical intervention: a conceptual and empirical review. Clinical Psychology: Science and Practice, 10, 125–143. doi:10.1093/clipsy.bpg015.

    Google Scholar 

  • Baer, R. A., Smith, G. T., & Allen, K. B. (2004). Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment, 11, 191–206. doi:10.1177/1073191104268029.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment in Education, 13, 27–45. doi:10.1177/1083191105283504.

    Article  Google Scholar 

  • Baer, R. A., Smith, G. T., Lykins, E. L. B., Button, D., Krietemeyer, J., Sauer, S., et al. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. doi:10.1177/1073191107313003.

    Article  PubMed  Google Scholar 

  • Baer, R. A., Lykins, E. L. B., & Peters, J. R. (2012). Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators. The Journal of Positive Psychology, 7, 230–238. doi:10.1080/17439760.2012.674548.

    Article  Google Scholar 

  • Barnes, S. M., & Lynn, S. J. (2010). Mindfulness skills and depressive symptoms: a longitudinal study. Imagination, Cognition, and Personality, 30, 77–91. doi:10.2190/IC.30.1.e.

    Article  Google Scholar 

  • Beck, A. T., & Steer, R. (1991). Beck Scale for Suicide Ideation manual. San Antonio: Harcourt Brace.

    Google Scholar 

  • Beck, A. T., Schuyler, D., & Herman, I. (1974). The development of suicide intent scales. In A. T. Beck, H. L. Resnick, & D. J. Littieri (Eds.), Prediction of suicide (pp. 45–56). Bowie: Charles Press.

    Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). San Antonio: Psychological Corporation.

    Google Scholar 

  • Bohlmeijer, E. T., ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. A. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in depressed adults and development of a short form. Assessment, 18, 308–320. doi:10.1177/1073191111408231.

    Article  PubMed  Google Scholar 

  • Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., De Girolamo, G., et al. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9. doi:10.1186/1741-7015-9-90.

  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. doi:10.1037/0022-3514. 84.4.822.

    Article  PubMed  Google Scholar 

  • Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33. doi:10.1007/s10865-007-9130-7.

    Article  PubMed  Google Scholar 

  • Carr, E. R., Woods, A. M., Vahabzadeh, A., Sutton, C., Witteneaur, J., & Kaslow, N. J. (2013). PTSD, depressive symptoms, and suicidal ideation in African American women: a mediated model. Journal of Clinical Psychology in Medical Settings, 20, 37–45. doi:10.1007/s10880-012-9316-1.

    Article  PubMed  Google Scholar 

  • Cebolla, A., García-Palacios, A., Soler, J., Guillen, V., Baños, R., & Botella, C. (2012). Psychometrics properties of the Spanish validation of the Five Facets of Mindfulness Questionnaire. European Journal of Psychiatry, 26, 118–126. doi:10.4321/S0213-61632012000200005.

    Article  Google Scholar 

  • Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E., & Dagnan, D. (2008). Responding mindfully to unpleasant thoughts and images: reliability and validity of the Southampton Mindfulness Questionnaire (SMQ). British Journal of Clinical Psychology, 47, 451–455. doi:10.1348/014466508X314891.

    Article  PubMed  Google Scholar 

  • Chiesa, A., & Serreti, A. (2009). Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. Journal of Alternative & Complementary Medicine, 15, 593–600. doi:10.1089/acm.2008.0495.

    Article  Google Scholar 

  • Chiesa, A., Serreti, A., & Jakobsen, J. C. (2013). Mindfulness: top-down or bottom-up emotion regulation strategy? Clinical Psychology Review, 33, 82–96. doi:10.1016/j.cpr.2012.10.006.

    Article  PubMed  Google Scholar 

  • Christopher, M. S., Neuser, N. J., Michael, P. G., & Baitmangalkar, A. (2012). Exploring the psychometric properties of the Five Facet Mindfulness Questionnaire. Mindfulness, 3, 124–131. doi:10.1007/s12671-011-0086-x.

    Article  Google Scholar 

  • Cox, B. J., Enns, M. W., & Clara, I. P. (2004). Psychological dimensions associated with suicidal ideation and attempts in the National Comorbidity Survey. Suicide and Life-threatening Behavior, 34, 209–219 Retrieved from http://www.guilford.com/cgi-bin/cartscript.cgi?page=pr/jnsl.htm&dir=periodicals/per_psych&cart_id=.

