Skip to main content
Top
Published in: Clinical Rheumatology 8/2011

Open Access 01-08-2011 | Original Article

Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia

Authors: Martine M. Veehof, Peter M. ten Klooster, Erik Taal, Gerben J. Westerhof, Ernst T. Bohlmeijer

Published in: Clinical Rheumatology | Issue 8/2011

Login to get access

Abstract

Mindfulness-based interventions are increasingly being used in clinical populations to reduce psychological distress and improve functioning. The Five Facet Mindfulness Questionnaire (FFMQ) is a questionnaire that measures five facets of mindfulness: observe, describe, actaware, nonjudge and nonreact. The goal of this study was to examine the psychometric properties of the FFMQ in a clinical population of fibromyalgia patients. A total of 141 patients completed an online questionnaire on mindfulness (FFMQ) and theoretically related (e.g. acceptance, openness, alexithymia) and unrelated (physical health) constructs. Thirty-eight patients filled in the FFMQ twice. A confirmatory factor analysis (CFA) was conducted to test the five-factor structure of the FFMQ. Internal consistency and test–retest reliability were respectively assessed with Cronbach’s α and intraclass correlation coefficients. Construct validity was examined by correlating FFMQ facets with theoretically related and unrelated constructs. Incremental validity in predicting mental health and psychological symptoms was examined with regression analyses. CFA confirmed the correlated five-factor structure of the FFMQ. Internal consistency of the five facets was satisfactory and test–retest reliability was good to excellent. Construct validity was excellent, as shown by the moderate to large correlations with related constructs (except observe facet) and weak correlation with a theoretically unrelated construct. Two of the five facets (actaware and nonjudge) had incremental validity over the others in predicting mental health and psychological symptoms. After controlling for related constructs, the actaware facet remained a significant predictor. This study showed satisfactory psychometric properties of the Dutch FFMQ in fibromyalgia patients. The observe facet, however, should be used with caution given its deviant relationship with theoretically related constructs.
Literature
1.
go back to reference Brown KW, Ryan RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84:822–848PubMedCrossRef Brown KW, Ryan RM (2003) The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol 84:822–848PubMedCrossRef
2.
go back to reference Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facts of mindfulness. Assessment 13:27–45PubMedCrossRef Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facts of mindfulness. Assessment 13:27–45PubMedCrossRef
3.
go back to reference Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. Delacorte, New York Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. Delacorte, New York
4.
go back to reference Segal ZV, Williams JMG, Teasdale JD (2002) Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford, New York Segal ZV, Williams JMG, Teasdale JD (2002) Mindfulness-based cognitive therapy for depression: a new approach to preventing relapse. Guilford, New York
5.
go back to reference Linehan M (1993) Cognitive-behavioral treatment of borderline personality disorder. Guilford, New York Linehan M (1993) Cognitive-behavioral treatment of borderline personality disorder. Guilford, New York
6.
go back to reference Linehan M (1993) Skills training manual for treating borderline personality disorder. Guilford, New York Linehan M (1993) Skills training manual for treating borderline personality disorder. Guilford, New York
7.
go back to reference Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy. Guilford, New York Hayes SC, Strosahl K, Wilson KG (1999) Acceptance and commitment therapy. Guilford, New York
8.
