| Literature DB >> 27078186 |
Jenny Gu1, Clara Strauss1, Catherine Crane2, Thorsten Barnhofer3, Anke Karl4, Kate Cavanagh1, Willem Kuyken2.
Abstract
Research into the effectiveness and mechanisms of mindfulness-based interventions (MBIs) requires reliable and valid measures of mindfulness. The 39-item Five Facet Mindfulness Questionnaire (FFMQ-39) is a measure of mindfulness commonly used to assess change before and after MBIs. However, the stability and invariance of the FFMQ factor structure have not yet been tested before and after an MBI; pre to post comparisons may not be valid if the structure changes over this period. Our primary aim was to examine the factor structure of the FFMQ-39 before and after mindfulness-based cognitive therapy (MBCT) in adults with recurrent depression in remission using confirmatory factor analysis (CFA). Additionally, we examined whether the factor structure of the 15-item version (FFMQ-15) was consistent with that of the FFMQ-39, and whether it was stable over MBCT. Our secondary aim was to assess the general psychometric properties of both versions. CFAs showed that pre-MBCT, a 4-factor hierarchical model (excluding the "observing" facet) best fit the FFMQ-39 and FFMQ-15 data, whereas post-MBCT, a 5-factor hierarchical model best fit the data for both versions. Configural invariance across the time points was not supported for both versions. Internal consistency and sensitivity to change were adequate for both versions. Both FFMQ versions did not differ significantly from each other in terms of convergent validity. Researchers should consider excluding the Observing subscale from comparisons of total scale/subscale scores before and after mindfulness interventions. Current findings support the use of the FFMQ-15 as an alternative measure in research where briefer forms are needed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).Entities:
Mesh:
Year: 2016 PMID: 27078186 PMCID: PMC4928699 DOI: 10.1037/pas0000263
Source DB: PubMed Journal: Psychol Assess ISSN: 1040-3590
Descriptive Statistics, Reliability Coefficients, and Sensitivity to Change Statistics for FFMQ-39 and FFMQ-15 Facets Pre- and Post-MBCT (N = 238)
| Scale and subscale | Pre-MBCT | Post-MBCT | Sensitivity to change | |||||
|---|---|---|---|---|---|---|---|---|
| α | α | |||||||
| a Paired-samples | ||||||||
| * | ||||||||
| FFMQ-39 | ||||||||
| Observing | 25.00 | 5.78 | .78 | 28.32 | 5.02 | .82 | −10.14* | −0.61 [−0.74, −0.48] |
| Describing | 26.21 | 6.36 | .88 | 27.79 | 6.11 | .90 | −5.28* | −0.25 [−0.35, −0.16] |
| Acting with Awareness | 24.12 | 5.29 | .84 | 25.87 | 4.93 | .86 | −5.40* | −0.34 [−0.47, −0.21] |
| Nonjudging of Inner Experience | 24.72 | 6.12 | .86 | 27.71 | 5.85 | .88 | −7.56* | −0.50 [−0.63, −0.36] |
| Nonreactivity to Inner Experience | 20.10 | 4.94 | .83 | 22.70 | 4.28 | .85 | −7.80* | −0.56 [−0.71, −0.41] |
| FFMQ-15 | ||||||||
| Observing | 8.98 | 2.73 | .64 | 10.37 | 2.26 | .69 | −8.78* | −0.55 [−0.68, −0.42] |
| Describing | 9.84 | 2.74 | .80 | 10.55 | 2.60 | .83 | −5.20* | −0.26 [−0.36, −0.16] |
| Acting with Awareness | 9.10 | 2.25 | .68 | 10.11 | 2.09 | .70 | −6.98* | −0.47 [−0.61, −0.33] |
| Nonjudging of Inner Experience | 9.43 | 2.67 | .76 | 10.71 | 2.44 | .78 | −7.31* | −0.50 [−0.64, −0.36] |
| Nonreactivity to Inner Experience | 8.58 | 2.30 | .66 | 9.68 | 2.10 | .77 | −6.47* | −0.50 [−0.65, −0.34] |
Pearson Correlation Coefficients Between Total Facet Scores on the FFMQ-39 and FFMQ-15 and Other Constructs Pre- and Post-MBCT
| BDI-II | CERTS: Negative Rumination subscalea | |||
|---|---|---|---|---|
| Scale and subscale | Pre | Post | Pre | Post |
| a This measure was only completed by participants in the PREVENT trial ( | ||||
| * | ||||
| FFMQ-39 | ||||
| Observing | −.15* | −.18** | −.23** | −.28** |
| Describing | −.28** | −.29** | −.18* | −.27** |
| Acting with Awareness | −.38** | −.50** | −.37** | −.53** |
| Nonjudging of Inner Experience | −.32** | −.44** | −.54** | −.64** |
