Abstract
Objectives
The Five Facet Mindfulness Questionnaire (FFMQ) is one of the most common self-report instruments used in scientific literature to assess mindfulness. However, mixed evidence has been provided regarding its psychometric properties. Among them, the FFMQ seems to present latent classes or profiles with specific patterns in its facets, which might explain said mixed evidence. This study explores mindfulness profiles in the Spanish population using the short form of the FFMQ (FFMQ-SF) and its relations with relevant constructs (i.e., decentering, self-compassion, psychological well-being, psychopathology, positive and negative states).
Methods
A general population sample of 826 participants completed instruments measuring mindfulness and related constructs. Latent profile analyses were applied to the FFMQ-SF facets, and profile membership of participants was estimated for relations with related constructs.
Results
Three latent profiles were found: General Mindfulness, Judgmentally Observing, and Non-judgmentally Aware. General Mindfulness showed expected relations with other constructs, but the other two profiles showed some relations opposite to prior literature: The Judgmentally Observing profile displayed functional behaviors while the Non-judgmentally Aware profile showed an inverse mitigated pattern. Results could not be explained by gender, age, level of studies, or minimum experience with meditation.
Conclusions
Most people (68%) fall into mindfulness profiles that can be regarded as a continuum (e.g., an overall mindfulness factor). However, the FFMQ-SF shows heterogeneities in its facets due to two unique latent profiles, namely “Judgmentally Observing” (7.4%) and “Non-judgmentally Aware” (24.8%). While the structure of these profiles was replicated, relations with relevant psychological constructs contradicted previous literature. Implications and recommendations for future studies are discussed.
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Mindfulness is defined as present-centered voluntary awareness with a non-judgmental and detached attitude (Kabat-Zinn, 1990). Research on mindfulness has experienced exponential growth in academic literature (Baminiwatta & Solangaarachchi, 2021), with major scientific achievements and applied proposals. Examples of this are meta-analytic evidence on the predictive power of mindfulness, the efficacy of mindfulness-based interventions (MBIs), or nationwide implementations of MBIs (e.g., Carpenter et al., 2019; Creswell, 2017; Galante et al., 2021; MAPPG, 2015; Mattes, 2019; Slemp et al., 2019; van Agteren et al., 2021; Wielgosz et al., 2019). However, the field holds some criticisms and room for improvement (e.g., Van Dam et al., 2018; Walsh, 2016). More concretely, the literature presents a cautionary note on the potential overgrowth of scientific contributions, along with methodological concerns regarding mindfulness assessment (although improving; Goldberg et al., 2017). Since scientific knowledge relies on measurement, and a great deal of mindfulness literature is based on self-report instruments, a deep exploration of mindfulness measurement is key for scientific improvement (Baer, 2019).
The Five Facet Mindfulness Questionnaire (FFMQ; Baer et al., 2006, 2008) is one of the most well-known and used instruments to measure mindfulness (1552 articles on PsychINFO and over 9150 entries on Google Scholar; June 2022). It was developed by combining previous mindfulness profiles into a composite instrument (Baer et al., 2006, 2008). FFMQ items measure dispositional mindfulness (i.e., a general tendency towards present-moment awareness) as an overall mindfulness construct with five main facets, named as follows: “Observe,” as the tendency to observe stimuli (e.g., sensations of the wind in the body), “Describe” as the tendency to describe those stimuli verbally; “Acting with Awareness” as the tendency to attend to one’s activities in the present moment (in contrast with behaving mechanically, or driven by “automatic pilot”); “Non-Judging of Inner Experience” as the tendency to not judge a particular inner experience as good or bad; “Non-Reacting to Inner Experience” as the tendency to not immediately react to a particular inner experience and “take a step back” to gain perspective.
Scientific literature has drawn some criticisms towards the FFMQ, summarized here in construct, external and content validity. Regarding construct validity, a review and replication study showed challenging insights (Lecuona et al., 2020). Most validation studies featured sub-optimal practices, while an attempt to replicate the latent structure of the FFMQ required several modifications. Nevertheless, recent contributions showed the five facets as stable in some contexts, whereas they also propose alternative structures (i.e., six facets without an overall mindfulness factor; Karl et al., 2020; Lecuona et al., 2021). In addition, the Observe facet has shown mixed properties in prior literature, showing negative relations with other facets in clinical and non-meditators (e.g., Carpenter et al., 2019; Diehl et al., 2021). Regarding external validity, recent meta-analyses show a stable positive relationship between FFMQ and life satisfaction, and negative relations with negative affect, anxiety, depression, psychopathology, and psychological inflexibility (Carpenter et al., 2019; Mattes, 2019). However, the Observe facet showed unclear relationships with several variables on both meta-analyses, and even null relations with psychopathology (Diehl et al., 2021); thus, conclusions highlight its uncertain importance. Regarding content validity, some studies show the FFMQ as potentially inconsistent in detecting changes in dispositional mindfulness (Goldberg et al., 2015), and showing content disagreements with Buddhist views of mindfulness (Christopher et al., 2014). This constitutes an ongoing debate on the role and influence of Buddhism in mindfulness literature, where the FFMQ shows unclear contents (Anālayo, 2020; Bodhi, 2011; Purser, 2019; Wright, 2017). Therefore, it seems that there are mixed findings regarding the FFMQ, more concretely, concerning its construct and content validity, although external validity seems robust. In addition, short forms of the FFMQ have been developed, presenting five facets with comparable properties to the long form but with less knowledge available about their psychometric properties (e.g., Bohlmeijer et al., 2011; Tran et al., 2013).
