Skip to main content
Log in

Initial Validation of the Mindful Eating Scale

  • ORIGINAL PAPER
  • Published:
Mindfulness Aims and scope Submit manuscript

Abstract

Self-report scales for mindfulness are now widely used in applied settings and have made a contribution to research, for instance in demonstrating mediation effects. To date, there are no convincing data as to whether mindfulness skills generalise fully across life domains, and so some researchers have developed mindfulness scales for particular domains of behaviour. We present the development of a self-report scale to measure mindfulness with respect to eating behaviours. A previous measure, the Mindful Eating Questionnaire, whilst possessing good psychometric properties, does not agree well with standard definitions of mindfulness or possess a factor structure similar to well-researched generic mindfulness scales. We developed an item pool based on items drawn from popular generic measures of mindfulness and the resultant questionnaire was completed by 127 university students (77.2 % female; M age, 25.65 years; SD age, 8.89 years). An exploratory factor analysis yielded six factors: acceptance, awareness, non-reactivity, act with awareness, routine and unstructured eating. The factors correlated in the expected direction with existing measures of mindfulness (.113 < r < .522), acceptance (.052 < r < .325) and eating disorder symptoms (−.629 < r < −.056). We anticipate that this measure will be of use in the further development of mindfulness-based interventions for eating disorders and obesity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Adams, C. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26(10), 1120–1144.

    Article  Google Scholar 

  • Anastasi, S. U. A. (1997). Psychological testing (7th ed.). Upper Saddle River: Prentice Hall.

    Google Scholar 

  • Baer, R. A. (2011). Measuring mindfulness. Contemporary Buddhism, 12(01), 241–261.

    Article  Google Scholar 

  • Baer, R. A., Fischer, S., & Huss, D. (2005). Mindfulness-based cognitive therapy applied to binge eating: A case study. Cognitive and Behavioral Practice, 12, 351–358.

    Article  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, 13(1), 27–45. Sage Publications.

    Article  PubMed  Google Scholar 

  • Belzer, F., Schmidt, S., Lucius-Hoene, G., Schneider, J. F., Orellana-Rios, C. L., & Sauer, S. (2013). Challenging the construct validity of mindfulness assessment—A cognitive interview study of the freiburg mindfulness inventory. Mindfulness, 4, 33–44.

    Article  Google Scholar 

  • Ben-Tovim, D. I., & Walker, M. K. (1991). The development of the Ben-Tovim Walker Body Attitudes Questionnaire (BAQ), a new measure of women’s attitudes towards their own bodies. Psychological Medicine, 21(3), 775–784. Cambridge University Press.

    Article  PubMed  Google Scholar 

  • Bishop, S., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.

    Google Scholar 

  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. C., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological flexibility and acceptance. Behavior Therapy, 42, 676–688.

    Article  PubMed  Google Scholar 

  • Brown, K., & Ryan, R. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.

    Article  PubMed  Google Scholar 

  • Brown, K., Ryan, R., & Creswell, J. (2007a). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237.

    Article  Google Scholar 

  • Brown, K., Ryan, R., & Creswell, J. (2007b). Addressing fundamental questions about mindfulness. Psychological Inquiry, 18(4), 272–281.

    Article  Google Scholar 

  • Cardaciotto, L., Herbert, J., Forman, E., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale. Assessment, 15(2), 204.

    Article  PubMed  Google Scholar 

  • Cortina, J. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98–104.

    Article  Google Scholar 

  • Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(7), 1–9.

    Google Scholar 

  • Davis, K. M., Lau, M. A., & Cairns, D. R. (2009). Development and preliminary validation of a trait version of the Toronto mindfulness scale. Journal of Cognitive Psychotherapy, 23(3), 185–197.

    Article  Google Scholar 

  • Dreyfus, G. (2011). Is mindfulness present-centred and non-judgmental? A discussion of the cognitive dimensions of mindfulness. Contemporary Buddhism, 12(01), 41–54.

    Article  Google Scholar 

  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4(3), 272. American Psychological Association.

    Article  Google Scholar 

  • Fairburn, C. G., & Bèglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363–370. John Wiley & Sons.

    PubMed  Google Scholar 

  • Fletcher, L. B., Schoendorff, B., & Hayes, S. C. (2010). Searching for mindfulness in the brain: a process-oriented approach to examining the neural correlates of mindfulness. Mindfulness, 1(1), 41–63. Springer.

    Article  Google Scholar 

  • Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.

    Article  PubMed  Google Scholar 

  • Ford, J. K., MacCallum, R. C., & Tait, M. (1986). The application of exploratory factor analysis in applied psychology: A critical review and analysis. Personnel Psychology, 39(2), 291–314.

