Questionaire merged pdf
Questionaire merged pdf
Short-Form (FFMQ-SF)
Below is a collection of statements about your everyday experience. Using the 1–5 scale below, please
indicate, in the box to the right of each statement, how frequently or infrequently you have had each
experience in the past month (or other agreed time period). Please answer according to what really
reflects your experience rather than what you think your experience should be.
1 2 3 4 5
Sometimes true,
Never or very Very often or
Not often true sometimes not Often true
rarely true always true
true
Item score/
Reverse Final
Item Facet keyed items score
This patient assessment measure is intended for clinical use in research and evaluation as a potentially useful tool to enhance an
ACT-consistent approach. Not intended for commercial distribution. For use with Goubert DP, Törneke N, Purssey R, et al.:
Learning Acceptance and Commitment Therapy: The Essential Guide to the Process and Practice of Mindful Psychiatry.
Washington, DC, American Psychiatric Association Publishing, 2020.
Five Facet Mindfulness Questionnaire: Short-Form (FFMQ-SF) 3
Facet # Items in
scores/sum Divide by facet Target(s)
Describe experience 5
Non-reactivity 5
Self-compassion 5
Acting mindfully 5
Total score
This patient assessment measure is intended for clinical use in research and evaluation as a potentially useful tool to enhance an
ACT-consistent approach. Not intended for commercial distribution. For use with Goubert DP, Törneke N, Purssey R, et al.:
Learning Acceptance and Commitment Therapy: The Essential Guide to the Process and Practice of Mindful Psychiatry.
Washington, DC, American Psychiatric Association Publishing, 2020.
5 facet questionnaire: short form (ffmq-sf)
Below is a collection of statements about your everyday experience. Using the 1–5 scale below,
please indicate, in the box to the right of each statement, how frequently or infrequently you have
had each experience in the last month (or other agreed time period). Please answer according to
what really reflects your experience rather than what you think your experience should be.
never or not often sometimes true often very often
very rarely true true sometimes not true true or always true
1 2 3 4 5
4 I tell myself that I shouldn’t be feeling the way I’m feeling /NJ
5 it’s hard for me to find the words to describe what I’m thinking /DS
I pay attention to physical experiences,
6 such as the wind in my hair or sun on my face
OB
8 I find it difficult to stay focused on what’s happening in the present moment /AA
when I have distressing thoughts or images,
9 I don’t let myself be carried away by them
NR
generally, I pay attention to sounds, such as clocks ticking,
10 birds chirping, or cars passing
OB
when I feel something in my body, it’s hard
11 for me to find the right words to describe it
/DS
it seems I am “running on automatic”
12 without much awareness of what I’m doing
/AA
16 even when I’m feeling terribly upset, I can find a way to put it into words DS
PTO.
never or not often sometimes true often very often
very rarely true true sometimes not true true or always true
1 2 3 4 5
I think some of my emotions are bad
19 or inappropriate and I shouldn’t feel them /NJ
I notice visual elements in art or nature, such as colors,
20 shapes, textures, or patterns of light and shadow OB
when I have distressing thoughts or
21 images, I just notice them and let them go NR
22 I do jobs or tasks automatically without being aware of what I’m doing /AA
correct scores for items preceded by a slash (/NJ, /AA, etc) by subtracting from 6
non react = ; observe = ; act aware = ; describe = ; non judge =
In the research study where the short form of the FFMQ was developed (see Bohlmeijer et al.
below), most of the 376 participants were educated women with “clinically relevant symptoms of
depression and anxiety”. They were randomized to a nine week clinical intervention involving an
Acceptance & Commitment Therapy (ACT) self-help book “Living life to the full”, plus 10 to 15
minutes per day of Mindfulness-Based Stress Reduction meditation exercises, plus some email
support. Mean (and Standard Deviation) scores pre- and post- intervention were:
Bohlmeijer, E., P. M. ten Klooster, et al. (2011). "Psychometric properties of the five facet mindfulness questionnaire in depressed adults and
development of a short form." Assessment 18(3): 308-320. In recent years, there has been a growing interest in therapies that include the
learning of mindfulness skills. The 39-item Five Facet Mindfulness Questionnaire (FFMQ) has been developed as a reliable and valid comprehensive
instrument for assessing different aspects of mindfulness in community and student samples. In this study, the psychometric properties of the
Dutch FFMQ were assessed in a sample of 376 adults with clinically relevant symptoms of depression and anxiety. Construct validity was examined
with confirmatory factor analyses and by relating the FFMQ to measures of psychological symptoms, well-being, experiential avoidance, and the
personality factors neuroticism and openness to experience. In addition, a 24-item short form of the FFMQ (FFMQ-SF) was developed and assessed
in the same sample and cross-validated in an independent sample of patients with fibromyalgia. Confirmatory factor analyses showed acceptable
model fit for a correlated five-factor structure of the FFMQ and good model fit for the structure of the FFMQ-SF. The replicability of the five-factor
structure of the FFMQ-SF was confirmed in the fibromyalgia sample. Both instruments proved highly sensitive to change. It is concluded that both
the FFMQ and the FFMQ-SF are reliable and valid instruments for use in adults with clinically relevant symptoms of depression and anxiety.
EAQ30 UK
Rieffe, C., Oosterveld, P., Miers, A.C., Meerum Terwogt, M., & Ly, V. (2008). Emotion
awareness and internalising symptoms in children and adolescents; the Emotion Awareness
Questionnaire revised. Personality and Individual Differences, 45, 756-761.
The way I feel
Please fill out your first name.................................................................
And your date of birth .............................................................................
And whether you are a boy or a girl .......................................................
If this statement is not true for you, then mark “not true”
Please check
that you have marked all of the sentences.
Thank you!
