中文版「止觀覺察注意量表」之信效度分析

Psychometric Properties of the Chinese Translation of Mindful Attention Awareness Scale (CMAAS)

10.7108/PT.201104.0090

張仁和(Jen-Ho Chang)；林以正(Yi-Cheng Lin)；黃金蘭(Chin-Lan Huang)

中文版止觀覺察注意量表 ； 止觀 ； 止觀覺察注意量表 ； Chinese version Mindful Attention Awareness Scale (CMAAS) ； Mindful Awareness Attention Scale (MAAS) ； Mindfulness

測驗學刊

58卷S（2011 / 04 / 01）

235 - 260

繁體中文

「止觀」源於佛禪靜坐之概念，為一種專注於此時此刻，但又不評價之心理歷程。近年來此概念已廣泛被應用至醫學、教育、輔導、心理治療等等領域，並已發展出相關測量工具。其中，最被廣泛使用的「止觀覺察注意量表」（Mindful attention awareness scale），目前已被翻譯成多種語言版本，但卻仍無中文版本。本研究目的即為建立中文版「止觀覺察注意量表」。研究一以157名受試者進行探索性因素分析，得到單一因素結構，且該量表能有效預測心理適應指標。研究二以204名受試者進行驗證性因素分析，單一因素結構符合模型適配指標，亦重複驗證與心理適應指標據以顯著之關連。研究三以116名受試者間隔兩個月施測，得到良好的再測信度。三個研究顯示中文版「止觀覺察注意量表」具有良好的信效度。本文亦針對止觀研究與應用進行延伸討論。

Mindfulness originally refers to a Buddhist meditation practice that cultivates present moment awareness with a nonjudgmental manner. Recently, the concept of mindfulness has been transformed into psychological treatments and widely adapted to medical, educational, counseling, and psychotherapy domains. Beyond clinical treatments, researchers also developed several scales to measure individual differences. Among these scales, the Mindful Attention Awareness Scale (MAAS) (Brown & Ryan, 2003) is the most widely used measurement and has been translated into different languages. However, there is no Chinese version of the MAAS yet. The main purpose of this research was to establish the Chinese version of the MAAS. Exploratory (study 1, n = 157) and confirmatory (study 2, n = 204) factor analyses confirmed the one factor solution. Good internal consistency and test-retest reliability (study 3, n = 116) were supported. Furthermore, the relationships between MAAS and other psychological adjustment indices were significant as expected (Study 1 and 2). Potential theoretical and practical applications of the measure were discussed.

