Further Psychometric Validation of the Mindful Attention Awareness Scale (MAAS)

Mindfulness is an increasingly prominent construct in health research but its study has been impeded by a lack of well-validated measures. The Mindful Attention and Awareness Scale (MAAS; Brown and Ryan, Journal of Personality and Social Psychology, 84:822–848, 2003) is a promising measure and the goal of the present study was to further validate the MAAS in a large university sample (n = 711). Confirmatory factor analysis supported the unidimensional factor structure of the MAAS in the overall sample. No gender differences in MAAS performance were evident, but the factor structure was not confirmed in the subsample of men, apparently due to power limitations. No categorical differences were evident based on experience with meditation, and MAAS performance was not significantly associated with experience with meditation. These findings are interpreted as broadly supporting the MAAS as a valid measure of mindfulness, but suggesting that novice-level experience with meditation should not be presumed to be associated with greater mindfulness.     

The Italian Five Facet Mindfulness Questionnaire: A Contribution to its Validity and Reliability

Mindfulness refers to the ability to be aware of and attentive to internal and external events, without becoming overwhelmed or feeling the need to react automatically. Recent studies indicate that this ability is associated with the following factors: mental health, psychological functioning, and stress reduction. Although questionnaires have been developed to measure mindfulness, so far these have not been adapted for use within the Italian population. Thus, the aim of our studies was to investigate the reliability and validity of an Italian version of the Five Facet Mindfulness Questionnaire (FFMQ; Baer et al. Assessment, 13, 27–45, 2006). The FFMQ is a self-report measure that is based on a five-facet model (i.e., Observe, Describe, Act with Awareness, Nonjudge, and Nonreact). In the first study, internal consistency, factor structure, and concurrent validity analyses were carried out on a sample of 559 volunteers. The second study entailed test–retest analyses on a different sample of 43 students. The results showed that the Italian FFMQ: (a) has a similar factor structure to the original English version; (b) has good to excellent internal consistency as a whole (alpha?=?0.86) with sub-scale consistency ranging from 0.65 to 0.81, and test–retest stability for the total score being 0.71; (c) has good concurrent validity as demonstrated by significant correlations between the FFMQ scores and a number of self-report measures related to mindfulness. Our findings support both the adaptation of the FFMQ to the Italian context as well as the conceptualization of mindfulness in multi-faceted terms.     

Cross-cultural validity of the Five Facets Mindfulness Questionnaire: Adaptation and validation in a French-speaking sample

IntroductionRecent research has revealed that mindfulness training improves mental health and psychological functioning. Although several questionnaires have been developed to measure mindfulness, the Five Facets Mindfulness Questionnaire (FFMQ), [Baer et al., 2006. Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45] is currently one of the most empirically-based scale assessing mindfulness.ObjectiveThe present study was designed to: (1) test the psychometric properties and (2) explore the structural validation of the French version of the FFMQ.MethodTwo hundred and fourteen participants were tested using the French version of the FFMQ.ResultsUsing confirmatory factor analysis, the results showed the French version of the FFMQ has good psychometric properties and a structural validity similar to the initial version.ConclusionThis adaptation constituted a validated mindfulness measure for French-speaking clinicians as well as researchers.     

The "what" and the "how" of dispositional mindfulness: using interactions among subscales of the five-facet mindfulness questionnaire to understand its relation to substance use

Although self-report measures of dispositional mindfulness have good psychometric properties, a few studies have shown unexpected positive correlations between substance use and mindfulness scales measuring observation of present-moment experience. The current study tested the hypothesis that the relationship between present-moment observation and substance use is moderated by the tendency to be nonjudgmental and nonreactive toward the observed stimuli. Two hundred and ninety-six undergraduates completed the five-facet mindfulness questionnaire (FFMQ), a calendar measuring periods of substance use, and a measure of the five-factor model of personality. Controlling for FFMQ and personality subscales, significant interactions between the observing and nonreactivity subscales indicated that the observing subscale was negatively associated with substance use at higher levels of nonreactivity but positively associated with periods of substance use at lower levels of nonreactivity. Results support the use of statistical interactions among FFMQ subscales to test for the presence of interactive effects of different aspects of mindfulness.     

