Abstract
The body is central in many mindfulness-based interventions. Body mindfulness has been defined as observing body experiences and as a consequence appreciating body experiences. Since only a few psychometrically sound questionnaires are available to measure the observing aspect of body mindfulness and no scale specifically addresses the appreciating aspect of body mindfulness, the Body Mindfulness Questionnaire (BMQ) was created. This study presents the development and the psychometric evaluation of the BMQ. Exploratory and confirmatory factor analyses suggested two scales: “Experiencing Body Awareness” and “Appreciating Body Awareness”. Evidence for the reliability (internal consistency and retest reliability), validity (factorial validity and construct validity), and sensitivity to change is reported. The findings suggest that the BMQ is a valid and reliable instrument that allows assessment of essential facets of body mindfulness.
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References
Analayo, B. (2003). Satipaṭṭhāna. The direct path to realization. Birmingham: Windhorse Publications.
Avalos, L., Tylka, T. L., & Wood-Barcalow, N. (2005). The Body Appreciation Scale: development and psychometric evaluation. Body Image, 2, 285–297.
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.
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.
Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of Psychiatric Research, 24, 323–334.
Baum, C., Kuyken, W., Heidenreich, T., Michalak, J., Steil, R., & Bohus, M. (2010). The psychometric properties of the Kentucky inventory of mindfulness skills in clinical populations. Assessment, 17, 220–229.
Bentler, P. M., & Chou, C. (1987). Practical issues in structural modeling. Sociological Methods and Research, 16, 78–117.
Bollen, K. A. (1989). Structural equations with latent variables. New York: Wiley.
Borkenau, P., & Ostendorf, F. (1993). NEO-Fuenf-Faktoren Inventar (NEO-FFI) nach Costa und McCrae. Goettingen: Hogrefe.
Bornemann, B., Herbert, B. M., Mehling, W. E., & Singer, T. (2015). Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training. Frontiers in Psychology, 5, 1504.
Brown, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.
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.
Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance: the Philadelphia Mindfulness Scale. Assessment, 15, 204–223.
Carlson, E. B., Putnam, F. W., Ross, C. A., Torem, M., Coons, P., Dill, D., et al. (1993). Validity of the dissociative experiences scale in screening for multiple personality disorder: a multicenter study. American Journal of Psychiatry, 150, 1030–1036.
Chambless, D. L., Caputo, G. C., Bright, P., & Gallagher, R. (1984). Assessment of fear of fear in agoraphobics: the body sensations questionnaire and the agoraphobic cognitions questionnaire. Journal of Consulting and Clinical Psychology, 52, 1090–1097.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.
Costa, P. T., & McCrae, R. R. (1992). Revised NEO personality inventory (NEO PI-R) and NEO five factor inventory: professional manual. Odessa, FL: Psychological Assessment Resources.
Ehlers, A., & Margraf, J. (1993). Fragebogen zu körperbezogenen Ängsten, Kognitionen und Vermeidung. Beltz Test: Weinheim.
Ehlers, A., Margraf, J., Roth, W. T., Taylor, C. B., & Birbaumer, N. (1988). Anxiety induced by false heart rate feedback in patients with panic disorder. Behaviour Research and Therapy, 26, 1–11.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (1996). Structured clinical interview for the DSM-IV axis I disorders.
Forkmann, T., Brakemeier, E. L., Teismann, T., Schramm, E., & Michalak, J. (2016). The effects of mindfulness-based cognitive therapy and cognitive behavioral analysis system of psychotherapy added to treatment as usual on suicidal ideation in chronic depression: results of a randomized-clinical trial. Journal of Affective Disorders, 200, 51–57.
Graessel, E., Bock, V., & Rosanowski, F. (2007). Bedingungen des Erlebens der Muetter von Kindern mit Sprachentwicklungsstoerungen. HNO, 55, 575–582.
Hautzinger, M., & Bailer, M. (1993). ADS. Allgemeine Depressions Skala. Göttingen: Beltz Test.
