Psychometric Evaluation of the Five Facet Mindfulness Questionnaire in a Clinical Sample of African Americans
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The Five Facet Mindfulness Questionnaire (FFMQ), a widely used and comprehensive assessment of mindfulness, has demonstrated promising psychometric properties among non-clinical and clinical samples and among diverse international samples. Yet, to date, no studies have examined its factor structure, reliability, and validity in a clinical sample of United States (USA) underrepresented minorities. The current study addressed this by investigating the factor structure, internal consistency, test-retest reliability, and construct validity of the FFMQ among 283 low-income African American adults with a recent suicide attempt. Exploratory factor analysis revealed a 20-item, five-factor measure: acting with awareness, describing, non-judging, observing, and non-reacting. Confirmatory factor analysis supported this reduced item five-factor structure. Internal consistency coefficients ranged from 60–86, but test-retest reliability coefficients did not support the temporal stability. Construct validity was supported; FFMQ facets were correlated with theoretically related constructs, such as self-compassion and self-criticism. Several facets were negatively associated with depressive symptoms and suicidal ideation, and the describing facet demonstrated unique predictive validity for depressive symptoms. These findings support the cultural relevance and utility of the FFMQ with African Americans with significant psychological distress.
KeywordsMindfulness Questionnaire Validation African Americans
This research was supported by a grant from the Emory University Research Council (Group interventions for Suicidal African American men and women)awarded to the last author. We appreciate the contributions of Bradley Goodnight and Martha Calamaras to this project.
Compliance with Ethical Standards
All procedures performed in studies involving human participants 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.
Informed consent was obtained from all individual participants included in the study.
Conflict of Interest
None of the authors have any conflicts of interest to report.
- Aguado, J., Luciano, J. V., Cebolla, A., Serrano-Blanco, A., Soler, J., & Garcia-Campayo, J. (2015). Bifactor analysis and construct validity of the Five Facet Mindfulness Questionnaire (FFMQ) in non-clinical Spanish samples. Froniters in Psychology, 6. doi: 10.3389/fpsyg.2015.00404.
- Beck, A. T., & Steer, R. (1991). Beck Scale for Suicide Ideation manual. San Antonio: Harcourt Brace.Google Scholar
- Beck, A. T., Schuyler, D., & Herman, I. (1974). The development of suicide intent scales. In A. T. Beck, H. L. Resnick, & D. J. Littieri (Eds.), Prediction of suicide (pp. 45–56). Bowie: Charles Press.Google Scholar
- Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory manual (2nd ed.). San Antonio: Psychological Corporation.Google Scholar
- Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., De Girolamo, G., et al. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Medicine, 9. doi: 10.1186/1741-7015-9-90.
- 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. doi: 10.1007/s10865-007-9130-7.CrossRefPubMedGoogle Scholar
- Carr, E. R., Woods, A. M., Vahabzadeh, A., Sutton, C., Witteneaur, J., & Kaslow, N. J. (2013). PTSD, depressive symptoms, and suicidal ideation in African American women: a mediated model. Journal of Clinical Psychology in Medical Settings, 20, 37–45. doi: 10.1007/s10880-012-9316-1.CrossRefPubMedGoogle Scholar
- Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E., & Dagnan, D. (2008). Responding mindfully to unpleasant thoughts and images: reliability and validity of the Southampton Mindfulness Questionnaire (SMQ). British Journal of Clinical Psychology, 47, 451–455. doi: 10.1348/014466508X314891.CrossRefPubMedGoogle Scholar
- Cox, B. J., Enns, M. W., & Clara, I. P. (2004). Psychological dimensions associated with suicidal ideation and attempts in the National Comorbidity Survey. Suicide and Life-threatening Behavior, 34, 209–219 Retrieved from http://www.guilford.com/cgi-bin/cartscript.cgi?page=pr/jnsl.htm&dir=periodicals/per_psych&cart_id=.CrossRefPubMedGoogle Scholar
- Cunha, M. & Paiva, M.J. (2012). Text anxiety in adolescents: The role of self-criticism and acceptance and mindfulness skills. The Spanish Journal of Psychology, 15(2), 533-543. doi: 10.5209/rev_SJOP.2012.v15.n2.38864
- Dutton, M. A., Bermudez, D., Matas, A., Majid, H., & Myers, N. L. (2013). Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and Behavioral Practice, 20, 23–32. doi: 10.1016/j.cbpra.2011.08.003.CrossRefPubMedGoogle Scholar
- Feldman, G., Hayes, A. F., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2006). Mindfulness and emotion regulation: the development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29, 177–190. doi: 10.1007/s10862-006-9035-8.CrossRefGoogle Scholar