Components of Mindfulness in Patients with Chronic Pain

Methods of mindfulness are gaining increasing popularity within the behavioral and cognitive therapies and appear helpful for a range of clinical problems. The purpose of this study was to examine cognitive and behavioral processes underlying mindfulness. One hundred fifty patients seeking treatment for chronic pain completed a battery of questionnaires, including the 15-item Mindful Attention Awareness Scale (MAAS; Brown and Ryan, J Pers Soc Psychol 84:822–848, 2003). Preliminary analyses supported reliability and validity of the MAAS for patients with chronic pain. A confirmatory factor analysis provided incomplete support for a singe factor structure from the items of the MAAS. In turn, an exploratory factor analysis yielded a four-factor solution: Acting with Awareness, Present Focus, Responsiveness, and Social Awareness. Correlation and regression analyses indicated that the Acting with Awareness and Present Focus subscales were significantly related to measures of patient emotional, physical, and social functioning. Further research that explores and validates models of mindfulness-based processes is recommended.     

Effectiveness of an MP3 Christian mindfulness intervention on mindfulness and perceived stress

ABSTRACT

Mindfulness is enfolded in therapies addressing mental health conditions and is informed by secular and Buddhist models. However, mindfulness interventions can be rooted in other theoretical and spiritual frameworks including Christianity, which parallels Buddhist-based mindfulness practices. This study evaluates a mindfulness–based intervention drawing from Christian spiritual practices and discusses its practical implications. The researcher explored whether a Moving Picture Experts Group-3 (MP3)-based Christian mindfulness intervention would improve mindfulness states and decrease stress, measured by the Mindful Attention and Awareness Scale (MAAS) and Perceived Stress Scale (PSS), respectively. An analysis of covariance (ANCOVA) resulted in significant differences between pre- and post-test scores in experimental versus control groups on the MAAS and PSS after a 6–8-week intervention of a student sample (n?=?80) from two private, religiously-affiliated universities. Higher MAAS scores reflected improved mindfulness states, F(1,80)?=?11.947, p?=?.01 with a partial η^2?=?.134. Lower PSS scores reflect lowered perceived stress, F(1,80)?=?3.849, p?=?.053 with a partial η^2?=?.047.     

Conceptual Integration of Arithmetic Operations With Real‐World Knowledge: Evidence From Event‐Related Potentials

Research on language processing has shown that the disruption of conceptual integration gives rise to specific patterns of event‐related brain potentials (ERPs)—N400 and P600 effects. Here, we report similar ERP effects when adults performed cross‐domain conceptual integration of analogous semantic and mathematical relations. In a problem‐solving task, when participants generated labeled answers to semantically aligned and misaligned arithmetic problems (e.g., 6 roses + 2 tulips  = ? vs. 6 roses + 2 vases  = ?), the second object label in misaligned problems yielded an N400 effect for addition (but not division) problems. In a verification task, when participants judged arithmetically correct but semantically misaligned problem sentences to be “unacceptable,” the second object label in misaligned sentences elicited a P600 effect. Thus, depending on task constraints, misaligned problems can show either of two ERP signatures of conceptual disruption. These results show that well‐educated adults can integrate mathematical and semantic relations on the rapid timescale of within‐domain ERP effects by a process akin to analogical mapping.     

Reliability and validity of the Norwegian translation of the Child Eating Disorder Examination (ChEDE)

Frampton, I., Wisting, L., Øverås, M., Midtsund, M. & Lask, B. (2011). Reliability and validity of the Norwegian translation of the Child Eating Disorder Examination (ChEDE). Scandinavian Journal of Psychology 52, 196–199. The Child Eating Disorder Examination (ChEDE) is a valid and reliable semi‐structured interview, which measures eating‐disorder specific psychopathology in children and young adolescents. The instrument is an adaptation of version 12.0D of the original Eating Disorder Examination (EDE 12.0) for adults. The Norwegian translation of the ChEDE is currently the only instrument for assessing eating disorder psychopathology in Norwegian children and adolescents. This study aimed to investigate the psychometric properties of the Norwegian translation of the ChEDE 12.0. The Norwegian version of ChEDE 12.0 was administered to 15 Norwegian children with anorexia nervosa (AN), 15 children with diabetes mellitus type 1 (DM) and two groups of 15 age‐matched controls. The groups were compared using a matched pairs design. The results showed that the subscale scores of the AN group were significantly higher than those of the other groups, and the DM comparison group did not differ from its control group. The current AN group scored significantly higher on the Shape Concern subscale than the previous UK sample, with implications for construct validity or cross‐cultural effects worthy of further study. Inter‐rater reliability was generally high (r = 0.91 to 1.00), although there were significant differences between raters on specific items for individual participants. Alpha coefficients for each of the ChEDE subscales indicated a high degree of internal consistency. It was concluded that the Norwegian version of the ChEDE 12 has adequate psychometric properties and can be recommended for clinical and research use with young people with eating disorders in Norway.     

