Validation of the Spanish Version of the Child and Adolescent Mindfulness Measure (CAMM) with Samples of Spanish and Chilean Children and Adolescents
Interest in mindfulness practices aimed at children and adolescents in school and clinical contexts has increased. However, little research on the benefits of mindfulness in these age groups has been conducted. In Spanish-speaking countries, this lack of research may be due to the scarcity of reliable and valid instruments for assessing mindfulness in young people. The present study examined the psychometric properties of the Child and Adolescent Mindfulness Measure (CAMM) in native Spanish-speaking children and adolescents.
Two thousand one hundred thirteen children and adolescents from Spain (N = 490 children; N = 629 adolescents) and Chile (N = 307 children; N = 687 adolescents) were assessed. Factor structure, internal consistency, convergent validity, and measure invariance between countries were examined.
Confirmatory factor analysis (CFA) validated a unidimensional structure (10 items) that fitted the data better than the bidimensional structure both for children and adolescents in both countries. However, the factor loadings of some items were very low in all samples. After eliminating these items, a new, 7-item version of the CAMM proved to be more valid and reliable. The new version correlated negatively with several mental health measures, thereby supporting its construct validity. Also, the measurement invariance test showed that it is comparable between Spain and Chile, which makes transcultural research possible.
This study shows that the Spanish version of the CAMM adequately assesses mindfulness in children and adolescents. The CAMM is the first mindfulness evaluation measure for children in Spanish.
KeywordsMindfulness Child and Adolescent Mindfulness Measure CAMM Children and adolescents Assessment Spanish Acceptance
Special appreciation is expressed to the children and adolescents who participated, as well as to their teachers and parents; all of whom made these studies possible.
CGR designed the study, assisted with data analyses, wrote the paper, and edited the final manuscript. RRC designed the study, assisted with data analyses, and collaborated in writing and editing the final manuscript. AIL designed the study and collaborated in writing and editing the final manuscript. DP designed the study, performed the main data analyses, and wrote part of the final version of the paper. PS designed the study, assisted with sample collection, and wrote part of the draft version of the paper. CA, MDV, and AC assisted with sample collection and collaborated in the editing of the manuscript.
Part of these studies were supported by a grant from the Spanish Ministry of Education, Culture, and Sport (FPU13/01677) to CGR; in addition, part of this research was supported by the Chilean National Fund for Scientific and Technological Development, Project N° 8213005 and the Fund for Innovation and Competitiveness (FIC) of the Chilean Ministry of Economy, Development, and Tourism, through the Millennium Scientific Initiative, Grant N° IS130005 to AIL. All the other authors received no financial support for this research.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures performed in these studies involving human participants were in accordance with the ethical standards of the two institutional research committees (Autonomous University of Madrid and Pontifical Catholic University of Chile) 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 studies.
- Abad, J. (1998). Derivació empírica de síndromes de banda ampla i estreta mitjançant l’instrument diagnòstic Youth Self-Report [Empirical derivation of broad- and narrow-band syndromes using the diagnostic measure Youth Self-Report]. Doctoral Thesis, Department of Methodology of the Behavior Sciences, Faculty of Psychology, University of Barcelona, Spain.Google Scholar
- Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4–18, YSR and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry.Google Scholar
- Achenbach, TM. Rescorla, LA. Manual for the ASEBA school-age forms and profiles: an integrated system of multi-informant assessment. Burlington, VT: Research Center for Children, Youth, and Families; 2001.Google Scholar
- Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York, NY: Guilford Press.Google Scholar
- Calvete, E., Sampedro, A. & Orue, I. (2014). Propiedades psicométricas de la versión española de la «escala de atención y conciencia plena para adolescentes» (Mindful Attention Awareness Scale Adolescents) (MAAS-A). Psicología Conductual, 22(2), 277–291.Google Scholar
- Cervantes Institute (2016). Yearbook of the Cervantes Institute. El español en el mundo. Madrid, Centro Virtual Instituto Cervantes. https://cvc.cervantes.es/Lengua/anuario/anuario_16/default.htm
- Chiesi, F., Dellagiulia, A., Lionetti, F., Bianchi, G., & Primi, C. (2017). Using item response theory to explore the psychometric properties of the Italian version of the Child and Adolescent Mindfulness Measure (CAMM). Mindfulness, 8(2), 351–360. https://doi.org/10.1007/s12671-016-0604-y.Google Scholar
- Cunha, M., Galhardo, A., & Pinto-Gouveia, J. (2013). Child and Adolescent Mindfulness Measure (CAMM): Estudo das Caracteristicas Psicométricas da Versão Portuguesa = Child and Adolescent Mindfulness Measure (CAMM): study of the psychometric properties of the Portuguese version. Psicologia: Reflexão e Crítica, 26(3), 459–468. https://doi.org/10.1590/S0102-79722013000300005.Google Scholar
- de Bruin, E. I., Zijlstra, B. J., & Bögels, S. M. (2014). The meaning of mindfulness in children and adolescents: further validation of the Child and Adolescent Mindfulness Measure (CAMM) in two independent samples from the Netherlands. Mindfulness, 5(4), 422–430. https://doi.org/10.1007/s12671-013-0196-8.Google Scholar
- De Vibe, M. F., Bjørndal, A., Fattah, S., Dyrdal, G. M., Halland, E., & Tanner-Smith, E. E. (2017). Mindfulness-based stress reduction (MBSR) for improving health, quality of life and social functioning in adults: a systematic review and meta-analysis. Campbell Systematic Reviews, 2017, 11. https://doi.org/10.4073/csr.2017.11.Google Scholar
- Dunning, D. L., Griffiths, K., Kuyken, W., Crane, C., Foulkes, L., Parker, J., & Dalgleish, T. (2018). Research review: the effects of mindfulness-based interventions on cognition and mental health in children and adolescents–a meta-analysis of randomized controlled trials. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.12980.