go back to reference Roemer L, Orsillo S, Salters-Pedneault K (2008) Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol 76:1083–1089PubMedCrossRef Roemer L, Orsillo S, Salters-Pedneault K (2008) Efficacy of an acceptance-based behavior therapy for generalized anxiety disorder: evaluation in a randomized controlled trial. J Consult Clin Psychol 76:1083–1089PubMedCrossRef
9.
go back to reference Ma SH, Teasdale JD (2004) Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol 72:31–40PubMedCrossRef Ma SH, Teasdale JD (2004) Mindfulness-based cognitive therapy for depression: replication and exploration of differential relapse prevention effects. J Consult Clin Psychol 72:31–40PubMedCrossRef
10.
go back to reference Baer RA (2003) Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol Sci Pract 10:125–143CrossRef Baer RA (2003) Mindfulness training as a clinical intervention: a conceptual and empirical review. Clin Psychol Sci Pract 10:125–143CrossRef
11.
go back to reference Grossman P, Niemann L, Schmidt S, Walach H (2004) Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res 57:35–43PubMedCrossRef Grossman P, Niemann L, Schmidt S, Walach H (2004) Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res 57:35–43PubMedCrossRef
12.
go back to reference Shigaki CL, Glass B, Schopp LH (2006) Mindfulness-based stress reduction in medical settings. J Clin Psychol Med Settings 13:209–216CrossRef Shigaki CL, Glass B, Schopp LH (2006) Mindfulness-based stress reduction in medical settings. J Clin Psychol Med Settings 13:209–216CrossRef
13.
go back to reference Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA (2000) Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 68:615–623PubMedCrossRef Teasdale JD, Segal ZV, Williams JMG, Ridgeway VA, Soulsby JM, Lau MA (2000) Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. J Consult Clin Psychol 68:615–623PubMedCrossRef
14.
go back to reference Bohlmeijer ET, Prenger R, Taal E, Cuijpers P (2010) The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. J Psychosom Res 68(6):539–544. doi:10.1016/j.jpsychores PubMedCrossRef Bohlmeijer ET, Prenger R, Taal E, Cuijpers P (2010) The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. J Psychosom Res 68(6):539–544. doi:10.​1016/​j.​jpsychores PubMedCrossRef
15.
go back to reference Buchheld N, Grossman P, Walach H (2001) Measuring mindfulness in insight meditation (vipassana) and meditation-based psychotherapy: the development of the Freiburg Mindfulness Inventory (FMI). J Medit Medit Res 1:11–34 Buchheld N, Grossman P, Walach H (2001) Measuring mindfulness in insight meditation (vipassana) and meditation-based psychotherapy: the development of the Freiburg Mindfulness Inventory (FMI). J Medit Medit Res 1:11–34
16.
go back to reference Baer RA, Smith GT, Allen KB (2004) Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment 11:191–206PubMedCrossRef Baer RA, Smith GT, Allen KB (2004) Assessment of mindfulness by self-report: the Kentucky Inventory of Mindfulness Skills. Assessment 11:191–206PubMedCrossRef
17.
go back to reference Hayes AM, Feldman G (2004) Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clin Psychol Sci Pract 11:255–262CrossRef Hayes AM, Feldman G (2004) Clarifying the construct of mindfulness in the context of emotion regulation and the process of change in therapy. Clin Psychol Sci Pract 11:255–262CrossRef
18.
go back to reference Chadwick P, Hember M, Symes J et al (2008) Responding mindfully to unpleasant thoughts and images: reliability and validity of the Southampton Mindfulness Questionnaire (SMQ). Br J Clin Psychol 47(Pt 4):451–455PubMedCrossRef Chadwick P, Hember M, Symes J et al (2008) Responding mindfully to unpleasant thoughts and images: reliability and validity of the Southampton Mindfulness Questionnaire (SMQ). Br J Clin Psychol 47(Pt 4):451–455PubMedCrossRef
19.
go back to reference Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JMG (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342PubMedCrossRef Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S, Walsh E, Duggan D, Williams JMG (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342PubMedCrossRef
20.