It is important to note that the FFMQ has wide use and impact on academic and applied contexts. As Lecuona et al. (2020) mentioned, this dissonance between mixed evidence and wide applied use can produce misinterpretations in diverse audiences (e.g., skeptics stereotyping the whole mindfulness field as null, or clinicians assuming mindfulness instruments are robust overall). This landscape is compatible with the broader context of the “credibility revolution” (Vazire, 2018), where replicability has been put at the center of scientific endeavors (e.g., Nelson et al., 2018). Thus, a deep study of mindfulness components to map their complexities seems beneficial to the field (e.g., the Observe facet).
A potentially viable solution for the previously mentioned needs is a more person-oriented assessment of mindfulness (Lecuona et al., 2020; Table 1), among others (e.g., exploratory structural equation modeling or psychometric networks). This person-oriented assessment of mindfulness is also known as mindfulness profiles. Suggested by Lilja et al. (2013) and first explored by Pearson et al. (2015), mindfulness profiles can be defined as groups of individuals showing specific patterns of mindfulness facets via latent profile analysis (LPA) or others (e.g., cluster analysis). This technique allows estimating a latent discrete variable (e.g., mindfulness profiles), given a group of continuous items (e.g., mindfulness facets).
Previous studies have tended to propose four profiles (Table 1): Low Mindfulness (low values in all facets), High Mindfulness (high values in all facets), “Non-judgmentally Aware” (high Non-Judging and Acting with Awareness, and low Observe, Describe and Non-Reacting), and “Judgmentally Observing” (high Observe and Describe, low Non-Judging and Acting with Awareness, and medium Non-Reacting). In this article, we identify High Mindfulness and Low Mindfulness as homogeneous profiles (i.e., profiles with consistent levels in facets, like High Mindfulness or Low Mindfulness), while Non-judgmentally Aware and Judgmentally Observing as heterogeneous profiles (i.e., profiles with simultaneously high and low levels of facets). Several studies have replicated the four profiles in multiple populations, although other studies obtained different structures (Table 1). Nevertheless, most differences relied on combinations of homogeneous profiles of mindfulness (e.g., obtaining one, two, or more homogeneous profiles). The heterogeneous profiles were mostly replicated in all studies but one (Marques et al., 2020). Thus, the most stable proposal for the profile structure of the FFMQ seems to be a combination of homogeneous profiles (from one to four) and one or two heterogeneous profiles (Non-judgmentally Aware and Judgmentally Observing).
As could be expected from reading the prior literature (e.g., Bravo et al., 2018), homogeneous profiles (e.g., High and Low Mindfulness) show the same patterns as studies with traditional mindfulness scores. This is, higher psychological well-being, happiness, life effectiveness, satisfaction, psychological flexibility, self-regulation, self-compassion, and lower psychopathology (e.g., suicidality, trauma, or addiction) and mental discomfort (e.g., anxiety, depression, stress, negative affect, worry, psychological inflexibility) for the High-Mindfulness profile, while vice versa for the Low-Mindfulness profile (e.g., Bravo et al., 2018; Ford et al., 2020; Gu et al., 2020; Marques et al., 2020; Sahdra et al., 2017; Stanmyre et al., 2022).
Heterogeneous profiles (Non-judgmentally Aware and Judgmental Observing) show unique patterns: The Judgmentally Observing profile is reported as showing higher levels of psychological discomfort and psychopathology (e.g., Bravo et al., 2018; Calvete et al., 2019; Sahdra et al., 2017; Stanmyre et al., 2022). However, this profile also shows the highest levels of satisfaction with life, positive affect, life effectiveness, and other similar constructs (e.g., Ford et al., 2020; Kimmes et al., 2017; Sahdra et al., 2017; Stanmyre et al., 2022), as well as intermediate levels of psychological well-being, happiness, and vitality (e.g., Bravo et al., 2016; Ford et al., 2020). In addition, this profile shows low levels of psychological flexibility, non-attachment, and self-regulation, although high levels of cognitive reappraisal and effort control (e.g., Zhang et al., 2019; Zhu et al., 2020). On the other hand, the Non-judgmentally Aware profile displayed low or intermediate levels of psychological discomfort and psychopathology. However, this profile also displays the lowest satisfaction with life, life effectiveness, and other constructs, as well as intermediate levels of psychological well-being, happiness, and vitality. Finally, this profile shows low or intermediate levels of self-regulation constructs. Therefore, it seems that these two profiles are somewhat a mirror-like reflection, with one (Judgmentally Observing) being less functional in some aspects but at the same time more satisfied and successful than the other (Non-judgmentally Aware).
Therefore, the evidence so far suggests a degree of internal and external validity of mindfulness profiles. However, we draw a series of improvements to the field. First, to our knowledge, associations between mindfulness profiles and relevant mindfulness-related constructs (e.g., self-compassion, decentering, or positive states) have only been explored in clinical samples. Hence, it is relevant to explore these associations in the general population. Second, most studies have explored mindfulness profiles using the original long form of the FFMQ, but very few have explored mindfulness profiles using the short form, which can add value regarding replicability and scalability. Third, no studies explored mindfulness profiles in the general Spanish population.