    Article  PubMed  Google Scholar 

  • Cronbach, L. J. (1947). Test reliability: Its meaning and determination. Psychometrika, 12, 1–16. doi:10.1007/BF02289289.

    Article  PubMed  Google Scholar 

  • Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334. doi:10.1007/BF02310555.

    Article  Google Scholar 

  • Cudeck, R., & Browne, M. W. (1983). Cross-validation of covariance structures. Multivariate Behavioral Research, 18, 147–167. doi:10.1207/s15327906mbr1802_2.

    Article  PubMed  Google Scholar 

  • Cunha, M. & Paiva, M.J. (2012). Text anxiety in adolescents: The role of self-criticism and acceptance and mindfulness skills. The Spanish Journal of Psychology, 15(2), 533-543. doi: 10.5209/rev_SJOP.2012.v15.n2.38864

  • Curtiss, J., & Klemanski, D. H. (2014). Factor analysis of the Five Facet Mindfulness Questionnaire in a heterogeneous clinical sample. Journal of Psychopathology and Behavioral Assessment, 36, 683–694. doi:10.1007/s10862-014-9429-y.

    Article  Google Scholar 

  • de Barros, V. V., Kozasa, E. H., de Souza, I. C. W., & Ronzani, T. M. (2014). Validity evidence of the Brazilian version of the Five Facet Mindfulness Questionnaire (FFMG). Psicologia: Teoria e Pesquisa, 30, 317–327. doi:10.1590/S0102-37722014000300009.

    Google Scholar 

  • Deng, Y.-Q., Liu, X.-H., Rodriguez, M. A., & Xia, C.-Y. (2011). The Five Facet Mindfulness Questionnaire: psychometric properties of the Chinese version. Mindfulness, 2, 123–128. doi:10.1007/s12671-011-0050-9.

    Article  Google Scholar 

  • Deniz, M., Kesici, S., & Sumer, A. S. (2008). The validity and reliability of the Turkish version of the Self-compassion Scale. Social Behavior and Personality: An International Journal, 36, 1151–1160. doi:10.2224/sbp.2008.36.9.1151.

    Article  Google Scholar 

  • Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20, 23–32. doi:10.1016/j.cbpra.2011.08.003.

    Article  PubMed  Google Scholar 

  • Fazaa, N., & Page, S. (2003). Dependency and self-criticism as predictors of suicidal behavior. Suicide and Life-threatening Behavior, 33, 172–185. doi:10.1521/suli.33.2.172.22777.

    Article  PubMed  Google Scholar 

  • Feldman, G., Hayes, A. F., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2006). Mindfulness and emotion regulation: the development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190. doi:10.1007/s10862-006-9035-8.

    Article  Google Scholar 

  • Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286–299. doi:10.1037/1040-3590.7.3.286.

    Article  Google Scholar 

  • Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa: Psychological Assessment Resources.

    Google Scholar 

  • Giovannini, C., Giromini, L., Bonalume, L., Tagini, A., Lang, M., & Amadei, G. (2014). The Italian Five Facet Mindfulness Questionnaire: a contribution to its validity and reliability. Journal of Psychopathology and Behavioral Assessment, 36, 415–423. doi:10.1007/s10862-013-9403-0.

    Article  Google Scholar 

  • Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: a meta-analysis. Journal of Psychosomatic Research, 57, 35–43. doi:10.1016/S0022-3999(03)00573-7.

    Article  PubMed  Google Scholar 

  • Grothe, K. B., Dutton, G. R., Jones, G. N., Bodenlos, J., Ancona, M., & Brantely, P. J. (2005). Validation of the Beck Depression Inventory-II in a low-income African American sample of medical outpatients. Psychological Assessment, 17, 110–114. doi:10.1037/1040-3590.17.1.110.

    Article  PubMed  Google Scholar 

  • Hayes, A. M., & Feldman, G. (2004). Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clinical Psychology: Science and Practice, 11, 255–262. doi:10.1093/clipsy.bph080.

    Google Scholar 

  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44, 1–25. doi:10.1016/j.brat.2005.06.006.