A Norwegian version of the Obsessive‐Compulsive Inventory–Revised: Psychometric properties

Solem, S., Hjemdal, O., Vogel, P.A. & Stiles, T.C. (2010). A Norwegian version of the Obsessive‐Compulsive Inventory–Revised: Psychometric properties. Scandinavian Journal of Psychology 51, 509–516. The aims of this study were to test the psychometric properties of the Norwegian version of the Obsessive‐Compulsive Inventory–Revised (OCI‐R). The study included a student/community control sample (N = 1167) and a clinical sample (N = 72) with a diagnosis of obsessive‐compulsive disorder (OCD). The results indicated a good fit for the six‐factor structure of the OCI‐R. The mean scores and standard deviations were similar to that of studies from other countries as was the internal consistency. The OCI‐R scores were significantly higher in the OCD sample compared to the control sample. All the subscales, except hoarding, were significant predictors of obsessive‐compulsive severity, and the OCI‐R subscales seemed to be in agreement with the different subtypes of OCD according to DSM‐IV. The OCI‐R showed meaningful correlations with measures related to obsessive compulsive symptoms. As expected, it showed the strongest correlation with the Yale‐Brown Obsessive Compulsive Scale, followed by measures of worry, anxiety, and depression. In summary, the Norwegian OCI‐R showed adequate psychometric properties suggesting it could be a suitable measure of obsessive‐compulsive symptoms.     

Factor Analysis of the Five Facet Mindfulness Questionnaire in a Heterogeneous Clinical Sample

This study assesses the facet structure and psychometric properties of the Five Facet Mindfulness Questionnaire (FFMQ) with a heterogeneous clinical sample of individuals with mood and anxiety disorders. Various factor models of the FFMQ were submitted to confirmatory factor analyses (CFA). A four factor hierarchical solution, consisting of an overall mindfulness construct subsuming at least four factors, was adopted. Both internal consistency and convergent and discriminant validity were assessed. Along with demonstrating good internal consistency, the facets of the FFMQ were appropriately associated with other psychological constructs. Many mindfulness facets exhibited inverse relationships with emotion dysregulation, emotional avoidance, and psychological distress. The observe facet appeared to assume a role antagonistic to overall mindfulness within a clinical sample, as it exhibited a positive relationship with anxious arousal and no relationship with two other mindfulness facets. Findings support the notion of mindfulness as a multifaceted construct, the structure of which alters in the context of psychopathology.     

The Relation Between Self-Report Mindfulness and Performance on Tasks of Sustained Attention

Validation of self-report mindfulness measures has been promising, although comparisons with non-self-report instruments are lacking. Because past research suggests that mindfulness training is associated with improved attention, this study predicted that higher self-report mindfulness would be positively related to performance on tasks of sustained attention. Fifty undergraduates completed the Mindful Attention Awareness Scale (MAAS), the Kentucky Inventory of Mindfulness Skills (KIMS), the Cognitive and Affective Mindfulness Scale, Revised (CAMS-R), and performed the Continuous Performance Test II (CPT-II) and the Paced Auditory Serial Addition Test (PASAT). Mindfulness scores, as measured by the MAAS and CAMS-R, were negatively related to target omissions on the CPT-II (ps ≤ 0.001), but were not related to PASAT performance (ps ≥ 0.11). Scores on the KIMS were not related to the CPT-II or PASAT (ps ≥ 0.15). Results suggest that self-report mindfulness is related to exaggerated lapses of attention, as measured by the CPT-II.     

