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13-11-2020 | ORIGINAL PAPER

Facets of Mindfulness as Predictors of Emotional Distress Among Chinese Adults with Chronic Musculoskeletal Pain

Auteurs: Shuanghong Chen, Beibei You, Todd Jackson

Gepubliceerd in: Mindfulness | Uitgave 3/2021

Abstract

Objectives

The 39-item Five Facet Mindfulness Questionnaire (FFMQ) has been used extensively to evaluate mindfulness features that contribute to well-being but assessments of its factor structure and incremental validity have been limited across cultures and clinical populations. The present study was designed to (1) identify the optimal FFMQ factor structure for Chinese adults with chronic pain and (2) evaluate the incremental validity of the best-fitting FFMQ structure in predicting emotional distress, independent of key pain-related correlates of distress.

Methods

Participants were Chinese adults with chronic musculoskeletal pain (271 women, 68 men) who completed a back-translated self-report battery that included the FFMQ, measures of demographics, emotional distress, and pain experiences.

Results

Confirmatory factor analyses (CFA) indicated the three-factor 12-item version of the FFMQ (i.e., the MQ-12) was the only version to have uniformly acceptable model fits in the sample. Hierarchical multiple regression analyses indicated MQ-12 “describing one’s experience” and “acting with awareness” components contributed an additional R² = .05 to R² = .21 to the prediction of depression, perceived stress, and pain catastrophizing after controlling for other significant predictors. Across models, acting with awareness was the sole MQ-12 facet to have a unique, statistically significant impact.

Conclusions

Findings support use of the MQ-12 in future treatment studies of chronic pain in China and provide foundations for the hypothesis that changes toward improving the acting with awareness facet are especially critical for reducing emotional distress within this group.

vorige artikel Frequency of Self-reported Unpleasant Events and Harm in a Mindfulness-Based Program in Two General Population Samples

volgende artikel Meditation Is Not What you Think

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.CrossRefPubMed

Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, E., & Williams, J. M. G. (2008). Construct validity of the five facet mindfulness questionnaire in meditating and non-meditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003.CrossRefPubMed

Baer, R., Gu, J., Cavanagh, K., & Strauss, C. (2019). Differential sensitivity of mindfulness questionnaires to change with treatment: a systematic review and meta-analysis. Psychological Assessment, 31, 1247–1263. https://doi.org/10.1037/pas0000777.CrossRefPubMedPubMedCentral

Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: a literature review. Archives of Internal Medicine, 163(20), 2433–2445. https://doi.org/10.1001/archinte.163.20.2433.CrossRefPubMed

Bohlmeijer, E., Ten Klooster, P. M., Fledderus, M., Veehof, M., & Baer, R. (2011). Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment, 18(3), 308–320. https://doi.org/10.1177/1073191111408231.CrossRefPubMed

Brady, B., Kneebone, I. I., & Bailey, P. E. (2019). Validation of the five facet mindfulness questionnaire among community-dwelling older adults. Mindfulness, 10(3), 529–536. https://doi.org/10.1007/s12671-018-0994-0.CrossRef

Brown, T. (2006). Confirmatory factor analysis for applied research. New York: Guilford.

Carpenter, J. K., Conroy, K., Gomez, A. F., Curren, L. C., & Hofmann, S. G. (2019). The relationship between trait mindfulness and affective symptoms: a meta-analysis of the Five Facet Mindfulness Questionnaire (FFMQ). Clinical Psychology Review, 74, 101785. https://doi.org/10.1016/j.cpr.2019.101785.CrossRefPubMedPubMedCentral

Chen, S., & Jackson, T. (2018). Pain beliefs mediate relations between general resilience and dysfunction from chronic back pain. Rehabilitation Psychology, 63(4), 604–611. https://doi.org/10.1037/rep0000244.CrossRefPubMed