    Article  PubMed  Google Scholar 

  • Houry, D., Kemball, R., Rhodes, K. V., & Kaslow, N. J. (2006). Intimate partner violence and mental health symptoms in African American female ED patients. American Journal of Emergency Medicine, 24, 444–450. doi:10.1016/j.ajem.2005.12.026.

    Article  PubMed  PubMed Central  Google Scholar 

  • Joe, S., Woolley, M. E., Brown, G. K., Ghahramanlou-Holloway, M., & Beck, A. T. (2008). Psychometric properties of the Beck Depression Inventory-II in low-income African American suicide attempters. Journal of Personality Assessment, 90, 521–523. doi:10.1080/00223890802248919.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. doi:10.1093/clipsy.bpg016.

    Google Scholar 

  • Kiken, L. G., Garland, E. L., Bluth, K., Palsson, O. S., & Gaylord, S. A. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personality and Individual Differences, 81, 41–46. doi:10.1016/j.paid.2014.12.044.

    Article  PubMed  PubMed Central  Google Scholar 

  • Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford.

    Google Scholar 

  • Kochanek, K. D., Arias, E., & Anderson, R. N. (2013). How did cause of death contribute to racial differences in life expectancy in the United States in 2010? (NCHS data brief, no 125). Hyattsville: National Center for Health Statistics.

    Google Scholar 

  • Lerman, S. F., Shahar, G., & Rudich, Z. (2012). Self-criticism interacts with the affective component of pain to predict depressive symptoms in female patients. European Journal of Pain, 16, 115–122. doi:10.1016/j.ejpain.2011.05.007.

    Article  PubMed  Google Scholar 

  • Lilja, J. L., Frodi-Lundgren, A., Hanse, J. J., Josefsson, T., Lundh, L.-G., Skold, C., et al. (2011). Five Facet Mindfulness Questionnaire—reliability and factor structure: a Swedish version. Cognitive Behaviour Therapy, 40, 291–303. doi:10.1080/16506073.2011.580367.

    Article  PubMed  Google Scholar 

  • Lilja, J. L., Lundh, L.-G., Josefsson, T., & Falkenstrom, F. (2013). Observing as an essential facet of mindfulness: a comparison of FFMQ patterns in meditating and non-meditating individuals. Mindfulness, 4, 203–212. doi:10.1007/s12671-012-0111-8.

    Article  Google Scholar 

  • Linehan, M. M. (2015). DBT skills training manual (Second ed.). New York: The Guilford Press.

    Google Scholar 

  • Muthen, L. K., & Muthen, B. O. (2012). Mplus user guide (7th ed.). Los Angeles: Muthen & Muthen.

    Google Scholar 

  • Neff, K. D. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223–250. doi:10.1080/15298860390209035.

    Article  Google Scholar 

  • Petrocchi, N., & Ottaviani, C. (2016). Mindfulness facets distinctively predict depressive symptoms after two years: the mediating role of rumination. Personality and Individual Differences, 83, 92–96. doi:10.1016/j.paid.2015.08.017.

    Article  Google Scholar 

  • Schmidt, F. L., Le, H., & Ilies, R. (2003). Beyond alpha: an empirical examination of the effects of different sources of measurement error on reliability estimates for measures of individual differences constructs. Psychological Methods, 8, 206–224. doi:10.1037/1082-989X.8.2.206.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. New York: Guilford.

    Google Scholar 

  • Serpa, J. G., Taylor, S. L., & Tillisch, K. (2014). Mindfulness-based stress reduction (MBSR) reduces anxiety, depression, and suicidal ideation in veterans. Medical Care, 52, S19–S24. doi:10.1097/MLR.0000000000000202.

    Article  PubMed  Google Scholar 

  • Smalley, S. L., Loo, S. K., Hale, S. H., Shrestha, A., & McGough, J. J. (2009). Mindfulness and attention deficit hyperactivity disorder. Journal of Clinical Psychology, 65, 1087–1098. doi:10.1002/jclp.20618.

    Article  PubMed  PubMed Central  Google Scholar 

  • Solem, S., Thunes, S. S., Hjemdal, O., Hagen, R., & Wells, A. (2015). A metacognitive perspective on mindfulness: an empirical investigation. BMC Psychology. doi:10.1186/s40359-015-0081-4.

  • Tabachnick, B. G., & Fidel, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson Education.