Regarding mindfulness-related constructs, decentering is defined as the ability to observe inner thoughts and feelings as temporary objects of the mind instead of representations of the self or necessary truths (Fresco et al., 2007). This construct holds theoretical and empirical potential since it is featured as a core concept in mindfulness literature and related fields (Bernstein et al., 2019). Self-compassion is defined as a kind and sympathetic attitude towards oneself in instances of suffering, as opposed to a self-critical, harsh, or judgmental attitude (Neff, 2003). This construct seems relevant in mindfulness interventions and a core correlate of mindfulness processes (Rodríguez-Carvajal et al., 2016; Williams & Kabat-Zinn, 2013). Clinical samples display higher levels in the High-Mindfulness profile in both constructs, while other profiles hold similar values (Bravo et al., 2016; Marques et al., 2020). Nevertheless, decentering and self-compassion are highly relevant constructs in the mindfulness literature regardless of specific populations (for a review, see Nilsson & Kazemi, 2016). Therefore, exploring how mindfulness profiles relate to decentering and self-compassion in non-clinical samples seems relevant. In addition, Buddhist models propose the “immeasurable states” as relevant correlates of mindfulness (Desbordes et al., 2015; Isbel & Summers, 2017). These “immeasurable states” or “positive states” are Buddhist constructs of positive affect states towards the self and others (i.e., loving-kindness, compassion, empathetic joy, and equanimity). Scientific evidence points out the “immeasurable states” as relevant correlates of mindfulness (Rodríguez-Carvajal et al., 2016). Therefore, given the close relationship of these constructs (i.e., decentering, self-compassion, and the “immeasurable states” or “positive states”) with mindfulness, their exploration within the framework of mindfulness profiles is relevant.
Regarding the short form of the FFMQ, as we said previously, most studies have explored mindfulness profiles using the original long form of the FFMQ. However, very few have explored mindfulness profiles using the short form. Among five studies that implemented short forms, only two used the most common short form, the FFMQ-SF (Bohlmeijer et al., 2011; Tran et al., 2013; Table 1). Given that short forms could enable compatible measurements with fewer items, they could bring more scalability to the scientific measurement of mindfulness.
Finally, to our knowledge, mindfulness profiles in the Spanish general population have not been thoroughly explored, with only two studies exploring Spanish adolescents (Calvete et al., 2019; Gómez-Odriozola & Calvete, 2021). Therefore, studying mindfulness profiles in the general Spanish population can improve cross-cultural knowledge of mindfulness while also replicability and scalability.
The present study aims to replicate mindfulness profiles to help understand its psychometric properties and expand the evidence in two less explored contexts: the Spanish population and the short form of the FFMQ. In addition, it aims to explore its relations to positive (self-compassion, decentering, positive states, and psychological well-being) and negative (stress, anxiety, depression, and negative states) mental health constructs. Our hypotheses are (1) the 4-profile structure will be replicated in the 5-facet structure of the short form of the FFMQ applied to the Spanish population; (2) mindfulness profiles with consistently high levels on facets will have higher levels of positive mental health (decentering, self-compassion, positive states, and psychological well-being), while lower levels of negative mental health (stress, anxiety, depression, and negative states) and vice versa for profiles with consistently low levels of mindfulness facets; (3) the Non-judgmentally Aware will present intermediate levels of positive mental health and low levels of negative mental health; and (4) the Judgmentally Observing profiles will have intermediate levels of positive mental health and high levels of negative mental health.
Method
Participants
We obtained an overall sample of 826 participants from the Spanish population by merging two samples of attendees from the same mindfulness center before attending an MBSR. Samples were apt for merging due to highly similar characteristics (same mindfulness center, instructors, intervention, procedure, and self-compassion self-reports), only differing in external variables’ self-reports. The first sample consisted of 546 participants. This sample assessed mindfulness, self-compassion, decentering, positive and negative states, and perceived stress. The second sample consisted of 280 participants. In this case, mindfulness, self-compassion, depression, anxiety, stress, and psychological well-being were assessed in this second sample. Most participants identified as women (72.64%), middle-aged (M = 43.26, SD = 10.41), with college studies or above (65.85%), coupled or married (46.85%), and had practiced meditation before at least once (60.29%). No significant differences were found in demographics between samples (p > 0.05) except for age (with a small difference of 2 years older in sample 2) and marital status (with sample 2 displaying more proportions of divorced and fewer single participants). However, some significant differences were found in mindfulness facets (see “Data Analyses”).
Procedure
The university ethics committee approved the research study before participant recruitment. We invited participants to join the study when registering for a mindfulness-based stress reduction (MBSR) program on an official mindfulness center website. The second sample was recruited in the same official mindfulness center but with some different self-reports. More concretely, while the FFMQ and the SCS were common in both samples, the rest of the self-reports differed (see “Measures”). Those who agreed to participate completed an online screening questionnaire on sociodemographic data and inclusion criteria and were asked to sign the informed consent. First, an informed consent form was administered to the participants, which required agreeing to continue the assessments. In addition, all participants made clear their consent and understanding of their voluntary participation, freedom to interrupt the assessments at any moment they would require, and the confidentiality of their data. Then, self-report assessments were administered via Qualtrics. Assessments lasted about 25–30 min via Qualtrics. None of the participants received compensation for their participation. Finally, all participants’ records were stored in a database and anonymized for subsequent uses.