Kabat-Zinn, J. (1990). Full catastrophe living: the program of the stress reduction Clinic at the University of Massachusetts Medical Center. New York: Delta.
Kabat-Zinn, J. (2005). Coming to our senses. Healing ourselves and the world through mindfulness. New York: Hyperion.
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., et al. (2013). Mindfulness-based therapy: a comprehensive meta-analysis. Clinical Psychology Review, 33, 763–771.
Khoury, B., Sharma, M., Rush, S. E., & Fournier, C. (2015). Mindfulness-based stress reduction for healthy individuals: a meta-analysis. Journal of Psychosomatic Research, 78, 519–528.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). Guilford Press: New York.
Kuehner, C., Huffziger, S., & Nolen-Hoeksema, S. (2007). Response Styles Questionnaire—German version (RSQ-D). Goettingen: Hogrefe.
Leutbecher, M. (1998). Subjektive Belastung pflegender Angehoeriger. Entwicklung einer Selbstbeurteilungsskala und empirische Prüfung. Unpublished doctoral dissertation, Universität Erlangen-Nuernberg.
Longley, S. L., Watson, D., & Noyes Jr., R. (2005). Assessment of the hypochondriasis domain: the multidimensional inventory of hypochondriacal traits (MIHT). Psychological Assessment, 17, 3–14.
McCullough, J. P. (2000). Treatment for chronic depression: Cognitive Behavioral Analysis System of Psychotherapy (CBASP). New York, NY: Guilford Press.
Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., & Stewart, A. (2009). Body awareness: construct and self-report measures. PloS One, 4(5), e5614.
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., & Stewart, A. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PloS One, 7(11), e48230.
Michalak, J., Heidenreich, T., Stroehle, G., & Nachtigall, C. (2008). Die deutsche Version der Mindful Attention and Awareness Scale (MAAS). Psychometrische Befunde zu einem Achtsamkeitsfragebogen. Zeitschrift für Klinische Psychologie und Psychotherapie, 37, 200–208.
Michalak, J., Burg, J. M., & Heidenreich, T. (2012). Don’t forget your body: mindfulness, embodiment, and the treatment of depression. Mindfulness, 3, 190–199.
Michalak, J., Schultze, M., Heidenreich, T., & Schramm, E. (2015). A randomized controlled trial on the efficacy of mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronically depressed patients. Journal of Consulting and Clinical Psychology, 83, 951–963.
Michalak, J., Probst, T., Heidenreich, T., Bissantz, N., & Schramm, E. (2016). Mindfulness-based cognitive therapy and a group version of cognitive behavioral analysis system of psychotherapy for chronic depression: follow-up data of a randomized controlled trial and the moderating role of childhood adversities. Psychotherapy & Psychosomatics, 85, 378–380.
Mrazek, M. D., Smallwood, J., & Schooler, J. W. (2012). Mindfulness and mind-wandering: finding convergence through opposing constructs. Emotion, 12, 442.448.
Muthén, L. K., & Muthén, B. O. (2007). Mplus user’s guide (Fifth ed.). Los Angeles, CA: Muthén & Muthén.
Nolen-Hoeksema, S. (1991). Responses to depression and their effects on the duration of depressive episodes. Journal of Abnormal Psychology, 100, 569–582.
Nolen-Hoeksema, S., & Morrow, J. (1991). A prospective study of depression and posttraumatic stress symptoms after a natural disaster: the 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61, 115–121.
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking rumination. Perspectives on Psychological Science, 3, 400–424.
Olkin, J. (1967). Correlations revisited. In J. C. Stanley (Ed.), Improving experimental design and statistical analysis. Chicago: Rand McNalley.
Orbach, I., & Mikulincer, M. (1998). The Body Investment Scale: construction and validation of a body experience scale. Psychological Assessment, 10, 415–425.
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: a critical review of the literature and recommended remedies. Journal of Applied Psychology, 88, 879–903.
Price, C. J., & Thompson, E. A. (2007). Measuring dimensions of body connection: body awareness and bodily dissociation. Journal of Alternative and Complementary Medicine, 13, 945–953.
