Abstract
Objectives
The study tested the Unified Flexibility and Mindfulness (UFM) model which organizes the dimensions of mindfulness and psychological flexibility into a multistage, process-oriented framework linking mindfulness to global functioning.
Methods
A sample of 2742 online respondents (68% female, 81% Caucasian, Mage = 42 years old) completed the FFMQ, the MAAS, the Multidimensional Psychological Flexibility Inventory (MPFI), the Patient Health Questionnaire depression scale (PHQ-9), and Satisfaction with Life Scale (SWLS) within an online survey.
Results
Path analyses run in random sample halves, across genders, across age groups, and across levels of current meditation converged to support the UFM model, suggesting that mindful lenses (e.g., describing feelings, observing sensations, attentive awareness) predicted mindfully flexible immediate responses to uncomfortable thoughts and feelings (e.g., acceptance, non-reactivity, non-judgment), which predicted life-enriching mindful behaviors (e.g., maintaining contact with values, taking steps toward deeper goals), which predicted greater life satisfaction. The components of the UFM model also identified differences in mindfulness between meditators and non-meditators—specific to those regularly practicing Buddhist-informed meditation. To facilitate future studies, IRT analyses selected items for two new mindfulness subscales that, when added to the MPFI, created the 70-item and 28-item UFM scales which demonstrated measurement invariance across gender, age, and meditation groups.
Conclusions
The findings provide a conceptual framework offering researchers with an integrative, process-focused method of linking mindfulness to well-being. Underscoring the potential clinical implications, a hypothetical example is given of using the UFM scale to track clinically meaningful change for a client in therapy.
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References
Aldao, A., Nolen-Hoeksema, S., & Schweizer, S. (2010). Emotion-regulation strategies across psychopathology: A meta-analytic review. Clinical Psychology Review, 30(2), 217–237. https://doi.org/10.1016/j.cpr.2009.11.004.
Alleva, J., Roelofs, J., Voncken, M., Meevissen, Y., & Alberts, H. (2014). On the relation between mindfulness and depressive symptoms: Rumination as a possible mediator. Mindfulness, 5, 72–79. https://doi.org/10.1007/s12671-012-0153-y.
Alsubaie, M., Abbott, R., Dunn, B., Dickens, C., Keil, T. F., Henley, W., & Kuyken, W. (2017). Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and/or psychological conditions: A systematic review. Clinical Psychology Review, 55, 74–91. https://doi.org/10.1016/j.cpr.2017.04.008.
A-Tjak, J. G. L., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30–36. https://doi.org/10.1159/000365764.
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. https://doi.org/10.1177/1073191105283504.
Barnes, S., Brown, K. W., Krusemark, E., Campbell, W. K., & Rogge, R. D. (2007). The role of mindfulness in romantic relationship satisfaction and responses to relationship stress. Journal of Marital and Family Therapy, 33(4). https://doi.org/10.1111/j.1752-0606.2007.00033.x.
Bergomi, C., Tschacher, W., & Kupper, Z. (2013a). Measuring mindfulness: First steps towards the development of a comprehensive mindfulness scale. Mindfulness, 4(1), 18–32. https://doi.org/10.1007/s12671-012-0102-9.
Bergomi, C., Tschacher, W., & Kupper, Z. (2013b). The assessment of mindfulness with self-report measures: Existing scales and open issues. Mindfulness, 4(3), 191–202. https://doi.org/10.1007/s12671-012-0110-9.
Bodhi, B. (1994). The noble eightfold path: The way to the end of suffering (2nd ed.). Kandy, Sri Lanka: Buddhist Publication Society.
Bodhi, B. (2000). The connected discourses of the Buddha: A new translation of the Samyutta Nikaya. Boston: Wisdom.
Bonanno, G. A., Papa, A., Lalande, K., Westphal, M., & Coifman, K. (2004). The importance of being flexible. Psychological Science, 15(7), 482–487. https://doi.org/10.1111/j.0956-7976.2004.00705.x.
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(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822.
Brown, K. W., Weinstein, N., & Creswell, J. D. (2012). Trait mindfulness modulates neuroendocrine and affective responses to social evaluative threat. Psychoneuroendocrinology, 37(12), 2037–2041. https://doi.org/10.1016/j.psyneuen.2012.04.003.
Brown, D. B., Bravo, A. J., Roos, C. R., & Pearson, M. R. (2015). Five facets of mindfulness and psychological health: Evaluating a psychological model of the mechanisms of mindfulness. Mindfulness, 6(5), 1021–1032. https://doi.org/10.1007/s12671-014-0349-4.