Measures
Five Facet Mindfulness Questionnaire — Short Form (FFMQ-SF)
This instrument aims to measure mindfulness with 21 self-reported items and a Likert response format from 1 (totally disagree) to 5 (totally agree) (Bohlmeijer et al., 2011; Tran et al., 2013; validated in the Spanish population by Asensio-Martínez et al., 2019). As discussed, it has two proposed latent structures of five or six facets (Karl et al., 2020; Lecuona et al., 2020). However, we did not estimate the six-facet model due to not having three items per latent variable or more. Instead, we estimated the five-facet model. Such facets were Observe (tendency to attend external stimuli, such as smells or sounds; ω = 0.83, α = 0.83), Describe (ability to express internal phenomena with words; ω = 0.68, α = 0.67), Acting with Awareness (tendency to perform actions with awareness of them; ω = 0.87, α = 0.88), Non-Judging of inner experience (tendency to not classify inner experiences as good or bad; ω = 0.89, α = 0.88), and Non-Reacting to inner experience (tendency to detach from experiences, without reacting immediately; ω = 0.69, α = 0.70).
Self-Compassion Scale — Short Form (SCS-SF)
This instrument aims to measure self-compassion with 12 self-reported items and a Likert response format from 1 (almost never) to 5 (almost always) (Raes et al., 2011; validated in the Spanish population by Garcia-Campayo et al., 2014). Its latent structure includes an overall Self-Compassion facet and six first-level factors, namely Self-Kindness (e.g., “I try to be loving towards myself when I’m feeling emotional pain”), Self-Judgment (e.g., “I’m disapproving and judgmental about my own flaws and inadequacies”), Common Humanity (e.g., “When things are going badly for me, I see the difficulties as part of life that everyone goes through”), Isolation (e.g., “When I think about my inadequacies, it tends to make me feel more separate and cut off from the rest of the world”), Mindfulness (e.g., “When something upsets me I try to keep my emotions in balance”), and Overidentification (e.g., “When I’m feeling down I tend to obsess and fixate on everything that’s wrong”). Internal consistencies were unavailable for the first-level facets due to not having at least three items per factor, except for the general Self-Compassion factor (ω = 0.90, α = 0.89).
Experiences Questionnaire (EQ)
This instrument aims to measure decentering with 11 self-reported items and a Likert response format from 1 (never) to 5 (all the time) (Fresco et al., 2007; validated in the Spanish population by Soler et al., 2014). Its latent structure includes an overall decentering factor (ω = 0.87, α = 0.87).
Self-Other Four Immeasurables (SOFI)
This instrument aims to measure Buddhist immeasurable states (loving-kindness, compassion, empathetic joy, and equanimity) with 16 self-reported items and a Likert response format from 1 (very slightly or not at all) to 5 (extremely) (Kraus & Sears, 2009). We took the translated items to Spanish from a previously published study (Rodríguez-Carvajal et al., 2016). Its latent structure includes four factors, namely self-positive states (e.g., “I feel friendly towards myself”; ω = 0.85, α = 0.84), self-negative states (e.g., “I feel hateful towards myself”; ω = 0.79, α = 0.79), other-positive states (e.g., “I feel friendly towards others”; ω = 0.69, α = 0.69), and other-negative states (e.g., “I feel hateful towards others”; ω = 0.71, α = 0.70). Two general factors can be extracted, namely positive states (ω = 0.84, α = 0.84) and negative states (ω = 0.81, α = 0.80).
Perceived Stress Scale (PSS)
This instrument aims to measure perceived stress with ten self-reported items and a Likert response format from 0 (never) to 4 (very often) (Cohen et al., 1983; validated in the Spanish population by Remor, 2006; Trujillo & González-Cabrera, 2007). Its latent structure includes an overall perceived stress factor (ω = 0.90, α = 0.89).
Depression, Anxiety, and Stress Scale 21 (DASS-21)
This instrument aims to measure stress, depression, and anxiety symptoms with 21 self-reported items and a Likert response format from 1 (never) to 5 (always) (Lovibond & Lovibond, 1995; validated to Spanish by Daza et al., 2002). Its latent structure includes three factors of Depression (ω = 0.91, α = 0.90), Anxiety (ω = 0.76, α = 0.75), and Stress (ω = 0.83, α = 0.80).
Pemberton Happiness Index (PHI) — Section A
This instrument aims to measure composite psychological well-being with 11 self-reported items and a Likert response format from 0 (totally disagree) to 10 (totally agree) (Hervás & Vázquez, 2013). The instrument measures hedonic and eudaimonic well-being in a psychological well-being composite score. Its latent structure includes an overall psychological well-being factor (ω = 0.92, α = 0.92).
Data Analyses
Descriptive statistics were obtained for all variables with an examination of histograms and bar plots. In addition, bivariate correlations were computed and examined between all self-reports for each self-report (see Supplementary Material).
