Abstract

BackgroundMindfulness 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.MethodsThe 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.ResultsThe 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.ConclusionThe 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.

Highlights

  • Mindfulness has emerged as an important correlate of well-being in various clinical populations

  • The present study aimed to evaluate the psychometric properties of the Five Facet Mindfulness Questionnaire (FFMQ)-SF in a sample of colorectal cancer patients

  • The present study examined the psychometric properties of the FFMQ-SF in a Chinese sample of colorectal cancer patients using the Bayesian approach

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Summary

Introduction

Mindfulness has emerged as an important correlate of well-being in various clinical populations. Colorectal cancer patients are at risk of both physical symptoms (fatigue, lethargy, and insomnia) and emotional symptoms (loss of control, anxiety, depression, and fear of recurrence) following cancer treatments [3]. Mindfulness is a psychological construct that originated from the West. It involves bringing one’s complete attention to experiences that occur in the present moment in a non-judgmental and accepting way [5]. Evidence from a meta-analysis [6] has found beneficial effects of mindfulness on physical and mental wellbeing in clinical populations. Mindfulness interventions have shown improvements in psychosocial adjustment [7], cognitive functioning [8], cortisol slopes, and telomerase length [9]. A viable and valid tool for measuring mindfulness is essential for evaluating the mechanisms of the mindfulness effects [10]

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