Bullis, J. R., Bøe, H. J., Asnaani, A., & Hofmann, S. G. (2014). The benefits of being mindful: Trait mindfulness predicts less stress reactivity to suppression. Journal of Behavior Therapy and Experimental Psychiatry, 45(1), 57–66. https://doi.org/10.1016/j.jbtep.2013.07.006.
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(1), 23–33. https://doi.org/10.1007/s10865-007-9130-7.
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(4), 451–455. https://doi.org/10.1348/014466508X314891.
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504. https://doi.org/10.1080/10705510701301834.
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233–255. https://doi.org/10.1207/S15328007SEM0902_5.
Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79–91. https://doi.org/10.1177/1533210108316307.
Crane, R. S., Brewer, J., Feldman, C., Kabat-Zinn, J., Santorelli, S., Williams, J. M. G., & Kuyken, W. (2017). What defines mindfulness-based programs? The warp and the weft. Psychological Medicine, 47(6), 990–999. https://doi.org/10.1017/S0033291716003317.
Daks, J. S., & Rogge, R. D. (2020). Examining the correlates of psychological flexibility in romantic relationship and family dynamics: A meta-analysis. Journal of Contextual Behavioral Science, 18, 214–238. https://doi.org/10.1016/j.jcbs.2020.09.010.
Daks, J. S., Peltz, J. S., & Rogge, R. D. (2020). Psychological flexibility and inflexibility as sources of resiliency and risk during a pandemic: Modeling the cascade of COVID-19 stress on family systems with a contextual behavioral science lens. Journal of Contextual Behavioral Science, 18, 16–27. https://doi.org/10.1016/j.jcbs.2020.08.003.
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/s15327752jpa4901_13.
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). 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(3), 177. https://doi.org/10.1007/s10862-006-9035-8.
Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48(10), 1002–1011. https://doi.org/10.1016/j.brat.2010.06.006.
Feldman, G., Lavallee, J., Gildawie, K., & Greeson, J. M. (2016). Dispositional mindfulness uncouples physiological and emotional reactivity to a laboratory stressor and emotional reactivity to executive functioning lapses in daily life. Mindfulness, 7(2), 527–541. https://doi.org/10.1007/s12671-015-0487-3.
Fledderus, M., Bohlmeijer, E. T., Fox, J. P., Schreurs, K. M. G., & Spinhoven, P. (2013). The role of psychological flexibility in a self-help acceptance and commitment therapy intervention for psychological distress in a randomized controlled trial. Behaviour Research and Therapy, 51(3), 142–151. https://doi.org/10.1016/j.brat.2012.11.007.
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31(6), 772–799. https://doi.org/10.1177/0145445507302202.
Funk, J. L., & Rogge, R. D. (2007). Testing the ruler with Item Response Theory: Increasing precision of measurement for relationship satisfaction with the couples satisfaction index. Journal of Family Psychology, 21(4). https://doi.org/10.1037/0893-3200.21.4.572.
Giluk, T. L. (2009). Mindfulness, big five personality, and affect: A meta-analysis. Personality and Individual Differences, 47(8), 805–811. https://doi.org/10.1016/j.paid.2009.06.026.
Grossman, P. (2010). Mindfulness for psychologists: Paying kind attention to the perceptible. Mindfulness, 1(2), 87–97. https://doi.org/10.1007/s12671-010-0012-7.
Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name…: Trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(1), 219–239. https://doi.org/10.1080/14639947.2011.564841.
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004). Mindfulness-based stress reduction and health benefits: A meta-analysis. Journal of Psychosomatic Research, 57(1), 35–43. https://doi.org/10.1016/S0022-3999(03)00573-7.
Hambleton, R. K., Swaminathan, H., & Rogers, H. J. (1991). Fundamentals of Item Response Theory. Newbury Park, CA: Sage.
Hanh, T. N. (1998). The heart of the Buddha’s teaching: Transforming suffering into peace, joy, & liberation: The four noble truths, the noble eightfold path, & other basic Buddhist teachings. Berkley, CA: Parallax Press.
Hawkes, A. L., Pakenham, K. I., Chambers, S. K., Patrao, T. A., & Courneya, K. S. (2014). Effects of a multiple health behavior change intervention for colorectal cancer survivors on psychosocial outcomes and quality of life: A randomized controlled trial. Annals of Behavioral Medicine, 48(3), 359–370. https://doi.org/10.1007/s12160-014-9610-2.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guildford Press.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006.
Hayes, S. C., Strosahl, K. D., & Wilson, K. D. (2011). Acceptance and commitment therapy: The process and practice of mindful change. New York: Guildford Press.