- Franco, C., Amutio, A., López-González, L., Oriol, X., & Martínez-Taboada, C. (2016). Effect of a mindfulness training program on the impulsivity and aggression levels of adolescents with behavioral problems in the classroom. Frontiers in Psychology, 7, 1385. https://doi.org/10.3389/fpsyg.2016.01385.PubMedGoogle Scholar
- Gadermann, A. M., Guhn, M., & Zumbo, B. D. (2012). Estimating ordinal reliability for Likert-type and ordinal item response data: a conceptual, empirical, and practical guide. Practical Assessment, Research & Evaluation, 17(3), 1–13.Google Scholar
- Galla, B., Tsukayama, E., Park, D., Yu, A., & Duckworth, A. (2018, September 28). The mindful adolescent: developmental changes during the transition to high school, and relations to stress and positive affect. https://doi.org/10.31234/osf.io/u3s8d
- Garcia-Campayo, J., Navarro-Gil, M., Andres, E., Montero-Marin, J., Lopez-Artal, L., & Demarzo, M. M. (2014). Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of Life Outcomes, 12(1), 12–14. https://doi.org/10.1186/1477-7525-12-4.Google Scholar
- Goldberg, S. B., Tucker, R. P., Greene, P. A., Davidson, R. J., Wampold, B. E., Kearney, D. J., & Simpson, T. L. (2018). Mindfulness-based interventions for psychiatric disorders: a systematic review and meta-analysis. Clinical Psychology Review, 59, 52–60. https://doi.org/10.1016/j.cpr.2017.10.011.PubMedGoogle Scholar
- Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94.Google Scholar
- Ivanova, M. Y., Achenbach, T. M., Rescorla, L. A., Dumenci, L., Almqvist, F., Bilenberg, N., & Verhulst, F. C. (2007). The generalizability of the Youth Self-Report syndrome structure in 23 societies. Journal of Consulting and Clinical Psychology, 75(5), 729–738. https://doi.org/10.1037/0022-006X.75.5.729.PubMedGoogle Scholar
- Kline, T. (2005). Psychological testing: a practical approach to design and evaluation. Thousand Oaks: SAGE Publications.Google Scholar
- Klingbeil, D. A., Renshaw, T. L., Willenbrink, J. B., Copek, R. A., Chan, K. T., Haddock, A., & Clifton, J. (2017). Mindfulness-based interventions with youth: a comprehensive meta-analysis of group-design studies. Journal of School Psychology, 63, 77–103. https://doi.org/10.1016/j.jsp.2017.03.006.PubMedGoogle Scholar
- Laurent, J., Catanzaro, S. J., Joiner, T. E., Jr., Rudolph, K. D., Potter, K. I., Lambert, S., & Gathright, T. (1999). A measure of positive and negative affect for children: scale development and preliminary validation. Psychological Assessment, 11(3), 326–338. https://doi.org/10.1037/1040-35220.127.116.116.Google Scholar
- Martínez-Loredo, V., Fernández-Hermida, J. R., Fernández-Artamendi, S., Carballo, J. L., & García-Rodríguez, O. (2015). Spanish adaptation and validation of the Barratt Impulsiveness Scale for early adolescents (BIS-11-A). International Journal of Clinical and Health Psychology, 15(3), 274–282. https://doi.org/10.1016/j.ijchp.2015.07.002.PubMedGoogle Scholar
- Martínez-Monteagudo, M. C., Fernández, J. M. G., & Saura, C. J. I. (2013). Relaciones entre ansiedad escolar, ansiedad rasgo, ansiedad estado y depresión en una muestra de adolescentes españoles. International Journal of Psychology and Psychological Therapy, 13(1), 47–64.Google Scholar
- McDonald, R. P., & Krane, W. R. (1979). A Monte Carlo study of local identifiability and degrees of freedom in the asymptotic likelihood ratio test. British Journal of Mathematical and Statistical Psychology, 32(1), 121–132. https://doi.org/10.1111/j.2044-8317.1979.tb00757.x.Google Scholar
