Outcome Measure

Five Facet Mindfulness Questionnaire

What it measures?

  • The Five Facet Mindfulness Questionnaire (FFMQ) is one of the most widely used and evaluated measures of mindfulness (Baer et al. 2008, Shallcross et al. 2021).
  • The FFMQ assesses five different aspects of mindfulness: observing, describing, acting with awareness, non-judging, and non-reactivity to inner experience.
  • Observation entails the ways we use our sensory awareness. It involves how we see, feel, and perceive the internal and external world around us and select the stimuli that require our attention and focus.
  • Describing reflects the way we label our experiences and express them in words to ourselves and others.
  • Acting with Awareness studies the movements we choose after attending to the information present at the moment.
  • Non-judgment/non-judging assesses self-acceptance and empathy for oneself and others.
  • Non-reactivity refers to active detachment from negative thoughts and emotions so that we can accept their existence and choose not to react to them.
  • Some studies argue that reliability is low for the Full-Scale FFMQ (Aguado et al., 2015, Baer et al., 2008) or that FFMQ measures do not directly reflect a latent variable of mindfulness (Van Dam, 2012) and, therefore, report only subscale scores for each of the five domains of mindfulness.
  • The test originates from an exploratory analysis of similar tests such as the Mindfulness Awareness Scales (Brown & Ryan, 2003), Cognitive Affective Mindfulness Scale (Hayes & Feldman, 2004), Kentucky Inventory of Mindfulness Skills (Baer et al., 2004), and Freiburg Mindfulness Inventory (Walach et al., 2006).

Who is it for?

Adults aged 18 years +

Instrument Quality

  • The 39-item version of the FFMQ (Baer et al., 2006), has reasonable psychometric properties in students, community members, and meditators (Baer et al., 2006; Baer et al., 2008), though its properties have varied across groups (Baer et al., 2008; Van Dam et al., 2009).
  • A factor analysis of the five facets of FFMQ revealed that the hierarchical structure of the factors justify the traits that each element claims to measure (Baer et al., 2006; Baer et al., 2008).

Structure

  • 39 items
  • Each subscale has 8 questions, except Non-Reactivity which has 7
  • Items are rated on a five-point categorical response scale ranging from 1 (never or very rarely true) to 5 (very often or always true).
  • Respondents are asked to rate each statement with the number/response that best describes their own opinion of what is generally true for them.

Scoring instructions

  • Sum all items together to calculate the Full Scale FFMQ.
  • Sum items in each sub-scale to calculate sub-scale scores.
  • Total scores range from 39 – 195.
  • Subscales range from 5 - 40, except Non-Reactivity which ranges from 5 - 35.
  • Note: Reverse score items 12, 16, 22, 5, 8, 13, 18, 23, 28, 34, 38, 3, 10, 14, 17, 25, 30, 35, 39
Subscale Item number

Observe (FFMQ)

1,6,11,15,20,26,31,36

Nonreactivity (FFMQ)

4,9,19,21,24,29,33

Nonjudging (FFMQ)

3,10,14,17,25,30,35,39

Acting with Awareness (FFMQ)

5,8,13,18,23,28,34,38

Describe (FFMQ)

2,7,12,16,22,27,32,37

Full-scale (FFMQ)

