Examining the factor structure of the 39-item and 15-item versions of the Five Facet Mindfulness Questionnaire before and after mindfulness-based cognitive therapy for people with recurrent depression

Jenny Gu, Clara Strauss, Catherine Crane, Thorsten Barnhofer, Anke Karl, Kate Cavanagh, Willem Kuyken, Jenny Gu, Clara Strauss, Catherine Crane, Thorsten Barnhofer, Anke Karl, Kate Cavanagh, Willem Kuyken

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

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References

    1. Akaike H. (1974). A new look at statistical model identification. IEEE Transactions on Automatic Control, 19, 716–723. 10.1109/TAC.1974.1100705
    1. American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
    1. Baer R. A., Carmody J., & Hunsinger M. (2012). Weekly change in mindfulness and perceived stress in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 68, 755–765. 10.1002/jclp.21865
    1. 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. 10.1177/1073191104268029
    1. Baer R. A., Smith G. T., Hopkins J., Krietemeyer J., & Toney L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. 10.1177/1073191105283504
    1. Baer R. A., Smith G. T., Lykins E., Button D., Krietemeyer J., Sauer S., et al. Williams J. M. G. (2008). Construct validity of the Five Facet Mindfulness Questionnaire in meditating and nonmeditating samples. Assessment, 15, 329–342. 10.1177/1073191107313003
    1. Bandalos D. L., & Finney S. J. (2001). Item parceling issues in structural equation modeling In Marcoulides G. A. & Schumacker R. E. (Eds.), New developments and techniques in structural equation modeling (pp. 269–296). Mahwah, NJ: Erlbaum.
    1. Barnard P. J., Watkins E. R., Mackintosh B., & Nimmo-Smith I. (2007, September). Getting stuck in a mental rut: Some process and experiential attributes. Paper presented at the 35th congress of the British Association for Behavioural and Cognitive Psychotherapies, Brighton, England.
    1. Barrett P. (2005). Shortform 1.1 [Software]. Retrieved from
    1. Beck A. T., Steer R. A., & Brown G. K. (1996). Manual for the Beck Depression Inventory−II. San Antonio, TX: Psychological Corporation.
    1. Bentler P. M. (1990). Comparative fit indexes in structural models. Psychological Bulletin, 107, 238–246. 10.1037/0033-2909.107.2.238
    1. Bentler P. M., & Bonett D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606. 10.1037/0033-2909.88.3.588
    1. Bentler P. M., & Chou C. P. (1987). Practical issues in structural modeling. Sociological Methods & Research, 16, 78–117. 10.1177/0049124187016001004
    1. Bohlmeijer E., ten Klooster P. M., Fledderus M., Veehof M., & Baer R. (2011). Psychometric properties of the Five Facet Mindfulness Questionnaire in depressed adults and development of a short form. Assessment, 18, 308–320. 10.1177/1073191111408231
    1. Bollen K. A., & Stine R. A. (1992). Bootstrapping goodness-of-fit measures in structural equation models. Sociological Methods & Research, 21, 205–229. 10.1177/0049124192021002004
    1. Browne M. W., & Cudeck R. (1993). Alternative ways of assessing model fit In Bollen K. A. & Long J. S. (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage.
    1. 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. 10.1037/0022-3514.84.4.822
    1. 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. 10.1007/s10865-007-9130-7
    1. Cavanagh K., Strauss C., Forder L., & Jones F. (2014). Can mindfulness and acceptance be learnt by self-help?: A systematic review and meta-analysis of mindfulness and acceptance-based self-help interventions. Clinical Psychology Review, 34, 118–129. 10.1016/j.cpr.2014.01.001
    1. Chadwick P., Taylor K. N., & Abba N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359. 10.1017/S1352465805002158
    1. Chiesa A., & Serretti A. (2009). Mindfulness-based stress reduction for stress management in healthy people: A review and meta-analysis. The Journal of Alternative and Complementary Medicine, 15, 593–600. 10.1089/acm.2008.0495
    1. Chou C. P., & Bentler P. M. (1995). Estimates and tests in structural equation modeling In Hoyle R. H. (Ed.), Structural equation modeling: Issues and applications (pp. 37–55). Newbury Park, CA: Sage.
    1. 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. 10.1007/s12671-011-0086-x
    1. Cortina J. M. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98–104. 10.1037/0021-9010.78.1.98
    1. Crane R. S., Eames C., Kuyken W., Hastings R. P., Williams J. M., Bartley T., et al. Surawy C. (2013). Development and validation of the mindfulness-based interventions − teaching assessment criteria (MBI:TAC). Assessment, 20, 681–688. 10.1177/1073191113490790
    1. Curtiss J., & Klemanski D. H. (2014a). Factor analysis of the Five Facet Mindfulness Questionnaire in a heterogeneous clinical sample. Journal of Psychopathology and Behavioral Assessment, 36, 683–694. 10.1007/s10862-014-9429-y
    1. Curtiss J., & Klemanski D. H. (2014b). Teasing apart low mindfulness: Differentiating deficits in mindfulness and in psychological flexibility in predicting symptoms of generalized anxiety disorder and depression. Journal of Affective Disorders, 166, 41–47. 10.1016/j.jad.2014.04.062
    1. Desrosiers A., Vine V., Curtiss J., & Klemanski D. H. (2014). Observing nonreactively: A conditional process model linking mindfulness facets, cognitive emotion regulation strategies, and depression and anxiety symptoms. Journal of Affective Disorders, 165, 31–37. 10.1016/j.jad.2014.04.024
    1. Gu J., Strauss C., Bond R., & Cavanagh K. (2015). How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12. 10.1016/j.cpr.2015.01.006