    Article  Google Scholar 

  • Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007a). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31(6), 772–799.

    Article  PubMed  Google Scholar 

  • Forman, E. M., Hoffman, K. L., McGrath, K. B., Herbert, J. D., Brandsma, L. L., & Lowe, M. R. (2007b). A comparison of acceptance-and control-based strategies for coping with food cravings: An analog study. Behaviour Research and Therapy, 45(10), 2372–2386.

    Article  PubMed  Google Scholar 

  • Forman, E. M., Butryn, M. L., Hoffman, K. L., & Herbert, J. D. (2009). An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive and Behavioral Practice, 16, 223–235.

    Article  Google Scholar 

  • Framson, C., Kristal, A. R., Schenk, J. M., Littman, A. J., Zeliadt, S., & Benitez, D. (2009). Development and validation of the mindful eating questionnaire. Journal of the American Dietetic Association, 109(8), 1439–1444.

    Article  PubMed  PubMed Central  Google Scholar 

  • Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468.

    Article  Google Scholar 

  • Grabovac, A. D., Lau, M. A., & Willett, B. R. (2011). Mechanisms of mindfulness: a Buddhist Psychological Model. Mindfulness, 2, 154–166.

    Article  Google Scholar 

  • Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64(4), 405–408.

    Article  PubMed  Google Scholar 

  • Hayes, S. (2002). Buddhism and acceptance and commitment therapy. Cognitive and Behavioral Practice, 9(1), 58–66.

    Article  Google Scholar 

  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2011). Acceptance and commitment therapy, second edition: The process and practice of mindful change (2nd ed.). New York: The Guilford Press.

  • Hayton, J. C., Allen, D. G., & Scarpello, V. (2004). Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organizational Research Methods, 7(2), 191–205.

    Article  Google Scholar 

  • Hoek, H. W., & Van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 34(4), 383–396.

    Article  PubMed  Google Scholar 

  • 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(2), 169.

    Article  PubMed  PubMed Central  Google Scholar 

  • Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 32, 179–185.

    Article  Google Scholar 

  • Juarascio, A. S., Forman, E. M., & Herbert, J. D. (2010). Acceptance and commitment therapy versus cognitive therapy for the treatment of comorbid eating pathology. Behavior Modification, 34, 175–190.

    Article  PubMed  Google Scholar 

  • Juarascio, A., Forman, E., Timko, C. A., Butryn, M., & Goodwin, C. (2011). The development and validation of the food craving acceptance and action questionnaire (FAAQ). Eating Behaviors, 12(3), 182–187.

    Article  PubMed  Google Scholar 

  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. London: Delta.

    Google Scholar 

  • Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.

    Google Scholar 

  • Kristeller, J. L., & Hallett, C. B. (1999). An exploratory study of a meditation-based intervention for binge eating disorder. Journal of Health Psychology, 4(3), 357–363.

    Article  PubMed  Google Scholar 

  • Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112.

    Article  PubMed  Google Scholar 

  • Lillis, J., Hayes, S. C., Bunting, K., & Masuda, A. (2009). Teaching acceptance and mindfulness to improve the lives of the obese: A preliminary test of a theoretical model. Annals of Behavioral Medicine, 37, 58–69.

    Article  PubMed  Google Scholar 

  • Lillis, J., Hayes, S. C., & Levin, M. E. (2011). Binge eating and weight control: The role of experiential avoidance. Behavior Modification, 35(3), 252–264.

    Article  PubMed  Google Scholar 

  • Linehan, M. M., Schmidt, H., III, Dimeff, L. A., Craft, J. C., Kanter, J., & Comtois, K. A. (1999). Dialectical behavior therapy for patients with borderline personality disorder and drug-dependence. The American Journal on Addictions, 8(4), 279–292.

    Article  PubMed  Google Scholar 

  • Longmore, R. J., & Worrell, M. (2007). Do we need to challenge thoughts in cognitive behavior therapy? Clinical Psychology Review, 27(2), 173–187.

    Article  PubMed  Google Scholar 

  • Lowe, M. R., Butryn, M. L., Didie, E. R., Annunziato, R. A., Thomas, J. G., Crerand, C. E., et al. (2009). The power of food scale. A new measure of the psychological influence of the food environment. Appetite, 53, 114–118.

    Article  PubMed  Google Scholar 

  • Ma, S., & Teasdale, J. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.

    Article  PubMed  Google Scholar 

  • MacKillop, J., & Anderson, E. J. (2007). Further psychometric validation of the mindful attention awareness scale (MAAS). Journal of Psychopathology and Behavioral Assessment, 29(4), 289–293.