go back to reference Kaplan KH, Goldenberg DL, Galvin-Nadeau M (1993) The impact of a meditation-based stress reduction program on fibromyalgia. Gen Hosp Psychiatry 15:284–289PubMedCrossRef Kaplan KH, Goldenberg DL, Galvin-Nadeau M (1993) The impact of a meditation-based stress reduction program on fibromyalgia. Gen Hosp Psychiatry 15:284–289PubMedCrossRef
21.
go back to reference Goldenberg DL, Kaplan KH, Nadeau MG, Brodeur C, Smith S, Schmid CH (1994) A controlled study of a stress-reduction, cognitive-behavioral treatment in fibromyalgia: a randomized controlled trial. J Musculoskelet Pain 2:53–66CrossRef Goldenberg DL, Kaplan KH, Nadeau MG, Brodeur C, Smith S, Schmid CH (1994) A controlled study of a stress-reduction, cognitive-behavioral treatment in fibromyalgia: a randomized controlled trial. J Musculoskelet Pain 2:53–66CrossRef
22.
go back to reference Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U (2007) Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom 76:226–233PubMedCrossRef Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U (2007) Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom 76:226–233PubMedCrossRef
23.
go back to reference Sephton SE, Salmon P, Weissbecker I, Ulmer C, Floyd A, Hoover K, Studts JL (2007) Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: results of a randomized clinical trial. Arthritis Rheum 57:77–85PubMedCrossRef Sephton SE, Salmon P, Weissbecker I, Ulmer C, Floyd A, Hoover K, Studts JL (2007) Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: results of a randomized clinical trial. Arthritis Rheum 57:77–85PubMedCrossRef
24.
go back to reference Jansen H, Hak T (2005) The productivity of the three-step test-interview (TSTI) compared to an expert review of a self-administered questionnaire on alcohol consumption. J Off Stat 21:103–120 Jansen H, Hak T (2005) The productivity of the three-step test-interview (TSTI) compared to an expert review of a self-administered questionnaire on alcohol consumption. J Off Stat 21:103–120
25.
go back to reference Jacobs N, Kleen M, De Groot F, A-Tjak J (2008) Het meten van experiëntiële vermijding. De nederlandstalige versie van de Acceptance and Action Questionnaire-II (AAQ-II). Gedragstherapie 41:349–361 Jacobs N, Kleen M, De Groot F, A-Tjak J (2008) Het meten van experiëntiële vermijding. De nederlandstalige versie van de Acceptance and Action Questionnaire-II (AAQ-II). Gedragstherapie 41:349–361
26.
go back to reference Costa PTJ, McCrae RR (1992) Revised Neo Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory: professional manual. Psychological Assessment Resources, Odessa Costa PTJ, McCrae RR (1992) Revised Neo Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory: professional manual. Psychological Assessment Resources, Odessa
27.
go back to reference Hoekstra HA, Ormel H, de Fruyt F (1996) NEO persoonlijkheidsvragenlijsten: NEO-PI-R & NEO-FFI [NEO personality questionnaires: NEO-PI-R & NEO-FFI]. Swets & Zeitlinger, Lisse Hoekstra HA, Ormel H, de Fruyt F (1996) NEO persoonlijkheidsvragenlijsten: NEO-PI-R & NEO-FFI [NEO personality questionnaires: NEO-PI-R & NEO-FFI]. Swets & Zeitlinger, Lisse
28.
go back to reference Murray G, Rawlings D, Allen NB, Trinder J (2003) NEO five-factor inventory scores: psychometric properties in a community sample. Meas Eval Couns Dev 36:140–149 Murray G, Rawlings D, Allen NB, Trinder J (2003) NEO five-factor inventory scores: psychometric properties in a community sample. Meas Eval Couns Dev 36:140–149
29.
go back to reference Bagby RM, Parker JDA, Taylor GJ (1994) The twenty-item Toronto Alexithymia Scale: part I, item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32PubMedCrossRef Bagby RM, Parker JDA, Taylor GJ (1994) The twenty-item Toronto Alexithymia Scale: part I, item selection and cross-validation of the factor structure. J Psychosom Res 38:23–32PubMedCrossRef
30.
go back to reference Bagby RM, Taylor GJ, Parker JD (1994) The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. J Psychosom Res 38:33–40PubMedCrossRef Bagby RM, Taylor GJ, Parker JD (1994) The twenty-item Toronto Alexithymia Scale—II. Convergent, discriminant, and concurrent validity. J Psychosom Res 38:33–40PubMedCrossRef