1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39

Score Interpretation

What higher scores mean?
  • A higher score indicates higher levels of mindfulness and self-awareness in everyday life. The scale also measures the effectiveness of other mindfulness strategies such as MBCT and MBSR (Baer et al., 2006). Scores can range from 39 to 195. The mean score on the Full-Scale FFMQ for a sample with mild-moderate depressive symptoms was 121 (SD = 20.36; Shallcross et al., 2020). Means and SD for subscales in the same population are presented below: Observe M = 25.54, SD = 6.02 Describe M = 27.19, SD = 6.94 Acting with Awareness M = 23.70, SD = 5.81 Non-judgment M = 24.70, SD = 7.11 Non-reactivity M= 19.88, SD = 4.51
How to assess symptom severity & change?
Description Score Range  
Minimum 8  
2 SD below normative mean 13.36  
1 SD below normative mean 18.58  
Normative mean 24.32  
1 SD above normative mean 29.8  
2 SD above normative mean 35.28  
Maximum 40  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 25.54 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 24.32 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Standard Deviation
Sample Mean Comments
Clinical 6.02 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 5.48 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Reliability
Value Comments
0.82 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms internal consistency the reliability estimate was 0.82. (Shallcross et al., 2020).
Description Score Range  
Minimum 7  
2 SD below normative mean 9.77  
1 SD below normative mean 14.65  
Normative mean 19.53  
1 SD above normative mean 24.41  
2 SD above normative mean 29.29  
Maximum 35  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 19.88 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 19.53 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Standard Deviation
Sample Mean Comments
Clinical 4.51 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 4.88 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Reliability
Value Comments
0.82 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms, the internal consistency reliability estimate was 0.82 (Shallcross et al., 2020).
Description Score Range  
Minimum 8  
2 SD below normative mean 9.19  
1 SD below normative mean 16.52  
Normative mean 23.85  
1 SD above normative mean 31.18  
2 SD above normative mean 38.51  
Maximum 40  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 24.7 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 23.85 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Standard Deviation
Sample Mean Comments
Clinical 7.11 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 7.33 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Reliability
Value Comments
0.91 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms the internal consistency reliability estimate was 0.91 (Shallcross et al., 2020).
Description Score Range  
Minimum 8  
2 SD below normative mean 11.43  
1 SD below normative mean 18  
Normative mean 24.57  
1 SD above normative mean 31.14  
2 SD above normative mean 37.71  
Maximum 40  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 23.7 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 24.57 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Standard Deviation
Sample Mean Comments
Clinical 5.81 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 6.57 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Reliability
Value Comments
0.9 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms the internal consistency reliability estimate was 0.90 (Shallcross et al., 2020).
Description Score Range  
Minimum 8  
2 SD below normative mean 10.51  
1 SD below normative mean 17.57  
Normative mean 24.63  
1 SD above normative mean 31.69  
2 SD above normative mean 38.75  
Maximum 40  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Mean
Sample Mean Comments
Clinical 27.19 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 24.63 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Standard Deviation
Sample Mean Comments
Clinical 6.94 Based on a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.
Normative 7.06 A sample of 293 adults (40% male, 60% female) with an average age of 49.5 (SD = 6.7) who had never meditated before.
Reliability
Value Comments
0.93 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms, the internal consistency reliability estimate was 0.93 (Shallcross et al., 2020).
Description Score Range  
Minimum 39  
2 SD below clinical mean 80.28  
1 SD below clinical mean 100.64  
Clinical mean 121  
1 SD above clinical mean 141.36  
2 SD above clinical mean 161.72  
Maximum 195  
Severity ranges

Ranges are drawn from a clinical population, as Full-Scale scores were not calculate in a normative sample. Values are from a sample of 240 participants with mild to moderate levels of self-reported depressive symptoms. The racial/ethnic composition of the sample was: 51% non-Hispanic White; 28% non-Hispanic Black, 8% Hispanic, and 14% Other. The average age was 36 years (SD = 12.2; range: 19–71 years), 75% were female; and 70% had a college degree.

Reliable change and clinically significant improvement

Wampold et al (2001) conducted a meta-analysis of psychotherapy outcome studies and noted that the average improvement was reflected in an effect size (ES) of .80. Because a change of 1 SD corresponds to an ES of 1.0, and .80 is considered to be a large ES, Wise (2004) concludes that a change of 1 SD is a defensible indicator of clinically significant change.

Reliability
Value Comments
0.82 With a sample of 240 racially diverse participants (75% female, 70% university educated) with mild to moderate depressive symptoms internal consistency reliability estimates for the five facets (scales) were 0.82 or higher: Observing (8 items, alpha = 0.82), Describing (8 items, alpha = 0.93), Acting with Awareness (8 items, alpha = 0.90), Non-judging of inner experience (8 items, alpha = 0.91), and Non-reactivity to inner experience (7 items, alpha = 0.82) (Shallcross et al., 2020).

Instrument developers

  • 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

Refrences

* 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 * Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. (2008). Construct validity of the five-facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment, 15(3), 329–342. https://doi.org/10.1177/1073191107313003 * Karl, J.A., Fischer, R. (2020) Revisiting the five-facet structure of mindfulness. Measurement Instruments for the Social Sciences 2, 7. https://doi.org/10.1186/s42409-020-00014-3 * Shallcross, A., Lu, N. Y., & Hays, R. D. (2020). Evaluation of the Psychometric Properties of the Five Facet of Mindfulness Questionnaire. Journal of Psychopathology and Behavioral Assessment, 42(2), 271. https://doi.org/10.1007/s10862-019-09776-5 * Aguado, J., Luciano, J., Cebolla, A., Serrano-Blanco, A., Soler, J. & García-Campayo, J. (2015) Bifactor analysis and construct validity of the five facet mindfulness questionnaire (FFMQ) in non-clinical Spanish samples. Frontiers in Psychology, *6(*404). https://doi.org/110.3389/fpsyg.2015.00404 * Van Dam, N. T., Hobkirk, A. L., Danoff-Burg, S., & Earleywine, M. (2012). Mind Your Words: Positive and negative items create method effects on the five facet mindfulness questionnaire. Assessment, 19(2), 198-204. https://doi.org/10.1177/1073191112438743 * 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.

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