To estimate scores of FFMQ and which model offered the best fit, we performed confirmatory factor analyses (CFAs) on the FFMQ. We estimated the five-correlated model and compared it to the hierarchical model (we discarded the six-correlated model due to having the short form of the FFMQ, which impedes counting with three or more items per facet). Polychoric correlations were implemented along with a robust estimation method (WLSMV). The fit was assessed with the Comparative Fit Index (CFI), the Tucker-Lewis Index (TLI), the root mean square error approximation (RMSEA), and the standardized root mean residual (SRMR). Good fit was assessed with values > 0.90 for CFI and TLI, and < 0.08 for RMSEA and SRMR (Hu & Bentler, 1999). Model fit was mixed or borderline for the five-correlated model (χ2(160) = 2621.59, p < 0.001, CFI = 0.954, TLI = 0.946, RMSEA = 0.104, SRMR = 0.086). However, the hierarchical model displayed worse fit (χ2(165) = 3187.74, p < 0.001, CFI = 0.933, TLI = 0.923, RMSEA = 0.124, SRMR = 0.105). Thus, we decided to estimate the latent scores of each facet of the FFMQ using refined methods (i.e., using the estimated CFAs) with the estimated Bayesian modal method. All facets were estimated as Z-scores to optimize subsequent analyses.
To explore differences in mindfulness facets across samples, we implemented ANCOVAs with each facet as dependent variables, sample (first vs. second) and meditation experience as independent variables, and gender, age, level of studies, and marital status as covariables. While Observe and Describe displayed non-significant differences between samples, we found significant differences in Acting with Awareness (around 0.28 in z-scores), Non-Judging (around 0.60), and Non-Reacting (around 0.47). Interestingly, we also found a significant interaction between sample and meditation experience in Non-Reacting (difference between experienced and not experienced around 0.50 in the second sample, while there were no differences in the first sample). Thus, subsequent ANCOVAs included the type of sample as a covariable for mindfulness facets and self-compassion, including the interaction between meditation experience and sample for Non-Reacting.
To explore mindfulness profiles in the FFMQ, we applied latent profile analysis (LPA, Williams & Kibowski, 2016) to mindfulness facets, following Ferguson et al. (2020). We included the five facets of the FFMQ to ensure content validity of profiles and study replicability of prior literature. However, our data did not converge for standard estimation methods (i.e., MPlus). Therefore, we estimated an LPA without covariates and obtained its classification estimates for subsequent analysis (e.g., associations with other variables). To obtain the best fitting number of profiles, we estimated LPAs in different types regarding their parameters (i.e., constraining means, variances, and covariances to zero, equal between profiles, or not being constrained). This combination of models leads to a framework of several models, with four types of methods (for details, see Rosenberg et al., 2018): type 1 (equal variances and covariances fixed to zero), type 2 (varying variance and covariances fixed to zero), type 3 (equal variances and covariances), and type 6 (varying variances and varying covariances). Types 4 and 5 were unavailable in our chosen software at the time of the analyses (see Rosenberg et al., 2019). Since our scope is exploratory, we estimated all types of models and selected the ones with the best fit within each type of model to select the best among them. Following literature recommendations (Spurk et al., 2020; Tein et al., 2013), we selected the Bootstrapped Likelihood Ratio Test (BLRT) and the Sample-Adjusted Bayesian Information Criterion (SABIC) as a priority due to marginally high power, and the entropy index, the log-likelihood (LL), the Akaike Information Criterion (AIC), the Bayesian Information Criterion (BIC), and the Corrected Akaike Information Criterion (CAIC) as complements due to lower power. Entropy, LL, AIC, BIC, and CAIC will not be interpreted unless showing consensus or clear deviations from their tendency towards models with more profiles. We based these criteria on simulation results considering our sample size (n = [500; 1000]) and the FFMQ features (around four profiles, five indicators, and average distances between profiles of |d|= 0.56, estimated in Bravo et al., 2016). We considered our sample size adequate since the literature suggests sample sizes above 500 as generally enough (Tein et al., 2013). Interpretation guides for entropy are values > 0.80 as a good fit, although values between 0.60 and 0.80 are suggested as acceptable (Jung & Wickrama, 2008; Muthén, 2004); for BLRT, non-significant values (p > 0.05) for models with one more profile indicate good fit; for BIC, SABIC, and CAIC, lower values indicate better fit. All fit indices were obtained for LPA models for each type of model iteratively increasing the number of profiles. Model selection was two-folded: The best model of each type was selected, to then compare the best of each type and select the best among them. If this process provides ambiguous solutions, the proportion of classified participants was examined, favoring parsimonious models with profiles encompassing 5% of the sample or more (Nagin, 2005).