| Nonreactivity to Inner Experience | −.24** | −.36** | −.39** | −.49** |
| FFMQ−15 | ||||
| Observing | −.15* | −.18** | −.18* | −.23** |
| Describing | −.25** | −.29** | −.22** | −.28** |
| Acting with Awareness | −.26** | −.40** | −.35** | −.52** |
| Nonjudging of Inner Experience | −.30** | −.42** | −.50** | −.58** |
| Nonreactivity to Inner Experience | −.26** | −.36** | −.36** | −.43** |
CFA Fit Indices for the Five Models Tested Pre- and Post-MBCT for Both Long (FFMQ-39) and Short (FFMQ-15) Versions of the FFMQ and the Configural Invariance Models
| Model | CFI | RMSEA [90% CI] | NNFI | SRMR | χ2 | AIC | |
|---|---|---|---|---|---|---|---|
| a Four-factor hierarchical refers to the model in which the facets acting with awareness, nonjudging, and nonreactivity (without the observing facet) were loaded onto an overall mindfulness factor. b Five-factor hierarchical refers to the model in which all five facets were loaded onto an overall mindfulness factor. c Configural invariance refers to the model in which pre- and post-MBCT five-factor hierarchical models were tested simultaneously. One model was tested for the FFMQ-39 and one for the FFMQ-15. | |||||||
| * | |||||||
| FFMQ-39 pre-MBCT | |||||||
| One-factor | .455 | .225 [.213, .236] | .364 | .168 | 1,167.386 | 90 | 1,227.386 |
| Four-factor | .931 | 131.792 | 48 | 191.792 | |||
| Four-factor hierarchicala | .939 | .920 | 151.358 | 50 | 207.358 | ||
| Five-factor | .936 | 175.948 | 80 | 255.948 | |||
| Five-factor hierarchicalb | .932 | .916 | 219.807 | 85 | 289.807 | ||
| FFMQ-39 post-MBCT | |||||||
| One-factor | .508 | .230 [.219, .242] | .426 | .142 | 1,222.433 | 90 | 1,282.433 |
| Four-factor | 72.908 | 48 | 132.908 | ||||
| Four-factor hierarchical | 76.453 | 50 | 132.453 | ||||
| Five-factor | 110.068 | 80 | 190.068 | ||||
| Five-factor hierarchical | 157.012 | 85 | 227.012 | ||||
| FFMQ-15 pre-MBCT | |||||||
| One-factor | .458 | .157 [.145, .169] | .367 | .127 | 613.755 | 90 | 673.755 |
| Four-factor | .932 | .906 | 103.992 | 48 | 163.992 | ||
| Four-factor hierarchical | .915 | .888 | 119.699 | 50 | 175.699 | ||
| Five-factor | .925 | .902 | 152.158 | 80 | 232.158 | ||
| Five-factor hierarchical | .895 | .870 | 186.794 | 85 | 256.794 | ||
| FFMQ-15 post-MBCT | |||||||
| One-factor | .553 | .159 [.147, .171] | .478 | .118 | 627.361 | 90 | 687.361 |
| Four-factor | .940 | 91.676 | 48 | 151.676 | |||
| Four-factor hierarchical | .942 | 94.213 | 50 | 150.213 | |||
| Five-factor | .930 | 143.624 | 80 | 223.624 | |||
| Five-factor hierarchical | .926 | .908 | 174.442 | 85 | 244.442 | ||
| FFMQ-39 configural invariancec | .886 | .869 | .104 | 941.057 | 379 | 1,113.057 | |
| FFMQ-15 configural invariance | .825 | .800 | .096 | 852.401 | 379 | 1,024.401 | |
Standardized Loadings of the Facets Onto an Overarching Mindfulness Factor for the FFMQ-39 and FFMQ-15 Four-Factor Hierarchical and Five-Factor Hierarchical Models Pre-MBCT and Post-MBCT
| Path | Pre-MBCT | Post-MBCT |
|---|---|---|
| FFMQ-39 four-factor hierarchical | ||
| Describing ← Mindfulness | .63 | .57 |
| Acting with Awareness ← Mindfulness | .72 | .75 |
| Nonjudging ← Mindfulness | .53 | .74 |
| Nonreactivity ← Mindfulness | .63 | .73 |
| FFMQ-39 five-factor hierarchical | ||
| Observing ← Mindfulness | .58 | .63 |
| Describing ← Mindfulness | .71 | .59 |
| Acting with Awareness ← Mindfulness | .56 | .65 |
| Nonjudging ← Mindfulness | .39 | .66 |
| Nonreactivity ← Mindfulness | .75 | .86 |
| FFMQ-15 four-factor hierarchical | ||
| Describing ← Mindfulness | .41 | .47 |
| Acting with Awareness ← Mindfulness | .59 | .69 |
| Nonjudging ← Mindfulness | .73 | .86 |
| Nonreactivity ← Mindfulness | .58 | .60 |
| FFMQ-15 five-factor hierarchical | ||
| Observing ← Mindfulness | .35 | .55 |
| Describing ← Mindfulness | .54 | .51 |
| Acting with Awareness ← Mindfulness | .43 | .65 |
| Nonjudging ← Mindfulness | .53 | .72 |
| Nonreactivity ← Mindfulness | .81 | .73 |