Chen, S., Pu, J., Ye, X., Wang, Y., & Jackson, T. (2020). Factor structure, correlates, and incremental validity of the Pain Appraisal Inventory-Short Form. Journal of Health Psychology, 25(9), 1292–1302. https://doi.org/10.1177/1359105317753716.CrossRefPubMed

Christopher, M. S., Neuser, N. J., Michael, P. G., & Baitmangalkar, A. (2012). Exploring the psychometric properties of the Five Facet Mindfulness Questionnaire. Mindfulness, 3, 124–131. https://doi.org/10.1007/s12671-011-0086-x.CrossRef

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396.CrossRef

Deng, Y. Q., Liu, X. H., Rodriguez, M. A., & Xia, C. Y. (2011). The five facet mindfulness questionnaire: psychometric properties of the Chinese version. Mindfulness, 2(2), 123–128. https://doi.org/10.1007/s12671-011-0050-9.CrossRef

Duan, W., & Li, J. (2016). Distinguishing dispositional and cultivated forms of mindfulness: item-level factor analysis of five-facet mindfulness questionnaire and construction of short inventory of mindfulness capability. Frontiers in Psychology, 7, 1348. https://doi.org/10.3389/fpsyg.2016.01348.CrossRefPubMedPubMedCentral

Fayaz, A., Croft, P., Langford, R. M., Donaldson, L. J., & Jones, G. T. (2016). Prevalence of chronic pain in the UK: a systematic review and meta-analysis of population studies. BMJ Open, 6(6), e010364. https://doi.org/10.1136/bmjopen-2015-010364.CrossRefPubMedPubMedCentral

Fish, R. A., Hogan, M. J., Morrison, T. G., Stewart, I., & McGuire, B. E. (2013). Willing and able: a closer look at pain willingness and activity engagement on the Chronic Pain Acceptance Questionnaire (CPAQ-8). The Journal of Pain, 14(3), 233–245. https://doi.org/10.1016/j.jpain.2012.11.004.CrossRefPubMed

Harland, N. J., & Georgieff, K. (2003). Development of the Coping Strategies Questionnaire 24, a clinically utilitarian version of the Coping Strategies Questionnaire. Rehabilitation Psychology, 48(4), 296–300. https://doi.org/10.1037/0090-5550.48.4.296.CrossRef

Hilton, L., Hempel, S., Ewing, B. A., Apaydin, E., Xenakis, L., Newberry, S., Colaiaco, B., Maher, A. R., Shanman, R. M., Sorbero, M. E., & Maglione, M. A. (2017). Mindfulness meditation for chronic pain: aystematic review and meta-analysis. Annals of Behavioral Medicine, 51(2), 199–213. https://doi.org/10.1007/s12160-016-9844-2.CrossRefPubMed

Hou, J., Wong, S. Y. S., Lo, H. H. M., Mak, W. W. S., & Ma, H. S. W. (2014). Validation of a Chinese version of the Five Facet Mindfulness Questionnaire in Hong Kong and development of a short form. Assessment, 21(3), 363–371. https://doi.org/10.1177/1073191113485121.CrossRefPubMed

Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.CrossRef

Jackson, D. L., Gillaspy, J. A., & Purc-Stephenson, R. (2009). Reporting practices in confirmatory factor analysis: an overview and some recommendations. Psychological Methods, 6, 934–937. https://doi.org/10.1037/a0014694.CrossRef

Jackson, T., Chen, H., Iezzi, T., Yee, M., & Chen, F. (2014). Prevalence and correlates of chronic pain in a random population study of adults in Chongqing, China. The Clinical Journal of Pain, 30(4), 346–352. https://doi.org/10.1097/AJP.0b013e31829ea1e3.CrossRefPubMed

Jackson, T., Thomas, S., Stabile, V., Han, X., Shotwell, M., & McQueen, K. (2015). Prevalence of chronic pain in low-income and middle-income countries: a systematic review and meta-analysis. The Lancet, 385, S10. https://doi.org/10.1016/S0140-6736(15)60805-4.CrossRef