Hohaus, L. C., & Spark, J. (2013). Getting better with age: Do mindfulness & psychological well-being improve in old age? European Psychiatry, 28, 1. https://doi.org/10.1016/S0924-9338(13)77295-X.
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59(1), 12–19.
Kabat-Zinn, J. (1990). Full catastrophe living. Using the wisdom of your body and mind to face stress, pain and illness. New York: Bantam Doubleday Dell Publishing.
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016.
Kadziolka, M. J., Di Pierdomenico, E. A., & Miller, C. J. (2016). Trait-like mindfulness promotes healthy self-regulation of stress. Mindfulness, 7(1), 236–245. https://doi.org/10.1007/s12671-015-0437-0.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865–878. https://doi.org/10.1016/j.cpr.2010.03.001.
Khaddouma, A., & Gordon, K. C. (2018). Mindfulness and young adult dating relationship stability: A longitudinal path analysis. Mindfulness, 9(5), 1529–1542. https://doi.org/10.1007/s12671-018-0901-8.
Khaddouma, A., Gordon, K. C., & Bolden, J. (2014). Zen and the art of sex: Examining associations among mindfulness, sexual satisfaction, and relationship satisfaction in dating relationships. Sexual and Relationship Therapy, 30(2), 268–285. https://doi.org/10.1080/14681994.2014.992408.
Khaddouma, A., Gordon, K. C., & Bolden, J. (2015). Zen and the art of dating: Mindfulness, differentiation of self, and satisfaction in dating relationships. Couple and Family Psychology: Research and Practice, 4(1), 1–13
Khoury, B., Lecomte, T., Fortin, G., Masse, M., Therien, P., Bouchard, V., Chapleau, M., Paquin, K., & Hofmann, S. G. (2013). Mindfulness-based therapy: A comprehensive meta-analysis. Clinical Psychology Review, 33(6), 763–771. https://doi.org/10.1016/j.cpr.2013.05.005.
Kiken, L. G., & Shook, N. J. (2012). Mindfulness and emotional distress: The role of negatively biased cognition. Personality and Individual Differences, 52(3), 329–333. https://doi.org/10.1016/j.paid.2011.10.031.
Kocovski, N. L., Fleming, J. E., Hawley, L. L., Ho, M. H. R., & Antony, M. M. (2015). Mindfulness and acceptance-based group therapy and traditional cognitive behavioral group therapy for social anxiety disorder: Mechanisms of change. Behaviour Research and Therapy, 70, 11–22. https://doi.org/10.1016/j.brat.2015.04.005.
Kroenke, K., & Spitzer, R. L. (2002). The PHQ-9: A new depression diagnostic and severity measure. Psychiatric Annals, 32(9), 509–515. https://doi.org/10.3928/0048-5713-20020901-06.
Langer, E. J. (1997). The power of mindful learning. Reading: Addison-Wesley.
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006). The Toronto Mindfulness Scale: Development and validation. Journal of Clinical Psychology, 62(12), 1445–1467. https://doi.org/10.1002/jclp.20326.
Lecuona, O., García-Garzón, E., García-Rubio, C., & Rodríguez-Carvajal, R. (2020). A psychometric review and conceptual replication study of the five facets mindfulness questionnaire latent structure. Assessment, 27(5), 859–872. https://doi.org/10.1177/1073191119873718.
Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior Therapy, 43(4), 741–756. https://doi.org/10.1016/j.beth.2012.05.003.
Lindsay, E. K., & Creswell, J. D. (2017). Mechanisms of mindfulness training: Monitor and acceptance theory (MAT). Clinical Psychology Review, 51, 48–59. https://doi.org/10.1016/j.cpr.2016.10.011.
Mahoney, C. T., Segal, D. L., & Coolidge, F. L. (2015). Anxiety sensitivity, experiential avoidance, and mindfulness among younger and older adults: Age differences in risk factors for anxiety symptoms. The International Journal of Aging and Human Development, 81(4), 217–240. https://doi.org/10.1177/0091415015621309.
Mattes, J. (2019). Systematic review and meta-analysis of correlates of FFMQ mindfulness facets. Frontiers in Psychology, 10, 2684. https://doi.org/10.3389/fpsyg.2019.02684.
McCracken, L. M., & Vowles, K. E. (2014). Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress. American Psychologist, 69(2), 178–187. https://doi.org/10.1037/a0035623.
McDonald, H. M., Sherman, K. A., Petocz, P., Kangas, M., Grant, K. A., & Kasparian, N. A. (2016). Mindfulness and the experience of psychological distress: The mediating effects of emotion regulation and attachment anxiety. Mindfulness, 7, 799–808. https://doi.org/10.1007/s12671-016-0517-9.