Once the LPA models were selected, we estimated for each profile its facet means with 95% confidence intervals. We also examined scatterplots of facets for each profile. In addition, we estimated the membership probability of each participant to each profile, where we selected the maximum probability of each participant as the estimated latent profile for subsequent analyses. Relations between profiles and external variables were assessed with one-way ANCOVAs, with latent profiles as the independent variable, meditation practice as a covariable, and each external variable (e.g., self-compassion) as the dependent variable. A power analysis revealed minimum effect sizes of \({\eta }_{p}^{2}\) = [0.02; 0.07], for our sample sizes and 95% confidence and power, (see Supplementary Materials). Means with confidence intervals and significant differences via post hoc comparisons were reported (applying Šidák correction). Both means and post hoc comparisons were bootstrapped with 1000 draws. If dependent variables displayed pronounced skewness, we implemented Kruskal–Wallis tests with DSCF post hoc comparisons and medians with their standard errors using simulation (multiplying by 1.05 the standard error of the mean; for details, see the script in the OSF and https://influentialpoints.com/Training/standard_error_of_median.htm). In addition, scatterplots of indicators and external variables were examined for each profile. Finally, we interpreted the profiles using all previously obtained information.
Descriptive statistics, correlations, ANCOVAs, and contingency tables were computed with JASP (Jasp Team, 2020) except for the Kruskal–Wallis test with post hoc comparisons computed with Jamovi (Jamovi Project, 2020). CFAs, reliability indices, and LPAs were computed with the lavaan (Rosseel, 2012), MBESS (Kelley, 2007), and tidyLPA packages (Rosenberg et al., 2018, 2019) of the R environment (R Development Core Team, 2020), respectively. Power analyses were computed using G*Power (Faul et al., 2009). All data, scripts, and supplementary materials are available at the Open Science Framework (https://osf.io/f627a).
Results
Regarding LPA, fit indices for each model type are displayed in Table 2. The LPA provided mixed evidence. The BLRT provided equal support for three models, while the SABIC showed support for three models, sharing two with the BLRT. The entropy index showed unsatisfactory fit in all cases (all models < 0.80), although three models provided acceptable fit, with two shared with the SABIC. Other fit indices provided conclusions equivalent to the SABIC. Intersecting BLRT, SABIC, and entropy, we selected three models as candidates: model “6;2” (2 profiles, varying variances and covariances), model “3;3” (3 profiles, equal variances, and covariances), and model “2;6” (6 profiles, varying variances and covariances fixed to zero). Models “2;6” and “3;3” showed acceptable entropy, while model “6;2” showed an insufficient entropy even for an acceptable range (< 0.60). Given that this procedure offered ambiguous outputs, we estimated the three profiles and examined the proportion of classes, the parsimony of models, and compatibility with prior literature. Models “3;3” and “6;2” showed good proportions of the smallest profile (7.38% and 26.39%, respectively), while model “2;6” did not (3.75%). In addition, models “3;3” and “2;6” showed patterns compatible with literature, while model “6;2” showed more ambiguous patterns. Therefore, we selected model “3;3” due to having a good proportion of cases in the smallest class, patterns compatible with previous literature, and being more parsimonious than model “2;6”. Model “3;3” is displayed in Fig. 1, while models “2;6” and “6;2” are depicted in Supplementary Materials.
The selected model (3 latent profiles) is displayed in Fig. 1. The 3-profile solution showed a profile reflecting homogeneous and average scores across the five facets. This profile was named “General Mindfulness” (68.00% of participants) since its means were around zero in z-scores but counted with values in all the range. The other two profiles were as follows: one with high levels of Observe, Describe, and Non-reacting and low levels of Acting with Awareness and Non-Judging (named “Judgmentally Observing,” with 7.40% of participants), and one with medium levels of Observe and Describe, significantly higher levels of Acting with Awareness and Non-Judging, and significantly lower levels of Non-Reacting (named “Non-judgmentally Aware,” with 24.80% of participants).
Scatterplots of mindfulness facets for each profile are displayed in Fig. 2. Compatible with previous literature, the General Mindfulness profile displays a positive linear association between all facets. This is also the case of the Non-judgmentally Aware profile except in one relation (a non-significant correlation between Non-Judging and Describe). The Judgmentally Observing shows positive relations between some facets, but also non-significant ones and even negative relations between Acting with Awareness with Observe and Describe. This mixed behavior of null or even opposite relations is also present in this profile with other constructs (see Supplementary Materials).
Table 3 displays the means and post hoc significant comparisons of each latent profile in mindfulness facets, positive and negative mental health variables, and demographics. Superscripts indicate significant differences between profiles in each variable and are ordered in magnitude (details in Table 3). The General Mindfulness profile displayed expectable levels in all variables (i.e., medium levels although somewhat low in self-compassion). Surprisingly and contradictory to literature, the Judgmentally Observing profile displays one of the highest levels of self-compassion and psychological well-being, while also one of the lowest levels of depression, anxiety, and stress. However, positive and negative states displayed intermediate levels, while decentering displayed high but non-significant levels. The Non-judgmentally Aware profile displayed an inverse but mitigated pattern, with low or intermediate levels in self-compassion and psychological well-being, while the highest levels in depression, anxiety, and stress. However, this profile showed the highest level in decentering, while also high levels of positive states and intermediate levels of negative states.
Discussion
This study aimed to replicate the latent profiles of mindfulness to understand its psychometric properties using the FFMQ-SF with a Spanish population. The study explored whether latent profiles of the FFMQ proposed in the literature were replicated using the short form of the FFMQ in the Spanish population. In addition, the study explored the relationship between mindfulness profiles with several mindfulness-related constructs and with positive and negative mental health.