- Folstein, M. F., Folstein, S. E., McHugh, P. R., & Fanjiang, G. (2001). Mini-mental state examination. Odessa: Psychological Assessment Resources.Google Scholar
- Giovannini, C., Giromini, L., Bonalume, L., Tagini, A., Lang, M., & Amadei, G. (2014). The Italian Five Facet Mindfulness Questionnaire: a contribution to its validity and reliability. Journal of Psychopathology and Behavioral Assessment, 36, 415–423. doi: 10.1007/s10862-013-9403-0.CrossRefGoogle Scholar
- Grothe, K. B., Dutton, G. R., Jones, G. N., Bodenlos, J., Ancona, M., & Brantely, P. J. (2005). Validation of the Beck Depression Inventory-II in a low-income African American sample of medical outpatients. Psychological Assessment, 17, 110–114. doi: 10.1037/1040-35126.96.36.199.CrossRefPubMedGoogle Scholar
- Joe, S., Woolley, M. E., Brown, G. K., Ghahramanlou-Holloway, M., & Beck, A. T. (2008). Psychometric properties of the Beck Depression Inventory-II in low-income African American suicide attempters. Journal of Personality Assessment, 90, 521–523. doi: 10.1080/00223890802248919.CrossRefPubMedPubMedCentralGoogle Scholar
- Kiken, L. G., Garland, E. L., Bluth, K., Palsson, O. S., & Gaylord, S. A. (2015). From a state to a trait: trajectories of state mindfulness in meditation during intervention predict changes in trait mindfulness. Personality and Individual Differences, 81, 41–46. doi: 10.1016/j.paid.2014.12.044.CrossRefPubMedPubMedCentralGoogle Scholar
- Kline, R. B. (2010). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford.Google Scholar
- Kochanek, K. D., Arias, E., & Anderson, R. N. (2013). How did cause of death contribute to racial differences in life expectancy in the United States in 2010? (NCHS data brief, no 125). Hyattsville: National Center for Health Statistics.Google Scholar
- Linehan, M. M. (2015). DBT skills training manual (Second ed.). New York: The Guilford Press.Google Scholar
- Muthen, L. K., & Muthen, B. O. (2012). Mplus user guide (7th ed.). Los Angeles: Muthen & Muthen.Google Scholar
- Schmidt, F. L., Le, H., & Ilies, R. (2003). Beyond alpha: an empirical examination of the effects of different sources of measurement error on reliability estimates for measures of individual differences constructs. Psychological Methods, 8, 206–224. doi: 10.1037/1082-989X.8.2.206.CrossRefPubMedGoogle Scholar
- 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.Google Scholar
- Solem, S., Thunes, S. S., Hjemdal, O., Hagen, R., & Wells, A. (2015). A metacognitive perspective on mindfulness: an empirical investigation. BMC Psychology. doi: 10.1186/s40359-015-0081-4.
- Tabachnick, B. G., & Fidel, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson Education.Google Scholar
- Tucker, R.P., O’Keefe, V.M, Cole, A.B., Rhoades-Kerswill, S., Hollingsworth, D.W., Helle, A.C., et al., (2014). Mindfulness tempers the impact of personality on suicidal ideation. Personality and Individual Differences, 68, 229–233. doi: 10.1016/j.paid.2014.05.001
- Tran, U.S., Gluk, T.M, & Nader, I.W. (2013). Investigating the Five Facet Mindfulness Questionnaire (FFMQ): Construction of a short form and evidence of a two-factor higher order structure of mindfulness. Journal of Clinical Psychology, 69(9), 951–965. doi: 10.1002/jclp.21996
- Veehof, M. M., ten Klooster, P. M., Taal, E., Westerhof, G. J., & Bohlmeijer, E. T. (2011). Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia. Clinical Rheumatology, 30, 1045–1054. doi: 10.1007/s10067-011-1690-9.CrossRefPubMedPubMedCentralGoogle Scholar
- Williams, D. R., Gonzalez, H. M., Neighbors, H. W., Nesse, R. M., Abelson, J. M., Sweetman, J., et al. (2007). Prevalence and distribution of major depressive disorder in African Americans, Carribean Blacks, and Non-Hispanic Whites: results from the National Survey of American Life. JAMA Psychiatry, 64, 305–315. doi: 10.1001/archpsyc.64.3.305.Google Scholar
- Wong, C.C.Y. & Mak, W.W.S. (2013). Differentiating the role of three self-compassion components in buffering cognitive-personality vulnerability to depression among Chinese in Hong Kong. Journal of Counseling Psychology, 60(1), 162–169. doi: 10.1037/a0030451
- Woods-Giscombé, C. L., & Black, A. R. (2010). Mind-body interventions to reduce risk for health disparities related to stress and strength among African American women: The potential of mindfulness-based stress reduction, loving-kindness, and the NTU therapeutic framework. Complementary Health Practice Review, 15, 115–131. doi: 10.1177/1533210110386776.CrossRefPubMedPubMedCentralGoogle Scholar
- Woods-Giscombé, C.L., & Gaylord, S.A. (2014). The cultural relevance of mindfulness meditation as a health intervention for African Americans: Implications for reducing stress-related health disparities. Journal of Holistic Nursing, 32(3), 147–160. doi: 10.1177/0898010113519010