LIFE ORIENTATION TEST –Revised (LOT-R)
Reference:
Scheier, M. F., Carver, C. S., & Bridges, M. W. (1994). Distinguishing optimism from neuroticism
(and trait anxiety, self-mastery, and self-esteem): A re-evaluation of the Life Orientation
Test. Journal of Personality and Social Psychology, 67, 1063-1078.
Description of Measure:
LOT-R is a revised version of the original LOT (Scheier & Carver, 1992; see abstract below).
The original LOT had 12 items: 4 worded positively, 4 worded negatively, and 4 fillers.
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism on psychological and physical well-being:
Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 201-228.
The primary purpose of this paper is to review recent research examining the beneficial
effects of optimism on psychological and physical well-being. The review focuses on research
that is longitudinal or prospective in design. Potential mechanisms are also identified
whereby the beneficial effects of optimism are produced, focusing in particular on how
optimism may lead a person to cope more adaptively with stress. The paper closes with a
brief consideration of the similarities and differences between our own theoretical approach
and several related approaches that have been taken by others.
Vautier, S., Raufaste, E., & Cariou, M. (2003). Dimensionality of the Revised Life Orientation Test
and the status of the filler items. International Journal of Psychology, 38, 390-400.
Dispositional optimism was originally construed as unidimensional (Scheier & Carver, 1992).
However, LOT-R data (Scheier, Carver, & Bridges, 1994) generally appeared bidimensional
as a number of studies suggest a twocorrelated- factor model representing optimism and
pessimism. Attempts at corroborating one-factor models suggest that correlated errors
between positively worded items are required for an adequate account of the data. This
article explains bidimensionality by the influence of social desirability (i.e., being positive is
desirable). Namely, in the present study, correlated errors are interpreted as the presence of
individual differences related to the tendency to present oneself in a positive manner.
Moreover, response styles can be corroborated by appropriately modelling the entire
covariance matrix (i.e., including fillers), by checking that fillers with positive meaning
correlate with the faking-good group factor. Students (N = 442) responded to a French
adaptation of the LOT-R. The data were submitted to SEM analyses. The traditional two-
correlated factor model (optimism–pessimism) was outperformed by a model including a
common factor (“optimism”) plus a factor grouping positive items only (“faking positive”). In
addition, reliability analyses showed that the choice of the model clearly impacts the
reliability estimates based on the model. The entire dataset was modelled for exploring the
relationships between the fillers and the measurement model (i.e., the set of all relationships
between factors and their indicators). The specific correlations of fillers whose meaning is
positive with the faking-good group factor corroborated its substantial interpretation. It is
Wimberly, S. R., Carver, C. S., & Antoni, M. H. (2008). Effects of optimism, interpersonal
relationships, and distress on psychosexual well-being. Psychology and Health, 23, 57-72.
This study examined associations between optimism, social support, and distress as they
relate to psychosexual well-being among 136 women with Stage 0, I, and II breast cancer.
Women were assessed immediately post-surgery and 3, 6, and 12 months post-surgery.
Results support two cross-sectional mediation models. The first model indicates that patients
who are more optimistic experience greater psychosexual well-being (i.e., feel more feminine,
attractive, and sexually desirable) partly because they perceive themselves as having more
social support available. The second model indicates that patients who are more optimistic
experience greater psychosexual well-being partly because they experience less emotional
distress related to the disease. When the two models were tested simultaneously, distress no
longer contributed uniquely to the model at any time point except for 12 months follow-up.
Scale:
Please be as honest and accurate as you can throughout. Try not to let your response to one
statement influence your responses to other statements. There are no "correct" or "incorrect"
answers. Answer according to your own feelings, rather than how you think "most people"
would answer.
A = I agree a lot
B = I agree a little
C = I neither agree nor disagree
D = I disagree a little
E = I disagree a lot
Scoring:
Items 3, 7, and 9 are reverse scored (or scored separately as a pessimism measure). Items 2, 5, 6,
and 8 are fillers and should not be scored. Scoring is kept continuous – there is no benchmark for
being an optimist/pessimist.
The Emotion Regulation Questionnaire is designed to assess individual differences in the habitual use of two
emotion regulation strategies: cognitive reappraisal and expressive suppression.
Citation
Gross, J.J., & John, O.P. (2003). Individual differences in two emotion regulation processes: Implications for
affect, relationships, and well-being. Journal of Personality and Social Psychology, 85, 348-362.
We would like to ask you some questions about your emotional life, in particular, how you control (that is, regulate
and manage) your emotions. The questions below involve two distinct aspects of your emotional life. One is your
emotional experience, or what you feel like inside. The other is your emotional expression, or how you show your
emotions in the way you talk, gesture, or behave. Although some of the following questions may seem similar to one
another, they differ in important ways. For each item, please answer using the following scale:
1-----------------2------------------3------------------4------------------5------------------6------------------7
strongly neutral strongly
disagree agree
1. ____ When I want to feel more positive emotion (such as joy or amusement), I change what I’m thinking about.
2. ____ I keep my emotions to myself.
3. ____ When I want to feel less negative emotion (such as sadness or anger), I change what I’m thinking about.
4. ____ When I am feeling positive emotions, I am careful not to express them.
5. ____ When I’m faced with a stressful situation, I make myself think about it in a way that helps me stay calm.
6. ____ I control my emotions by not expressing them.
7. ____ When I want to feel more positive emotion, I change the way I’m thinking about the situation.
8. ____ I control my emotions by changing the way I think about the situation I’m in.
9. ____ When I am feeling negative emotions, I make sure not to express them.
10. ____ When I want to feel less negative emotion, I change the way I’m thinking about the situation.
Note
Do not change item order, as items 1 and 3 at the beginning of the questionnaire define the terms “positive emotion”
and “negative emotion”.