Jackson, T., Yang, Z., & Su, L. (2019). Pain-related gaze biases and later functioning among adults with chronic pain: a longitudinal eye-tracking study. Pain, 160(10), 2221–2228. https://doi.org/10.1097/j.pain.0000000000001614.CrossRefPubMed

Jensen, M. P., Thorn, B. E., Carmody, J., Keefe, F. J., & Burns, J. W. (2018). The role of cognitive content and cognitive processes in chronic pain: an important distinction? The Clinical Journal of Pain, 34(5), 391–401. https://doi.org/10.1097/AJP.0000000000000559.CrossRefPubMedPubMedCentral

Karl, J. A., Prado, S. M. M., Gracanin, A., Verhaeghen, P., Ramos, A., Mandal, S. P., Michalak, J., Zhang, C., Schmidt, C., Tran, U. S., Druica, E., Solem, S., Astani, A., Liu, X., Luciano, J. V., Tkalčić, M., Lilja, J. L., Dundas, I., Wong, S. Y. S., & Fischer, R. (2020). The cross-cultural validity of the Five-Facet Mindfulness Questionnaire across 16 countries. Mindfulness, 11, 1226–1237. https://doi.org/10.1007/s12671-020-01333-6.CrossRef

Kitayama, S., Markus, H. R., Matsumoto, H., & Norasakkunkit, V. (1997). Individual and collective process in the construction of the self: self-enhancement in the United States and self-criticism in Japan. Journal of Personality and Social Psychology, 72, 1245–1267. https://doi.org/10.1037/0022-3514.72.6.1245.CrossRefPubMed

Kline, R. B. (2015). Principles and practice of structural equation modeling (4th ed.). New York: Guilford.

Lee, A. C., Harvey, W. F., Price, L. L., Morgan, L. P., Morgan, N. L., & Wang, C. (2017). Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis. Osteoarthritis and Cartilage, 25(6), 824–831. https://doi.org/10.1016/j.joca.2016.06.017.CrossRefPubMed

Leung, D. Y., Lam, T. H., & Chan, S. S. (2010). Three versions of Perceived Stress Scale: validation in a sample of Chinese cardiac patients who smoke. BMC Public Health, 10(1), 513–519. https://doi.org/10.1186/1471-2458-10-513.CrossRefPubMedPubMedCentral

Liao, K. Y. H., Henceroth, M., Lu, Q., & LeRoy, A. (2016). Cultural differences in pain experience among four ethnic groups: a qualitative pilot study. Journal of Behavioral Health, 5(2), 75–81. https://doi.org/10.5455/jbh.20160204094059.CrossRef

Liu, Y., Wang, L., Wei, Y., Wang, X., Xu, T., & Sun, J. (2016). Validation of a Chinese version of the Chronic Pain Acceptance Questionnaire (CAPQ) and CPAQ-8 in chronic pain patients. Medicine, 95(33), e4339. https://doi.org/10.1097/MD.0000000000004339.CrossRefPubMedPubMedCentral

Mansfield, K. E., Sim, J., Jordan, J. L., & Jordan, K. P. (2016). A systematic review and meta-analysis of the prevalence of chronic widespread pain in the general population. Pain, 157(1), 55–64. https://doi.org/10.1097/j.pain.0000000000000314.CrossRefPubMed

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.CrossRefPubMedPubMedCentral

Myers, N. D., Ahn, S., & Jin, Y. (2011). Sample size and power estimates for a confirmatory factor analytic model in exercise and sport: a Monte Carlo approach. Research Quarterly for Exercise and Sport, 82, 412–423. https://doi.org/10.1080/02701367.2011.10599773.CrossRefPubMed

Ng, T. S. (2019). Racial differences in experimental pain sensitivity and conditioned pain modulation: a study of Chinese and Indians. Journal of Pain Research, 12, 2193–2200. https://doi.org/10.2147/JPR.S197803.CrossRefPubMedPubMedCentral