- Meredith, W. (1993). Measurement invariance, factor analysis and factorial invariance. Psychometrika, 58(4), 525–543.Google Scholar
- Meyers, L. S., Gamst, G., & Guarino, A. J. (2013). Applied multivariate research: design and interpretation (2nd ed.). Thousand Oaks, CA: Sage Publications, Inc..Google Scholar
- Muñiz, J., & Hambleton, R. K. (1996). Directrices para la traducción y adaptación de los tests. Papeles del psicólogo, 66(1), 63–70.Google Scholar
- Muthén, L. K. & Muthén, B. O. (2012). Mplus statistical modeling software: Release 7.0. Los Angeles, CA: Muthén & Muthén.Google Scholar
- Rindskopf, D. (1984). Structural equation models: empirical identification, Heywood cases, and related problems. Sociological Methods & Research, 13(1), 109–119. https://doi.org/10.1177%2F0049124184013001004.Google Scholar
- Saggino, A., Bartoccini, A., Sergi, M. R., Romanelli, R., Macchia, A., & Tommasi, M. (2017). Assessing mindfulness on samples of Italian children and adolescents: the validation of the Italian version of the Child and Adolescent Mindfulness Measure. Mindfulness, 8(5), 1364–1372. https://doi.org/10.1007/s12671-017-0712-3.Google Scholar
- Sandín, B. (2003). Escalas PANAS de afecto positivo y negativo para niños y adolescentes (PANASN). Revista de psicopatología y psicología clínica, 8(2), 173–182. https://doi.org/10.5944/rppc.vol.8.num.2.2003.3953.Google Scholar
- Schonert-Reichl, K. A., Oberle, E., Lawlor, M. S., Abbott, D., Thomson, K., Oberlander, T. F., & Diamond, A. (2015). Enhancing cognitive and social–emotional development through a simple-to-administer mindfulness-based school program for elementary school children: a randomized controlled trial. Developmental Psychology, 51(1), 52–66. https://doi.org/10.1037/a0038454.PubMedGoogle Scholar
- Seisdedos, N. (1990). Adaptación española del cuestionario: State-trait Anxiety Inventory for Children (STAIC). Madrid: TEA.Google Scholar
- Spielberger, C. D. (1973). Manual for the State-Trait Anxiety Inventory for Children. Palo Alto: Consulting Psychologists Press.Google Scholar
- Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston, MA: Allyn & Bacon/Pearson Education.Google Scholar
- Tan, L., & Martin, G. (2013). Taming the adolescent mind: preliminary report of a mindfulness-based psychological intervention for adolescents with clinical heterogeneous mental health diagnoses. Clinical Child Psychology and Psychiatry, 18(2), 300–312. https://doi.org/10.1177/1359104512455182.PubMedGoogle Scholar
- Terwee, C. B., Bot, S. D., de Boer, M. R., van der Windt, D. A., Knol, D. L., Dekker, J., et al. (2007). Quality criteria were proposed for measurement properties of health status questionnaires. Journal of Clinical Epidemiology, 60(1), 34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012.PubMedGoogle Scholar
- Van Dam, N. T., van Vugt, M. K., Vago, D. R., Schmalzl, L., Saron, C. D., Olendzki, A., & Gorchov, J. (2018). Mind the hype: a critical evaluation and prescriptive agenda for research on mindfulness and meditation. Perspectives on Psychological Science, 13(1), 36–61. https://doi.org/10.1177/1745691617709589.PubMedGoogle Scholar
- Viñas, F., Malo, S., González, M., Navarro, D., & Casas, F. (2015). Assessing mindfulness on a sample of Catalan-speaking Spanish adolescents: validation of the Catalan version of the child and adolescent mindfulness measure. The Spanish Journal of Psychology, 18, E46. https://doi.org/10.1017/sjp.2015.48.PubMedGoogle Scholar