1. Argus, G.,Thompson, M.(2008).Perceived social problem solving, perfectionism, and mindful awareness in clinical depression: An exploratory study.Cognitive Therapy and Research,32(6),745-757.
2. Baer, R. A.,Smith, G. T.,Allen, K. B.(2004).Assessment of mindfulness by self-report: The Kentucky inventory of mindfulness skills.Assessment,11(3),191-206.
3. 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.
4. Baer, R. A.,Smith, G. T.,Lykins, E.,Button, D.,Krietemeyer, J.,Sauer, S.(2008).Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples.Assessment,15(3),329-342.
5. Barnes, S.,Brown, K. W.,Krusemark, E.,Campbell, W. K.,Rogge, R. D.(2007).The role of mindfulness in romantic relationship satisfaction and responses to relationship stress.Journal of Marital and Family Therapy,33,482-500.
6. Bishop, S. R.,Lau,M.,Shapiro, S.,Carlson, L.,Anderson, N. D.,Carmody, J.(2004).Mindfulness: A proposed operational definition.Clinical Psychology: Science and Practice,11(3),230-241.
7. Brown, K. W.,Ryan, R. M.(2003).The benefits of being present: Mindfulness and its role in psychological well-being.Journal of Personality and Social Psychology,84(4),822-848.
8. Brown, K. W.,Ryan, R. M.(2004).Perils and promise in defining and measuring mindfulness: Observations from experience.Clinical Psychology: Science and Practice,11(3),242-248.
9. Brown, K.W.,Ryan, R. A.,Creswell, J. D.(2007).Mindfulness: Theoretical foundations and evidence for its salutary effects.Psychological Inquiry,18,211-237.
10. Cardaciotto, L.,Herbert, J. D.,Forman, E. M.,Moitra, E.,Farrow, V.(2008).The assessment of present-moment awareness and acceptance: The Philadelphia Mindfulness Scale.Assessment,15(2),204-223.
11. Carmody, J.,Baer, R. A.(2009).How long does a mindfulness-based stress reduction program need to be? A review of class contact hours and effect sizes for psychological distress.Journal of Clinical Psychology,65(6),627-638.
12. Chadwick, P.,Hember, M.,Symes, J.,Peters, E.,Kuipers, E.,Dagnan, D.(2008).Responding mindfully to unpleasant thoughts and images: Reliability and validity of the SouthamptonMindfulness Questionnaire(SMQ).British Journal of Clinical Psychology,47,451-455.
13. Chambers, R.,Lo, B. C. Y.,Allen, N. B.(2008).The impact of intensive mindfulness training on attentional control, cognitive style, and affect.Cognitive Therapy and Research,32(3),303-322.
14. Chien, C. P.,Cheng, T. A.(1985).Depression in Taiwan: Epidemiological survey utilizing CES-D.Psychiatria at Neurologia Japonica,87(5),335-338.
15. Christopher, M. S.,Charoensuk, S.,Gilbert, B. D.,Neary, T. J.,Pearce, K. L.(2009).Mindfulness in Thailand and the United States: A case of Apples Versus Oranges?.Journal of Clinical Psychology,65(6),590-612.
16. Creswell, J. D.,Way, B. M.,Eisenberger, N. I.,Lieberman,M. D.(2007).Neural correlates of dispositional mindfulness during affect labeling.Psychosomatic Medicine,69(6),560-565.
17. Diener, E.(2000).Subjective well-being: The science of happiness and a proposal for a national index.American Psychologist,55(1),34-43.
18. Diener, E.,Emmons, R. A.,Larsen, R. J.,Griffin, S.(1985).The satisfaction with life scale.Journal of Personality Assessment,49(1),71-75.
19. Diener, E.,Oishi, S.,Lucas, R. E.(2003).Personality, culture, and subjective well-being: Emotional and cognitive evaluations of life.Annual Review of Psychology,54(1),403-425.
20. Diener, E.,Suh, E. M.,Lucas, R. E.,Smith, H. L.(1999).Subjective well-being: Three decades of progress.Psychological Bulletin,125(2),276-302.
21. Feldman, G.,Hayes, A.,Kumar, S.,Greeson, J.,Laurenceau, J. P.(2007).Mindfulness and emotion regulation: The development and initial validation of the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R).Journal of Psychopathology and Behavioral Assessment,29(3),177-190.