Our results showed a different but compatible depiction of latent profiles than the main proposal in the literature. Instead of four profiles (High and Low-Mindfulness, Judgmentally Observing, and Non-judgmentally Aware), three profiles were found: a majority of General Mindfulness profile with average levels but a broad range of values, and two heterogeneous profiles present in literature. This General Mindfulness profile was replicated from previous literature (Calvete et al., 2019; Sahdra et al., 2017; Zhu et al., 2020). The heterogeneous profiles were the Judgmentally Observing, and the Non-judgmentally Aware, which were also replicated from most previous studies (Table 1). Since the General Mindfulness profile can be interpreted as homogeneous (i.e., similar levels in all facets and positively correlated between facets), we conclude that the first hypothesis is partially confirmed.
Regarding the heterogeneous profiles, these two profiles may be the reason for the estimation and fit issues of standard latent variable techniques applied to the FFMQ (e.g., confirmatory factor analysis), given that they encompass 32% of participants. They displayed mindfulness levels compatible with previous studies and were detected in all selected LPA models (Fig. 1, and Supplementary Materials for the other two figures). However, we regard two potential differences from previous literature: First, the Judgmentally Observing profile showed more extreme levels than most previous studies (e.g., Sahdra et al., 2017). Second, the Non-judgmentally Aware profile showed more mitigated levels than previous studies (e.g., Bravo et al., 2016). These differences could be due to a combination of two reasons: (1) genuine groups of unique individuals and (2) social desirability, self-deception, and other response biases. The following sections discuss each profile below.
Relations between mindfulness facets and relevant constructs and mental health were consistent with the literature: People with higher levels of mindfulness facets displayed significantly greater levels of decentering, self-compassion, positive states, and psychological well-being, while lower levels of negative states. On the contrary, people with lower levels of mindfulness facets displayed significantly lower levels of decentering, self-compassion, positive states, psychological well-being, and higher levels of negative states and people. This adds evidence to previous claims that mindfulness seems correlated with these constructs (Baer, 2019; Bernstein et al., 2019; Carpenter et al., 2019; Desbordes et al., 2015; Galante et al., 2021; Mattes, 2019; Rodríguez-Carvajal et al., 2016; Williams & Kabat-Zinn, 2013). However, it is relevant to note some variability in these associations between profiles (Supplementary Materials), especially regarding the Observe facet and psychopathology.
General Mindfulness Profile
The General Mindfulness profile can be interpreted as a homogeneous profile. More concretely, it provides medium average levels in all facets, although a broad range of values (thus the name of “General” instead of “Average” or “Intermediate”). Hence, we interpret it as a continuum of overall mindfulness, encompassing most of the sample. Relations with other variables were mostly compatible with prior literature. This is, average levels and positive relations between mindfulness facets, positive relations with decentering, self-compassion, positive states, and psychological well-being, while negative relations with stress and negative states. The only exception was psychopathology, with mixed relations (possibly due to floor effects).
It is important to note that the second hypothesis could not be fully tested since there was only one homogeneous profile in the results. Future studies could explore the degree of empirical and theoretical likelihood of splitting mindfulness scores in homogeneous profiles or (like this study) if it is more robust to contemplate a single homogeneous profile.
Judgmentally Observing
Participants with a Judgmentally Observing profile in our sample could be presenting themselves as intensely aligned with a Western narrative of functionality: a focused and sharp mindset inward and outward (i.e., high observing and describing), thoughtful labeling of thoughts and affects as morally good or bad (i.e., very low non-judging), but also a reflexive and calm perspective, aimed at perspective-taking (i.e., high non-reacting). Taking the famous quote by Immanuel Kant, these individuals regard their existence as “the starry heavens above me and the moral law within me.” However, they would also present a low Acting with Awareness, this is, acting with “automatic pilot,” proposed in early mindfulness literature as Western societies’ main maladaptive cultural feature due to multitasking and frantic societal demands (Kabat-Zinn, 1990). This profile also presented high levels of positive mental health (i.e., self-compassion and psychological well-being) and low negative mental health (i.e., depression, anxiety, and stress). This result is surprising since previous literature points out the Judgmentally Observing group with opposite patterns in these variables (e.g., Bravo et al., 2016; Pearson et al., 2015; Sahdra et al., 2017). It also denotes that the fourth hypothesis is contradicted. However, some studies offer potential explanations, like the Judgmentally Observing profile showing high scores in life satisfaction (Ford et al., 2020; Sahdra et al., 2017). A possible explanation is that, in our sample, the Judgmentally Aware profile might show high levels of specific self-regulation skills, which could explain the positive and negative mental health outcomes, for example, cognitive reappraisal, or effort control, as suggested by literature (Calvete et al., 2019; Zhang et al., 2019). This resonates with recent literature, which proposes self-regulation mechanisms to explain how mindfulness promotes well-being (Lundwall et al., 2019). Finally, it is also notorious that this profile showed mixed and inconsistent relations between mindfulness facets and other relevant constructs. This could suggest that this profile is a product of answering the FFMQ with the notion of each facet from a Western perspective, not relating them as parts of a unitary construct (i.e., mindfulness). However, this should be incompatible with having meditation experience (which is the case of the majority of members of this profile, 73% while 66% in the Non-judgmentally Aware and 56% in the General Mindfulness profile). Future studies should gather evidence on self-regulation skills to test this hypothesis.