Miklósi, M., Szabó, M., & Simon, L. (2017). The role of mindfulness in the relationship between perceived parenting, early maladaptive schemata and parental sense of competence. Mindfulness, 8(2), 471–480. https://doi.org/10.1007/s12671-016-0619-4.
Parent, J., Garai, E., Forehand, R., Roland, E., Potts, J., Haker, K., et al. (2010). Parent mindfulness and child outcome: The roles of parent depressive symptoms and parenting. Mindfulness, 1(4), 254–264. https://doi.org/10.1007/s12671-010-0034-1.
Pearson, M. R., Brown, D. B., Bravo, A. J., & Witkiewitz, K. (2015). Staying in the moment and finding purpose: The associations of trait mindfulness, decentering, and purpose in life with depressive symptoms, anxiety symptoms, and alcohol-related problems. Mindfulness, 6(3), 645–653. https://doi.org/10.1007/s12671-014-0300-8.
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(5), 879. https://doi.org/10.1037/0021-9010.88.5.879.
Prakash, R. S., Hussain, M. A., & Schirda, B. (2015). The role of emotion regulation and cognitive control in the association between mindfulness disposition and stress. Psychology and Aging, 30(1), 160-171.
Rogge, R. D., Fincham, F. D., Crasta, D., & Maniaci, M. R. (2017). Positive and negative evaluation of relationships: Development and validation of the positive-negative relationship quality (PN-RQ) scale. Psychological Assessment, 29(8). https://doi.org/10.1037/pas0000392.
Rogge, R. D., Daks, J. S., Dubler, B. A., & Saint, K. J. (2019). It’s all about the process: Examining the convergent validity, conceptual coverage, unique predictive validity, and clinical utility of ACT process measures. Journal of Contextual Behavioral Science, 14, 90–102. https://doi.org/10.1016/j.jcbs.2019.10.001.
Rolffs, J. L., Rogge, R. D., & Wilson, K. G. (2018). Disentangling components of flexibility via the Hexaflex model: Development and validation of the multidimensional psychological flexibility inventory (MPFI). Assessment, 25(4), 458–482. https://doi.org/10.1177/1073191116645905.
Samejima, F. (1997). Graded Response Model. In W. J. van der Linden & R. K. Hambleton (Eds.), Handbook of modern item response theory (pp. 85–100). New York: Springer.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62(3), 373–386.
Shook, N. J., Delaney, R. K., Strough, J., Wilson, J. M., Sevi, B., & Altman, N. (2019). Playing it safe: Dispositional mindfulness partially accounts for age differences in health and safety risk-taking propensity. Current Psychology, online first, 1–11. https://doi.org/10.1007/s12144-019-0137-3.
Thissen, D., Chen, W. H., & Bock, D. (2002). Multilog user’s guide: Multiple, categorical item and test scoring using item response theory. Lincolnwood: Scientific Software International.
Tomlinson, E. R., Yousaf, O., Vittersø, A. D., & Jones, L. (2018). Dispositional mindfulness and psychological health: A systematic review. Mindfulness, 9(1), 23–43. https://doi.org/10.1007/s12671-017-0762-6.
van der Velden, A. M., Kuyken, W., Wattar, U., Crane, C., Pallesen, K. J., Dahlgaard, J., Fjorback, L. O., & Piet, J. (2015). A systematic review of mechanisms of change in mindfulness-based cognitive therapy in the treatment of recurrent major depressive disorder. Clinical Psychology Review, 37, 26–39. https://doi.org/10.1016/j.cpr.2015.02.001.
Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3(1), 4–70. https://doi.org/10.1177/109442810031002.
Weinstein, N., Brown, K. W., & Ryan, R. M. (2009). A multi-method examination of the effects of mindfulness on stress attribution, coping, and emotional well-being. Journal of Research in Personality, 5(3), 374–385. https://doi.org/10.1016/j.jrp.2008.12.008.
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R.R. developed the study concept and collaborated with J.D. on the study design, IRB approval, online implementation, and recruitment of the sample. R.R. performed the data analyses and drafted the manuscript. Both authors provided critical revisions, approved the final version of the manuscript for submission, and are responsible for its content. Both authors agree to the order of authorship.
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Rogge, R.D., Daks, J.S. Embracing the Intricacies of the Path Toward Mindfulness: Broadening Our Conceptualization of the Process of Cultivating Mindfulness in Day-to-Day Life by Developing the Unified Flexibility and Mindfulness Model. Mindfulness 12, 701–721 (2021). https://doi.org/10.1007/s12671-020-01537-w
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DOI: https://doi.org/10.1007/s12671-020-01537-w