22. Forgas, J. P.(ed.),Innes, J. M.(ed.)(1989).Recent advances in social psychology: An international perspective.North Holland:Elsevier Science Publishers.
23. Frewen, P. A.,Evans, E. M.,Maraj, N.,Dozois, D. J. A.,Partridge, K.(2008).Letting go: Mindfulness and negative automatic thinking.Cognitive Therapy and Research,32(6),758-774.
24. Ghorbani, N.,Watson, P. J.,Weathington, B. L.(2009).Mindfulness in Iran and the United States: Cross-cultural structural complexity and parallel relationships with psychological adjustment.Current Psychology,28(4),211-224.
25. Grossman, P.(2008).On measuring mindfulness in psychosomatic and psychological research.Journal of Psychosomatic Research,64(4),405-408.
26. Grossman, P.,Niemann, L.,Schmidt, S.,Walach, H.(2004).Mindfulness-based stress reduction and health benefits: A meta-analysis.Journal of Psychosomatic Research,57(1),35-43.
27. Hansen, E.,Lundh, L.-G.,Homman, A.,Wangby-Lundh, M.(2009).Measuring mindfulness: Pilot studies with the Swedish versions of the Mindful Attention Awareness Scale and the Kentucky Inventory of Mindfulness Skills.Cognitive Behaviour Therapy,38(1),2-15.
28. Hayes, S. C.,Luoma, J. B.,Bond, F. W.,Masuda, A.,Lillis, J.(2006).Acceptance and commitment therapy: Model, processes and outcomes.Behaviour Research and Therapy,44(1),1-25.
29. Heppner, W. L.,Kernis, M. H.,Lakey, C. E.,Campbell, W. K.,Goldman, B. M.,Davis, P. J.(2008).Mindfulness as a means of reducing aggressive behavior: Dispositional and situational evidence.Aggressive Behavior,34(5),486-496.
30. Heppner,W. L.,Kernis, M. H.(2007)."Quiet ego" functioning: The complementary roles of mindfulness, authenticity, and secure high self-esteem.Psychological Inquiry,18,248-251.
31. Herndon, F.(2008).Testing mindfulness with perceptual and cognitive factors: External vs. internal encoding, and the cognitive failures questionnaire.Personality and Individual Differences,44(1),32-41.
32. Jermann, F.,Billieux, J.,Laroi, F.,d''Argembeau, A.,Bondolfi, G.,Zermatten, A.(2009).Mindful Attention Awareness Scale (MAAS): Psychometric properties of the French translation and exploration of its relations with emotion regulation strategies.Psychological Assessment,21(4),506-514.
33. Kabat-Zinn, J.(1982).An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results.General Hospital Psychiatry,4(1),33-47.
34. Kabat-Zinn, J.(2003).Mindfulness-based interventions in context: Past, present, and future.Clinical Psychology-Science and Practice,10(2),144-156.
35. Kabat-Zinn, J.,Lipworth, L.,Burney, R.(1985).The clinical use of mindfulness meditation for the self-regulation of chronic pain.Journal of Behavioral Medicine,8(2),163-190.
36. Kernis, M. H.(2003).Toward a conceptualization of optimal self-esteem.Psychological Inquiry,14(1),1-26.
37. Kernis, M. H.(Ed.)(2006).Self-esteem issues and answers.New York:Psychology Press.
38. Kernis, M. H.,Goldman, B. M.(2006).A multicomponent conceptualization of authenticity: Theory and research.Advances in Experimental Social Psychology,38,283-357.
39. Koole, S. L.,Govorun, O.,Cheng, C. M.,Gallucci,M.(2009).Pulling yourself together: Meditation promotes congruence between implicit and explicit self-esteem.Journal of Experimental Social Psychology,45(6),1220-1226.
40. Lau, M. A.,Bishop, S. R.,Segal, Z. V.,Buis, T.,Anderson, N. D.,Carlson, L.(2006).The Toronto Mindfulness Scale: Development and validation.Journal of Clinical Psychology,62(12),1445-1467.
41. Linehan, M. M.,Armstrong, H. E.,Suarez, A.,Allmon, D.,Heard, H. L.(1991).Cognitive-behavioral treatment of chronically parasuicidal borderline patients.Archives of General Psychiatry,48(12),1060-1064.