31.
go back to reference Kooiman CG, Spinhoven P, Trijsburg RW (2002) The assessment of alexithymia: a critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. J Psychosom Res 53:1083–1090PubMedCrossRef Kooiman CG, Spinhoven P, Trijsburg RW (2002) The assessment of alexithymia: a critical review of the literature and a psychometric study of the Toronto Alexithymia Scale-20. J Psychosom Res 53:1083–1090PubMedCrossRef
32.
go back to reference Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef
33.
go back to reference Spinhoven PH, Ormel J, Sloekers PPA, Kempen GIJM, Speckens AEM, Van Hemert AM (1997) A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med 27:363–370PubMedCrossRef Spinhoven PH, Ormel J, Sloekers PPA, Kempen GIJM, Speckens AEM, Van Hemert AM (1997) A validation study of the Hospital Anxiety and Depression Scale (HADS) in different groups of Dutch subjects. Psychol Med 27:363–370PubMedCrossRef
34.
go back to reference Ware JEJ, Kosinski M, Keller SD (1996) A 12 item short form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233PubMedCrossRef Ware JEJ, Kosinski M, Keller SD (1996) A 12 item short form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233PubMedCrossRef
35.
go back to reference Ware JE, Kosinski M, Keller SD (1995) How to score the SF-12 physical and mental health summary scales. The Health Institute, New England Medical Center, Boston Ware JE, Kosinski M, Keller SD (1995) How to score the SF-12 physical and mental health summary scales. The Health Institute, New England Medical Center, Boston
36.
go back to reference Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE et al (1998) Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA project. International Quality of Life Assessment. J Clin Epidemiol 51:1171–1178PubMedCrossRef Gandek B, Ware JE, Aaronson NK, Apolone G, Bjorner JB, Brazier JE et al (1998) Cross-validation of item selection and scoring for the SF-12 Health Survey in nine countries: results from the IQOLA project. International Quality of Life Assessment. J Clin Epidemiol 51:1171–1178PubMedCrossRef
37.
go back to reference Hu LT, Bentler PM (1998) Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychol Methods 3:424–453CrossRef Hu LT, Bentler PM (1998) Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychol Methods 3:424–453CrossRef
38.
go back to reference Browne MW, Cudeck R (1993) Alternative ways of assessing model fit. In: Bollen KA, Long JS (eds) Testing structural equation models. Sage Publications, Newbury Park, pp 136–162 Browne MW, Cudeck R (1993) Alternative ways of assessing model fit. In: Bollen KA, Long JS (eds) Testing structural equation models. Sage Publications, Newbury Park, pp 136–162
39.
go back to reference Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 6:1–55CrossRef Hu LT, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 6:1–55CrossRef
40.
go back to reference Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290CrossRef Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6:284–290CrossRef
41.
go back to reference Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, New Jersey Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Lawrence Erlbaum, New Jersey
42.
go back to reference Ford J, MacCallum R, Tait M (1986) The application of factor analysis in psychology: a critical review and analysis. Pers Psychol 39:291–314CrossRef Ford J, MacCallum R, Tait M (1986) The application of factor analysis in psychology: a critical review and analysis. Pers Psychol 39:291–314CrossRef
Metadata
Title
Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia
Authors
Martine M. Veehof
Peter M. ten Klooster
Erik Taal
Gerben J. Westerhof
Ernst T. Bohlmeijer
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
Clinical Rheumatology / Issue 8/2011
Print ISSN: 0770-3198
Electronic ISSN: 1434-9949
DOI
https://doi.org/10.1007/s10067-011-1690-9

Other articles of this Issue 8/2011

Clinical Rheumatology 8/2011 Go to the issue