    Article  Google Scholar 

  • Mann, T., Tomiyama, A. J., Westling, E., Lew, A.-M., Samuels, B., & Chatman, J. (2007). Medicare’s search for effective obesity treatments: Diets are not the answer. American Psychologist, 62(3), 220–233. doi:10.1037/0003-066X.62.3.220.

    Article  PubMed  Google Scholar 

  • Mauler, B. I., Hamm, A. O., Weike, A. I., & Tuschen-Caffier, B. (2006). Affect regulation and food intake in bulimia nervosa: Emotional responding to food cues after deprivation and subsequent eating. Journal of Abnormal Psychology, 115(3), 567.

    Article  PubMed  Google Scholar 

  • Mulaik, S. A. (1987). A brief history of the philosophical foundations of exploratory factor analysis. Multivariate Behavioral Research, 22(3), 267–305.

    Article  Google Scholar 

  • National Institute for Health and Clinical Excellence. (2006). Obesity: Guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children (No. CG43). London: NICE.

    Google Scholar 

  • Park, T., Reilly-Spong, M., & Gross, C. R. (2013). Mindfulness: a systematic review of instruments to measure an emergent patient-reported outcome (PRO). Quality of Life Research, 1–21.

  • Peeters, A., Barendregt, J., Willekens, F., Mackenbach, J. P., Mamun, A. A., & Bonneux, L. (2003). Obesity in adulthood and its consequences for life expectancy: A life-table analysis. Annals of Internal Medicine, 138, 24–33.

    Article  PubMed  Google Scholar 

  • Peterson, C. B., Crosby, R. D., Wonderlich, S. A., Joiner, T., Crow, S. J., Mitchell, J. E., et al. (2007). Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. International Journal of Eating Disorders, 40(4), 386–389.

    Article  PubMed  Google Scholar 

  • Pike, K. M., Walsh, B. T., Vitousek, K., Wilson, G. T., & Bauer, J. (2003). Cognitive behavior therapy in the post-hospitalization treatment of anorexia nervosa. The American Journal of Psychiatry, 160(11), 2046–2049.

    Article  PubMed  Google Scholar 

  • Smallwood, J., McSpadden, M., & Schooler, J. (2007). The lights are on but on one’s home: meta-awareness and the decoupling of attention when the mind wanders. Psychonomic Bulletin and Review, 14, 527–533.

    Article  PubMed  Google Scholar 

  • Stevens, J. P. (2001). Applied multivariate statistics for the social sciences (4th ed.). London: Psychology Press.

    Google Scholar 

  • Stice, E., Cameron, R. P., Killen, J. D., Hayward, C., & Taylor, C. B. (1999). Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents. Journal of Consulting and Clinical Psychology, 67(6), 967.

    Article  PubMed  Google Scholar 

  • Tapper, K., Shaw, C., Ilsley, J., Hill, A. J., Bond, F. W., & Moore, L. (2009). Exploratory randomised controlled trial of a mindfulness-based weight loss intervention for women. Appetite, 52, 396–404.

    Article  PubMed  Google Scholar 

  • van Dam, N. T., Earleywine, M., & Borders, A. (2010). Measuring mindfulness? An item response theory analysis of the mindful attention awareness scale. Personality and Individual Differences, 49(7), 805–810.

    Article  Google Scholar 

  • Welch, E., Miller, J. L., Ghaderi, A., & Vaillancourt, T. (2009). Does perfectionism mediate or moderate the relation between body dissatisfaction and disordered eating attitudes and behaviors? Eating Behaviors, 10(3), 168–175.

    Article  PubMed  Google Scholar 

  • Williams, J. M. G., & Kabat-Zinn, J. (2011). Mindfulness: diverse perspectives on its meaning, origins, and multiple applications at the intersection of science and dharma. Contemporary Buddhism, 12(1), 1–18.

    Article  Google Scholar 

  • Wilson, G. T. (1996). Acceptance and change in the treatment of eating disorders and obesity. Behavior Therapy, 27, 417–439.

    Article  Google Scholar 

  • World Health Organization. (1993). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (2000). Obesity: Preventing and managing the global epidemic (No. 894). Geneva: World Health Organization technical report series.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lee Hulbert-Williams.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hulbert-Williams, L., Nicholls, W., Joy, J. et al. Initial Validation of the Mindful Eating Scale. Mindfulness 5, 719–729 (2014). https://doi.org/10.1007/s12671-013-0227-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12671-013-0227-5

Keywords

Navigation