Psychometric properties of the Chinese version of Five Facet Mindfulness Questionnaire—short form in cancer patients: a Bayesian structural equation modeling approach

Abstract

Background Mindfulness has emerged as an important correlate of well-being in various clinical populations. The present study evaluated the psychometric properties of the 20-item short form of the Five Facet Mindfulness Questionnaire (FFMQ-SF) in the Chinese context. Methods The study sample was 127 Chinese colorectal cancer patients who completed the FFMQ-SF and validated physical and mental health measures. Factorial validity of the FFMQ-SF was assessed using Bayesian structural equation modeling (BSEM) via informative priors on cross-loadings and residual covariances. Linear regression analysis examined its convergent validity with the health measures on imputed datasets. Results The five-factor BSEM model with approximate zero cross-loadings and one residual covariance provided an adequate model fit (PPP = 0.07, RMSEA = 0.06, CFI = 0.95). Satisfactory reliability (ω = 0.77–0.85) was found in four of the five facets (except nonjudging). Acting with awareness predicted lower levels of perceived stress, negative affect, anxiety, depression, and illness symptoms (β = − 0.37 to − 0.42) and better quality of life (β = 0.29–0.32). Observing, nonjudging, and nonreacting did not show any significant associations (p > .05) with health measures. Acting with awareness was not significantly correlated (r < 0.15) with the other four facets. Conclusion The present findings provide partial support for the psychometric properties of the FFMQ-SF in colorectal cancer patients. The nonjudging facet showed questionable validity and reliability in the present sample. Further studies with larger sample sizes are needed to elucidate the viability of FFMQ-SF as a measure of mindfulness facets in cancer patients.

Mindfulness practice correlates with reduced exam-induced stress and improved exam performance in preclinical medical students with the “acting with awareness”, “non-judging” and “non-reacting” facets of mindfulness particularly associated with improved exam performance

“…However, whilst this method has been validated in one study [ 29 ], it cannot yet be considered robust. This is particularly important considering that acting with awareness can predict lower levels of perceived stress [ 43 ], something the present study suggests may also be the case in early year medical students but does not prove. Future studies employing such tools may provide deeper understanding of how respondents are stressed.…”

Psychometric Properties of The 12-Item Stroke-Specific Quality of Life Scale Among Stroke Survivors In Hong Kong

“…The present study sample comprised 184 stroke survivors in Hong Kong, who were recruited under convenience sampling via centres of community rehabilitation network and a local hospital from 2019 to 2021. The present study had a larger sample size than those reported in previous psychometric studies (N = 114-146) [27][28][29] and a subject to item ratio of 184:12 = 15.3. The inclusion criteria were experience of a stroke event, aged between 18 and 64, and ability to understand Chinese.…”

Efficacy and mechanisms of 4-week MBSR on psychological distress in lung cancer patients: A single-center, single-blind, longitudinal, randomized controlled trial

“…In addition, a recent study continued to confirm the psychometric properties of the Chinese version in patients with cancer using a Bayesian structural equation modeling approach. 74 We used the Chinese version in this study, which had an overall Cronbach's alpha coefficient of 0.644, 0.704, 0.731, and 0.749 ​at T0, T1, T2, and T3, respectively, to measure mindfulness.…”