Non-judgmentally Aware
In contrast, participants with a Non-judgmentally Aware profile in our sample could be presenting themselves as a more dispersed group than the Judgmentally Observing since patterns in mindfulness facets were less extreme. This could be due to genuine features (e.g., lack of introspection) or a bias towards the neutral response categories due to a lack of understanding of items. In any case, this group showed a response mostly inverse pattern to the Judgmentally Observing. It also denotes that the third hypothesis is contradicted. We interpreted this from a cultural perspective. Instead of being culturally aligned with a Western view of functionality, the Non-judgmentally Aware profile could self-present as aligned with a Western “alternative” view of functionality. More concretely, the “going with the flow” set of values is proximate to “alternative” Western narratives such as the New Age movement. This is, the recent construction of alternative spirituality in Western societies, with shared ideas with Buddhism but a lack of depth in their narratives and practices (Huss, 2014; Rindfleish, 2005). This could explain the high levels of positive states, decentering, and self-compassion and low levels of negative states. Therefore, this profile could be seen as “prey of the becoming”: Their high Non-Judging would expose them to be open to more experiences, ideas, and stimuli than most individuals, with perhaps more exposure to suffering. This could explain why this profile shows high scores in anxiety, depression, stress, and low scores in psychological well-being.
In sum, our results partially replicate previous literature on latent profiles: The short form of the FFMQ has presented relevant latent profiles in its internal structure (i.e., the overall mindfulness factor). This could explain its mixed psychometric results in the literature. We view that most participants answered to the FFMQ-SF as a continuum of general mindfulness. Nevertheless, two latent profiles show heterogeneous behaviors: the Judgmentally Observing and Non-judgmentally Aware profiles. The psychometric properties of these two groups remain unclear. While previous literature generally suggests the Judgmentally Observing group suffers from maladaptive behaviors, our results suggest the contrary. The Non-judgmentally Aware profile, while suggested as functional, showed more dysfunctional patterns. However, both profiles showed intermediate levels of self-compassion and positive affect. These results could not be explained by gender, age, level of studies, or minimum experience with meditation. Therefore, we conclude that the replicability of mindfulness profiles is somewhat uncertain, and more research is needed to achieve a robust and stable portrait of said profiles. From an applied point of view, mindfulness profiles could be estimated, but they must be put into context with more variables to get a solid interpretation.
Limitations and Future Studies
This study has some limitations. First and foremost, the cross-sectional nature of our data hinders our capacity to observe longitudinal patterns and causal interpretations. Future studies should explore temporal effects on mindfulness profiles, like an MBI. Since participants were recruited as voluntary assistants to the MBSR in the Spanish population, self-selection bias and social desirability could alter the sample’s representativity. Regarding measurements, all instruments were self-reported, which exposes our data to same-method inflation. This is, potential overestimation of common variance between measurements due to being measured using the same methods. In addition, our instruments could also not capture our tested constructs well, especially mindfulness. Future studies should aim to build or implement behavioral measurements of mindfulness (e.g., Amir et al., 2021; Isbel et al., 2020; Petranker & Eastwood, 2021; Shepherd et al., 2016) and explore the replicability of results comparing methods. In addition, since we gathered our data from the general population, we encountered potential ceiling and floor effects in some self-reports, like the DASS-21. This is, the majority of data grouped in extreme or near-to-extreme values (e.g., most participants self-reporting low psychopathology), limiting our capacity to discriminate between participants. This is a common limitation with psychopathology constructs. Future studies should implement instruments designed for the general population or with more moderate contents to avoid ceiling or floor effects. Finally, regarding our analyses, we could not test the 6-facet structure of the FFMQ due to implementing the short form. Future studies could measure the full form of the FFMQ and test if the 6-facet model provides consistent or differing evidence.
Data Availability
All data are available at the Open Science Framework (https://osf.io/f627a).
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Acknowledgements
The authors want to thank Gustavo Díex and the Nirakara Mindfulness Institute for collaborating in sample collection, and Pablo Roca and Carmelo Vázquez (Universidad Complutense de Madrid) for collaborating in the collection of the second sample.
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OL designed and executed the study, contacted the sample collectors, analyzed the data, wrote the paper and responses to peer-review, and supervised the peer-review contributions. CGR co-designed the study, assisted in the data collection and the interpretation and discussion of results, provided critical feedback and helped shape the manuscript, and assisted the responses to peer-review. SdR assisted in the interpretation and discussion of results, provided critical feedback and helped shape the manuscript, and assisted the responses to peer-review. JEMJ helped to shape the manuscript and assisted the responses to peer-review. RRC advised on sample collection management and contact with sample collectors, assisted in the interpretation and discussion of results, provided critical feedback and helped shape the manuscript, and assisted the responses to peer-review.
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Lecuona, O., García-Rubio, C., de Rivas, S. et al. Unraveling Heterogeneities in Mindfulness Profiles: a Review and Latent Profile Analysis of the Five Facet Mindfulness Questionnaire Short-Form (FFMQ-SF) in the Spanish Population. Mindfulness 13, 2031–2046 (2022). https://doi.org/10.1007/s12671-022-01939-y
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DOI: https://doi.org/10.1007/s12671-022-01939-y