    1. 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. 10.1093/clipsy.bph080
    1. Hayes S. C., & Wilson K. G. (1994). Acceptance and commitment therapy: Altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289–303.
    1. Hofmann S. G., Sawyer A. T., Witt A. A., & Oh D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78, 169–183. 10.1037/a0018555
    1. Hu L. T., & Bentler P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. 10.1080/10705519909540118
    1. IBM (2013). IBM SPSS statistics for Windows, Version 22.0. Armonk, NY: Author.
    1. Kabat-Zinn J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. 10.1016/0163-8343(82)90026-3
    1. Kabat-Zinn J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York, NY: Hyperion Books.
    1. Kline P. (1999). The handbook of psychological testing (2nd ed.). London, England: Routledge.
    1. Kline R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford Press.
    1. Kuyken W., Hayes R., Barrett B., Byng R., Dalgleish T., Kessler D., et al. Byford S. (2015). Effectiveness and cost-effectiveness of mindfulness-based cognitive therapy compared with maintenance antidepressant treatment in the prevention of depressive relapse or recurrence (PREVENT): A randomised controlled trial. The Lancet, 386, 63–73.
    1. Lee I. A., & Preacher K. J. (2013). Calculation for the test of the difference between two dependent correlations with one variable in common [Software]. Retrieved from
    1. Levy P. (1967). The correction for spurious correlation in the evaluation of short-form tests. Journal of Clinical Psychology, 23, 84–86. 10.1002/1097-4679(196701)23:1<84::AID-JCLP2270230123>;2-2
    1. Little T. D., Cunningham W. A., Shahar G., & Widaman K. F. (2002). To parcel or not to parcel: Exploring the question, weighing the merits. Structural Equation Modeling, 9, 151–173. 10.1207/S15328007SEM0902_1
    1. Ludwig D. S., & Kabat-Zinn J. (2008). Mindfulness in medicine. JAMA: Journal of the American Medical Association, 300, 1350–1352. 10.1001/jama.300.11.1350
    1. Mardia K. V. (1985). Mardia’s test of multinormality In Kotz S. & Johnson N. L. (Eds.), Encyclopedia of statistical sciences (Vol. 5, pp. 217–221). New York, NY: Wiley.
    1. Meade A. W., & Bauer D. J. (2007). Power and precision in confirmatory factor analytic tests of measurement invariance. Structural Equation Modeling, 14, 611–635. 10.1080/10705510701575461
    1. Meng X. L., Rosenthal R., & Rubin D. B. (1992). Comparing correlated correlation coefficients. Psychological Bulletin, 111, 172–175. 10.1037/0033-2909.111.1.172
    1. Nakagawa S., & Cuthill I. C. (2007). Effect size, confidence interval and statistical significance: A practical guide for biologists. Biological Reviews of the Cambridge Philosophical Society, 82, 591–605. 10.1111/j.1469-185X.2007.00027.x
    1. Nevitt J., & Hancock G. R. (2001). Performance of bootstrapping approaches to model test statistics and parameter standard error estimation in structural equation modeling. Structural Equation Modeling, 8, 353–377. 10.1207/S15328007SEM0803_2
    1. Piet J., & Hougaard E. (2011). The effect of mindfulness-based cognitive therapy for prevention of relapse in recurrent major depressive disorder: A systematic review and meta-analysis. Clinical Psychology Review, 31, 1032–1040. 10.1016/j.cpr.2011.05.002
    1. Sauer S., Walach H., Schmidt S., Hinterberger T., Lynch S., Büssing A., & Kohls N. (2013). Assessment of mindfulness: Review on state of the art. Mindfulness, 4, 3–17. 10.1007/s12671-012-0122-5
    1. Schermelleh-Engel K., Moosbrugger H., & Müller H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research, 8, 23–74.
    1. Segal Z. V., Williams J. M., & Teasdale J. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
    1. Segal Z. V., Williams J. M., & Teasdale J. (2013). Mindfulness-based cognitive therapy for depression (2nd ed.). New York, NY: Guilford Press.
    1. Smith G. T., McCarthy D. M., & Anderson K. G. (2000). On the sins of short-form development. Psychological Assessment, 12, 102–111. 10.1037/1040-3590.12.1.102
    1. Steiger J. H. (1980). Tests for comparing elements of a correlation matrix. Psychological Bulletin, 87, 245–251. 10.1037/0033-2909.87.2.245
    1. Steiger J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25, 173–180. 10.1207/s15327906mbr2502_4
    1. Strauss C., Cavanagh K., Oliver A., & Pettman D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: A meta-analysis of randomised controlled trials. PLoS ONE, 9(4), 10.1371/journal.pone.0096110
    1. Teasdale J. D., Segal Z. V., Williams J. M. G., Ridgeway V. A., Soulsby J. M., & Lau M. A. (2000). Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology, 68, 615–623. 10.1037/0022-006X.68.4.615
    1. 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. 10.1016/j.paid.2005.11.025
    1. Widaman K. F., Ferrer E., & Conger R. D. (2010). Factorial invariance within longitudinal structural equation models: Measuring the same construct across time. Child Development Perspectives, 4, 10–18. 10.1111/j.1750-8606.2009.00110.x
    1. Williams J. M. G., Crane C., Barnhofer T., Brennan K., Duggan D. S., Fennell M. J. V., et al. Russell I. T. (2014). Mindfulness-based cognitive therapy for preventing relapse in recurrent depression: A randomized dismantling trial. Journal of Consulting and Clinical Psychology, 82, 275–286. 10.1037/a0035036
    1. Williams M. J., Dalgleish T., Karl A., & Kuyken W. (2014). Examining the factor structures of the Five Facet Mindfulness Questionnaire and the Self-Compassion Scale. Psychological Assessment, 26, 407–418. 10.1037/a0035566

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