Radloff, L. S. (1977). The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 3, 385–401.
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 Press.
Spitzer, C., Stieglitz, R.-D., & Freyberger, H. J. (2005). Fragebogen zu Dissoziativen Symptomen: Ein Selbstbeurteilungsverfahren zur syndromalen Diagnostik dissoziativer Phänomene. Goettingen: Hogrefe.
Stroehle, G., Nachtigall, C., Michalak, J., & Heidenreich, T. (2010). Die Erfassung von Achtsamkeit als mehrdimensionales Konstrukt: Die deutsche Version des Kentucky Inventory of Mindfulness Skills (KIMS-D). Zeitschrift für Klinische Psychologie und Psychotherapie, 39, 1–12.
Tanay, G., & Bernstein, A. (2013). State Mindfulness Scale (SMS): Development and initial validation. Psychological Assessment, 25, 1286-1299.
Thich Nhat Hanh. (1974). The miracle of mindfulness. Boston: Beacon Press.
Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: a psychometric analysis. Cognitive Therapy and Research, 27, 247–259.
Vautier, S., & Pohl, S. (2009). Do balanced scales assess bipolar constructs? The case of the STAI scales. Psychological Assessment, 21, 187–193.
Walach, H., Buchheld, N., Buttenmueller, V., Kleinknecht, N., & Schmidt, S. (2006). Measuring mindfulness: the Freiburg mindfulness inventory (FMI). Personality and Individual Differences, 40, 1543–1555.
Williams, J. M. G. (2008). Mindfulness, depression and modes of mind. Cognitive Therapy and Research, 32, 721–733.
Witthoeft, M., Haaf, A., Rist, F., & Bailer, J. (2010). Erfassung von Krankheitsangst mit dem multidimensional inventory of hypochondriacal traits (MIHT). Diagnostica, 56, 2–12.
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Conflict of Interest
All authors declare no conflicts of interests.
Ethical Approval
All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The Research Ethics Committee of the German Psychological Association approved the trial on MBCT and CBASP for chronically depressed patients (JM072009).
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Informed consent was obtained from all individual participants included in the study.
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The trial on MBCT and CBASP for chronic depression was funded by the German Science Foundation (Mi 700/4-1).
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Jan M. Burg and Thomas Probst contributed equally and should be considered co-first authors.
Appendix
Appendix
Items of the Body Mindfulness Questionnaire (BMQ)
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1.
In the hectic pace of everyday life, I lose the sense of my body.
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2.
I am so immersed in my activities that I am no longer aware of how my body feels here and now.
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3.
I value experiencing a strong connectedness with my body.
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4.
The awareness of my body gets lost in everyday life.
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5.
I value sensing my body consciously.
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6.
I feel that a conscious awareness of my body is important for my quality of life.
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7.
In everyday activities, I become lost in thought and hardly sense my body.
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8.
Consciously observing what is going on in my body is good for me.
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9.
I attribute independent value to a mindful body experience.
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10.
I forget my body in everyday stress.
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11.
I lose the sense of my body when performing automatic activities.
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12.
I am so absorbed in my thoughts that I no longer pay attention to my body.
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13.
I have an agreeable contact with my bodily experience.
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14.
It is enriching for me to experience my body consciously.
Scoring:
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All items are rated on a 6-point Likert-type scale ranging from 1 (almost never) to 6 (almost always).
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“Experiencing Body Awareness” scale: Reverse-score the negatively worded items 1, 2, 4, 7, 10, 11, 12 and calculate a sum score.
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“Appreciating Body Awareness” scale: Calculate a sum score of the positively worded items 3, 5, 6, 8, 9, 13, 14.
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Burg, J.M., Probst, T., Heidenreich, T. et al. Development and Psychometric Evaluation of the Body Mindfulness Questionnaire. Mindfulness 8, 807–818 (2017). https://doi.org/10.1007/s12671-016-0659-9
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DOI: https://doi.org/10.1007/s12671-016-0659-9