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), 879–903. https://doi.org/10.1037/0021-9010.88.5.879.CrossRef

Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.CrossRef

Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain, 17(1), 33–44. https://doi.org/10.1016/0304-3959(83)90125-2.CrossRefPubMed

Schütze, R., Rees, C., Preece, M., & Schütze, M. (2010). Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain, 148(1), 120–127. https://doi.org/10.1016/j.pain.2009.10.030.CrossRefPubMed

Snyder, C. R. (1999). Coping: the psychology of what works. New York: Oxford University Press.CrossRef

Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological Assessment, 7(4), 524–532. https://doi.org/10.1037/1040-3590.7.4.524.CrossRef

Sullivan, M. J., Lynch, M. E., & Clark, A. J. (2005). Dimensions of catastrophic thinking associated with pain experience and disability in patients with neuropathic pain conditions. Pain, 113(3), 310–315. https://doi.org/10.1016/j.pain.2004.11.003.CrossRefPubMed

Turner, J. A., Anderson, M. L., Balderson, B. H., Cook, A. J., Sherman, K. J., & Cherkin, D. C. (2016). Mindfulness-based stress reduction and cognitive-behavioral therapy for chronic low back pain: similar effects on mindfulness, catastrophizing, self-efficacy, and acceptance in a randomized controlled trial. Pain, 157(11), 2434–2444. https://doi.org/10.1097/j.pain.0000000000000635.CrossRefPubMedPubMedCentral

Veehof, M. M., Peter, M., Taal, E., Westerhof, G. J., & Bohlmeijer, E. T. (2011). Psychometric properties of the Dutch Five Facet Mindfulness Questionnaire (FFMQ) in patients with fibromyalgia. Clinical Rheumatology, 30(8), 1045–1054. https://doi.org/10.1007/s10067-011-1690-9.CrossRefPubMedPubMedCentral

Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. (2016). Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cognitive Behavior Therapy, 45, 5–31. https://doi.org/10.1080/16506073.2015.1098724.CrossRef

Von Korff, M., Ormel, J., Keefe, F. J., & Dworkin, S. F. (1992). Grading the severity of chronic pain. Pain, 50, 133–149.CrossRef

Watson-Singleton, N. N., Walker, J. H., LoParo, D., Mack, S. A., & Kaslow, N. J. (2018). Psychometric evaluation of the five facet mindfulness questionnaire in a clinical sample of African Americans. Mindfulness, 9(1), 312–324. https://doi.org/10.1007/s12671-017-0776-0.CrossRef

Wong, W. S., & Fielding, R. (2011). Prevalence and characteristics of chronic pain in the general population of Hong Kong. The Journal of Pain, 12(2), 236–245. https://doi.org/10.1016/j.jpain.2010.07.004.CrossRefPubMed

Wong, S., Chan, F., Wong, R. L. P., Chu, M. C., Lam, Y. Y. K., Mercer, S. W., & Ma, S. H. (2011). Comparing the effectiveness of mindfulness-based stress reduction and multidisciplinary intervention programs for chronic pain: a randomized comparative trial. The Clinical Journal of Pain, 27(8), 724–734. https://doi.org/10.1097/AJP.0b013e3182183c6e.CrossRefPubMed

Yap, J. C., Lau, J., Chen, P. P., Gin, T., Wong, T., Chan, I., Chu, J., & Wong, E. (2008). Validation of the Chinese Pain Catastrophizing Scale (HK-PCS) in patients with chronic pain. Pain Medicine, 9(2), 186–195. https://doi.org/10.1111/j.1526-4637.2007.00307.x.CrossRefPubMed

Titel: Facets of Mindfulness as Predictors of Emotional Distress Among Chinese Adults with Chronic Musculoskeletal Pain
Auteurs: Shuanghong Chen
Beibei You
Todd Jackson
Publicatiedatum: 13-11-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2021
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-020-01548-7

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