    Google Scholar 

  • Thompson, R. S., & Zuroff, D. C. (2004). The Levels of Self-criticism Scale: comparative self-criticism and internalized self-criticism. Personality and Individual Differences, 36, 419–430. doi:10.1016/s0191-8869(03)00106-5.

    Article  Google Scholar 

  • Tucker, R.P., O’Keefe, V.M, Cole, A.B., Rhoades-Kerswill, S., Hollingsworth, D.W., Helle, A.C., et al., (2014). Mindfulness tempers the impact of personality on suicidal ideation. Personality and Individual Differences, 68, 229–233. doi:10.1016/j.paid.2014.05.001

  • Tran, U.S., Gluk, T.M, & Nader, I.W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. doi:10.1002/jclp.21996

  • Vallejo, Z., & Amaro, H. (2009). Adaptation of mindfulness based stress reduction program for addiction relapse prevention. The Humanistic Psychologist, 37, 192–206. doi:10.1080/08873260902892287.

    Article  Google Scholar 

  • Veehof, M. M., ten Klooster, P. M., Taal, E., Westerhof, G. J., & Bohlmeijer, E. T. (2011). Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia. Clinical Rheumatology, 30, 1045–1054. doi:10.1007/s10067-011-1690-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Walach, H., Buchheld, N., Buttenmuller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness—the Freiburg Mindfulness Inventory (FMI). Personality and Individual Differences, 40, 1543–1555. doi:10.1016/j.paid.2005.11.025.

    Article  Google Scholar 

  • Williams, D. R., Gonzalez, H. M., Neighbors, H. W., Nesse, R. M., Abelson, J. M., Sweetman, J., et al. (2007). Prevalence and distribution of major depressive disorder in African Americans, Carribean Blacks, and Non-Hispanic Whites: results from the National Survey of American Life. JAMA Psychiatry, 64, 305–315. doi:10.1001/archpsyc.64.3.305.

    Google Scholar 

  • Williams, J. M. G., Duggan, D. S., Crane, C., & Fennell, J. V. (2008). Mindfulness-based cognitive therapy for prevention of recurrence of suicidal behavior. Journal of Clinical Psychology: In Session, 62, 201–210. doi:10.1002/jclp.20223.

    Article  Google Scholar 

  • Witkiewitz, K., Bowen, S., Douglas, H., & Hsu, S. H. (2013). Mindfulness-based relapse prevention for substance craving. Addictive Behaviors, 38, 1563–1571. doi:10.1016/j.addbeh.2012.04.001.

    Article  PubMed  Google Scholar 

  • Wong, C.C.Y. & Mak, W.W.S. (2013). Differentiating the role of three self-compassion components in buffering cognitive-personality vulnerability to depression among Chinese in Hong Kong. Journal of Counseling Psychology, 60(1), 162–169. doi:10.1037/a0030451

  • Woods-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15, 115–131. doi:10.1177/1533210110386776.

    Article  PubMed  PubMed Central  Google Scholar 

  • Woods-Giscombé, C.L., & Gaylord, S.A. (2014). The cultural relevance of mindfulness meditation as a health intervention for African Americans: Implications for reducing stress-related health disparities. Journal of Holistic Nursing, 32(3), 147–160. doi:10.1177/0898010113519010

  • Worthington, R. L., & Whittaker, T. (2006). Scale development research: a content analysis and recommendations for best practices. The Counseling Psychologist, 34, 806–838. doi:10.1177/0011000006288127.

    Article  Google Scholar 

  • Zeidan, F., Martucci, K. T., Kraft, R. A., McHaffie, J. G., & Cognill, R. C. (2014). Neural correlates of mindfulness meditation-related anxiety relief. SCAN, 9, 751–759. doi:10.1093/scan/nst041.

    PubMed  Google Scholar 

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Acknowledgments

This research was supported by a grant from the Emory University Research Council (Group interventions for Suicidal African American men and women)awarded to the last author. We appreciate the contributions of Bradley Goodnight and Martha Calamaras to this project.

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Correspondence to Nadine J. Kaslow.

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Watson-Singleton, N.N., Walker, J.H., LoParo, D. et al. Psychometric Evaluation of the Five Facet Mindfulness Questionnaire in a Clinical Sample of African Americans. Mindfulness 9, 312–324 (2018). https://doi.org/10.1007/s12671-017-0776-0

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