Mind your words: positive and negative items create method effects on the Five Facet Mindfulness Questionnaire

Mindfulness, a construct that entails moment-to-moment effort to be aware of present experiences and positive attitudinal features, has become integrated into the sciences. The Five Facet Mindfulness Questionnaire (FFMQ), one popular measure of mindfulness, exhibits different responses to positively and negatively worded items in nonmeditating groups. The current study employed confirmatory factor analysis with a large undergraduate sample to examine the validity of a hierarchical mindfulness model and whether response patterns related to item wording arose from method effects. Results indicated that a correlated facets model better explained the data and that negative and positive wording constituted substantive method effects. This study suggests that the FFMQ measures components that may relate to, but do not seem to directly reflect, a latent variable of mindfulness. The authors recommend against the use of an FFMQ total score, favoring individual scale scores, and further examination of method effects in mindfulness scales.     

Psychometric assessment of the Mindful Attention Awareness Scale (MAAS) among Chinese adolescents

The Mindful Attention Awareness Scale (MAAS) has the longest empirical track record as a valid measure of trait mindfulness. Most of what is understood about trait mindfulness comes from administering the MAAS to relatively homogenous samples of Caucasian adults. This study rigorously evaluates the psychometric properties of the MAAS among Chinese adolescents attending high school in Chengdu, China. Classrooms from 24 schools were randomly selected to participate in the study. Three waves of longitudinal data (N = 5,287 students) were analyzed. MAAS construct, nomological, and incremental validity were evaluated as well as its measurement invariance across gender using latent factor analyses. Participants' mean age was 16.2 years (SD = 0.7), and 51% were male. The 15-item MAAS had adequate fit to the one-dimensional factor structure at Wave 1, and this factor structure was replicated at Wave 2. A 6-item short scale of the MAAS fit well to the data at Wave 3. The MAAS maintained reliability (Cronbach's α = .89-.93; test-restest r = .35-.52), convergent/discriminant validity, and explained additional variance in mental health measures beyond other psychosocial constructs. Both the 15- and 6-item MAAS scales displayed at least partial factorial invariance across gender. The findings suggest that the MAAS is a sound measure of trait mindfulness among Chinese adolescents. To reduce respondent burden, the MAAS 6-item short-scale provides an option to measure trait mindfulness.     

Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form

In recent years, there has been a growing interest in therapies that include the learning of mindfulness skills. The 39-item Five Facet Mindfulness Questionnaire (FFMQ) has been developed as a reliable and valid comprehensive instrument for assessing different aspects of mindfulness in community and student samples. In this study, the psychometric properties of the Dutch FFMQ were assessed in a sample of 376 adults with clinically relevant symptoms of depression and anxiety. Construct validity was examined with confirmatory factor analyses and by relating the FFMQ to measures of psychological symptoms, well-being, experiential avoidance, and the personality factors neuroticism and openness to experience. In addition, a 24-item short form of the FFMQ (FFMQ-SF) was developed and assessed in the same sample and cross-validated in an independent sample of patients with fibromyalgia. Confirmatory factor analyses showed acceptable model fit for a correlated five-factor structure of the FFMQ and good model fit for the structure of the FFMQ-SF. The replicability of the five-factor structure of the FFMQ-SF was confirmed in the fibromyalgia sample. Both instruments proved highly sensitive to change. It is concluded that both the FFMQ and the FFMQ-SF are reliable and valid instruments for use in adults with clinically relevant symptoms of depression and anxiety.     

Stigma,Attitudes, and Help‐Seeking Intentions for Psychological Problems in Relation to Regional Suicide Rates

In this ecological study, we investigated whether help‐seeking related to stigma, intentions, and attitudes toward suicide are associated with the suicide rates of 20 regions within the Netherlands and Belgium. Significant associations were found between regional suicide rates and the intention to seek informal help (β = ?1.47, p = .001), self‐stigma (β = 1.33, p = .038), and shame (β = .71, p = .030). The association between self‐stigma and suicide rate was mediated by intentions to seek informal help. These results suggest that to promote suicide prevention at the level of the regional population, stigma, shame, and intentions to seek help should be targeted in the public domain.     

