Mindfulness

, Volume 5, Issue 6, pp 719–729 | Cite as

Initial Validation of the Mindful Eating Scale

  • Lee Hulbert-Williams
  • Wendy Nicholls
  • Jayne Joy
  • Nick Hulbert-Williams
ORIGINAL PAPER

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.

Keywords

Mindfulness Acceptance Non-judgement Non-reactivity Eating Scale 

References

  1. Adams, C. (2007). Promoting self-compassionate attitudes toward eating among restrictive and guilty eaters. Journal of Social and Clinical Psychology, 26(10), 1120–1144.CrossRefGoogle Scholar
  2. Anastasi, S. U. A. (1997). Psychological testing (7th ed.). Upper Saddle River: Prentice Hall.Google Scholar
  3. Baer, R. A. (2011). Measuring mindfulness. Contemporary Buddhism, 12(01), 241–261.CrossRefGoogle Scholar
  4. 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.CrossRefGoogle Scholar
  5. 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.PubMedCrossRefGoogle Scholar
  6. 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.CrossRefGoogle Scholar
  7. 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.PubMedCrossRefGoogle Scholar
  8. 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
  9. 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.PubMedCrossRefGoogle Scholar
  10. 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.PubMedCrossRefGoogle Scholar
  11. Brown, K., Ryan, R., & Creswell, J. (2007a). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237.CrossRefGoogle Scholar
  12. Brown, K., Ryan, R., & Creswell, J. (2007b). Addressing fundamental questions about mindfulness. Psychological Inquiry, 18(4), 272–281.CrossRefGoogle Scholar
  13. 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.PubMedCrossRefGoogle Scholar
  14. Cortina, J. (1993). What is coefficient alpha? An examination of theory and applications. Journal of Applied Psychology, 78, 98–104.CrossRefGoogle Scholar
  15. 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
  16. 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.CrossRefGoogle Scholar
  17. Dreyfus, G. (2011). Is mindfulness present-centred and non-judgmental? A discussion of the cognitive dimensions of mindfulness. Contemporary Buddhism, 12(01), 41–54.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 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.PubMedGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.PubMedCrossRefGoogle Scholar
  22. 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.CrossRefGoogle Scholar
  23. 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.PubMedCrossRefGoogle Scholar
  24. 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.PubMedCrossRefGoogle Scholar
  25. 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.CrossRefGoogle Scholar
  26. 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.PubMedPubMedCentralCrossRefGoogle Scholar
  27. Frost, R. O., Marten, P., Lahart, C., & Rosenblate, R. (1990). The dimensions of perfectionism. Cognitive Therapy and Research, 14(5), 449–468.CrossRefGoogle Scholar
  28. Grabovac, A. D., Lau, M. A., & Willett, B. R. (2011). Mechanisms of mindfulness: a Buddhist Psychological Model. Mindfulness, 2, 154–166.CrossRefGoogle Scholar
  29. Grossman, P. (2008). On measuring mindfulness in psychosomatic and psychological research. Journal of Psychosomatic Research, 64(4), 405–408.PubMedCrossRefGoogle Scholar
  30. Hayes, S. (2002). Buddhism and acceptance and commitment therapy. Cognitive and Behavioral Practice, 9(1), 58–66.CrossRefGoogle Scholar
  31. 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.Google Scholar
  32. 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.CrossRefGoogle Scholar
  33. 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.PubMedCrossRefGoogle Scholar
  34. 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.PubMedPubMedCentralCrossRefGoogle Scholar
  35. Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 32, 179–185.CrossRefGoogle Scholar
  36. 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.PubMedCrossRefGoogle Scholar
  37. 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.PubMedCrossRefGoogle Scholar
  38. 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
  39. Kabat-Zinn, J. (1994). Wherever you go, there you are: Mindfulness meditation in everyday life. New York: Hyperion.Google Scholar
  40. Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156.Google Scholar
  41. 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.PubMedCrossRefGoogle Scholar
  42. 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.PubMedCrossRefGoogle Scholar
  43. 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.PubMedCrossRefGoogle Scholar
  44. 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.PubMedCrossRefGoogle Scholar
  45. 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.PubMedCrossRefGoogle Scholar
  46. Longmore, R. J., & Worrell, M. (2007). Do we need to challenge thoughts in cognitive behavior therapy? Clinical Psychology Review, 27(2), 173–187.PubMedCrossRefGoogle Scholar
  47. 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.PubMedCrossRefGoogle Scholar
  48. 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.PubMedCrossRefGoogle Scholar
  49. 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.CrossRefGoogle Scholar
  50. 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.PubMedCrossRefGoogle Scholar
  51. 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.PubMedCrossRefGoogle Scholar
  52. Mulaik, S. A. (1987). A brief history of the philosophical foundations of exploratory factor analysis. Multivariate Behavioral Research, 22(3), 267–305.CrossRefGoogle Scholar
  53. 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
  54. 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.Google Scholar
  55. 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.PubMedCrossRefGoogle Scholar
  56. 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.PubMedCrossRefGoogle Scholar
  57. 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.PubMedCrossRefGoogle Scholar
  58. 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.PubMedCrossRefGoogle Scholar
  59. Stevens, J. P. (2001). Applied multivariate statistics for the social sciences (4th ed.). London: Psychology Press.Google Scholar
  60. 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.PubMedCrossRefGoogle Scholar
  61. 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.PubMedCrossRefGoogle Scholar
  62. 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.CrossRefGoogle Scholar
  63. 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.PubMedCrossRefGoogle Scholar
  64. 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.CrossRefGoogle Scholar
  65. Wilson, G. T. (1996). Acceptance and change in the treatment of eating disorders and obesity. Behavior Therapy, 27, 417–439.CrossRefGoogle Scholar
  66. World Health Organization. (1993). The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. Geneva: World Health Organization.Google Scholar
  67. World Health Organization. (2000). Obesity: Preventing and managing the global epidemic (No. 894). Geneva: World Health Organization technical report series.Google Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Lee Hulbert-Williams
    • 1
  • Wendy Nicholls
    • 1
  • Jayne Joy
    • 2
  • Nick Hulbert-Williams
    • 2
  1. 1.Department of PsychologySchool of Applied Sciences, University of WolverhamptonWolverhamptonUK
  2. 2.Department of PsychologyUniversity of ChesterChesterUK

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