The mindful eye: Smooth pursuit and saccadic eye movements in meditators and non-meditators

BackgroundThis study examined the effects of cultivated (i.e. developed through training) and dispositional (trait) mindfulness on smooth pursuit (SPEM) and antisaccade (AS) tasks known to engage the fronto-parietal network implicated in attentional and motion detection processes, and the fronto-striatal network implicated in cognitive control, respectively.MethodsSixty healthy men (19–59 years), of whom 30 were experienced mindfulness practitioners and 30 meditation-naïve, underwent infrared oculographic assessment of SPEM and AS performance. Trait mindfulness was assessed using the self-report Five Facet Mindfulness Questionnaire (FFMQ).ResultsMeditators, relative to meditation-naïve individuals, made significantly fewer catch-up and anticipatory saccades during the SPEM task, and had significantly lower intra-individual variability in gain and spatial error during the AS task. No SPEM or AS measure correlated significantly with FFMQ scores in meditation-naïve individuals.ConclusionsCultivated, but not dispositional, mindfulness is associated with improved attention and sensorimotor control as indexed by SPEM and AS tasks.     

Feasibility and preliminary outcomes for Move-Into-Learning: An arts-based mindfulness classroom intervention

This feasibility study investigated teachers’ assessment of Move-Into-Learning (MIL), an eight-week school-based Mindfulness-based intervention (MBI), designed to reduce stress and improve behavior in at-risk elementary students. MIL was implemented with two classrooms of third-grade students (n?=?41) in a low income, urban neighborhood using a pretest to posttest single group design. One of the two classrooms (n?=?20) completed a two-month follow-up measure examining sustainability of results. The program included mindfulness meditation, yoga movement with breathing exercises, and Appreciative Inquiry (AI) exercises that invited students to express themselves in the written and visual arts. MIL was evaluated via semi-structured teacher interviews and the Connors’ Behavior Rating Scale. Pre/post intervention showed significant improvement in behaviors, such as hyperactivity (t[1,39?=?3.1; p?=?0.002), and highly significant differences in the attention-deficit/hyperactivity disorder index (t[1,39]?=?5.42; p?<?0.001) and cognitive/inattentiveness (t[1,39]?=?5.56; p?<?0.001) subscales. Teacher interview data supported these findings suggesting MIL as a feasible and acceptable MBI that can be implemented in a third-grade classroom.     

Dispositional mindfulness and perceived stress: The role of emotional intelligence

The present study examined the relationships between dispositional mindfulness, emotional intelligence and perceived stress using self-report measures. We administered the Mindful Attention Awareness Scale (MAAS), the Wong Law Emotional Intelligence Scale (WLEIS), and the Perceive Stress Scale (PPS) to a non-clinical sample of Chinese adults (n = 380). The results showed that mindfulness was positively associated with four components of WLEIS, and negatively associated with perceived stress. Mediation analysis indicated that only the regulation and use of emotion components of WLEIS acted as mediators of the association between mindfulness and perceived stress. Effect contrasts showed no significant difference between the specific indirect effects through these two mediators. Implications and suggestions for future research are discussed.     

Validation of the Norwegian version of the Social Functioning Scale (SFS) for schizophrenia and bipolar disorder

Hellvin, T., Sundet, K.,Vaskinn, A., Simonsen, C.,Ueland, T., Andreassen, O.A. & Melle, I. (2010). Validation of the Norwegian version of the Social Functioning Scale (SFS) for schizophrenia and bipolar disorder. Scandinavian Journal of Psychology 51, 525–533. Studies of social functioning in severe mental disorders are disadvantaged by the multitude of different assessment instruments in use. The present study aims to establish reliability and validity of the Norwegian version of the Social Functioning Scale (SFS) and to examine social functioning in bipolar disorder (BD) compared to schizophrenia (SZ) and healthy controls (HC). SFS, a 76 item questionnaire divided into seven subscales measuring various aspects of daily life functioning, was administered to samples diagnosed with BD (n = 100) or SZ (n = 100) and to HC (n = 100), recruited from the ongoing Tematic Organized Psychosis (TOP) study. Reliability analyses prove adequate psychometric properties both for the composite full scale score (α: 0.81) as well as for the seven subscale scores (α: 0.60–0.88). Principal component analysis of the subscales confirms a one‐component structure, explaining 59% of the variance. Although significantly correlated with the Global Assessment of Functioning, our results indicate that the SFS measures different aspects of social functioning, is less influenced by demographic and clinical characteristics, but differentiates at the same time significantly BD from SZ. Thus, SFS adds valuable information as a supplement to standard clinician‐rated assessment tools of social functioning, suited both for research and clinical work.