42. Lu, L.,Gilmour, R.,Kao, S. F.,Weng, T. H.,Hu, C. H.,Chern, J. G.(2001).Two ways to achieve happiness: When the East meets the West.Personality and Individual Differences,30(7),1161-1174.
43. Ludwig, D. S.,Kabat-Zinn, J.(2008).Mindfulness in medicine.Jama-Journal of the American Medical Association,300(11),1350-1352.
44. MacKillop, J.,Anderson, E. J.(2007).Further psychometric validation of the Mindful Attention Awareness Scale (MAAS).Journal of Psychopathology and Behavioral Assessment,29(4),289-293.
45. Masicampo, E. J.,Baumeister, R. R.(2007).Relating mindfulness and self-regulatory processes.Psychological Inquiry,18,255-258.
46. Michalak, J.,Heidenreich, T.,Strohle, G.,Nachtigall, C.(2008).German version of the Mindful Attention an Awareness Scale (MAAS): Psychometric features of a mindfulness questionnaire.Zeitschrift Fur Klinische Psychologie Und Psychotherapie,37(3),200-208.
47. Orzecha, K. M.,Shapirob, S. L.,Brownc, K. W.,McKa, M.(2009).Intensive mindfulness training-related changes in cognitive and emotional experience.Journal of Positive Psychology,4(3),212-222.
48. Radloff, L. S.(1977).The CES-D Scale: A self-report depression scale for research in the general population.Applied Psychological Measurement,1,385-401.
49. Rosenberg, M.(1965).Society and the adolescent self-image.Princeton, NJ:Princeton University Press.
50. Ryan, R.M.,Brown, K.W.(2003).Why we don't need self-esteem: On fundamental needs, contingent love, and mindfulness.Psychological Inquiry,14(1),71-76.
51. Shapiro, S. L.,Oman, D.,Thoresen, C. E.,Plante, T. G.,Flinders, T.(2008).Cultivating mindfulness: Effects on well-being.Journal of Clinical Psychology,64(7),840-862.
52. Tang, Y. Y.,Posner, M. I.(2009).Attention training and attention state training.TRENDS in Cognitive Sciences,13(5),222-227.
53. Teasdale, J. D.,Segal, Z. V.,Williams, J. M. G.(2003).Mindfulness training and problem formulation.Clinical Psychology-Science and Practice,10(2),157-160.
54. Teasdale, J. D.,Segal, Z. V.,Williams, J. M. G.,Ridgeway, V. A.,Soulsby, J. M.,Lau, M. A.(2000).Prevention of relapse/recurrence in major depression by mindfulnessbased cognitive therapy.Journal of Consulting and Clinical Psychology,68(4),615-623.
55. Walach, H.,Buchheld, N.,Buttenmuller, V.,Kleinknecht, N.,Schmidt, S.(2006).Measuring mindfulness: The Freiburg Mindfulness Inventory (FMI).Personality and Individual Differences,40(8),1543-1555.
56. Wallace, B. A.,Shapiro, S. L.(2006).Mental balance and well-being: Building bridges between Buddhism and western psychology.American Psychologist,61(7),690-701.
57. Walsh, R.,Shapiro, S. L.(2006).The meeting of meditative disciplines and western psychology: A mutually enriching dialogue.American Psychologist,61(3),227-239.
58. Watson, D.,Clark, L. A.,Tellegen, A.(1988).Development and validation of brief measures of positive and negative affect: The PANAS scales.Journal of personality and social psychology,54(6),1063-1070.
59. Way, B. M.,Creswell, J.,Eisenberger, N. I.,Lieberman, M. D.(2010).Dispositional mindfulness and depressive symptomatology: Correlations with limbic and self-referential neural activity during rest.Emotion,10(1),12-24.
60. William, J. M. G.(2008).Mindfulness, depression and modes of mind.Cognitive Therapy and Research,32(6),721-733.
61. Wu, C. H.,Yao, G.(2006).Analysis of factorial invariance across gender in the Taiwan version of the Satisfaction with Life Scale.Personality and Individual Differences,40(6),1259-1268.
62. 陸洛(1998)。中國人幸福感之內涵、測量及相關因素探討。國家科學委員會研究彙刊─人文及社會科學，8，115-137。
63. 黃芳銘(2004)。結構方程模式─理論與運用。台北市:五南。
64. 廖玲燕(2004)。碩士論文(碩士論文)。台北市，國立台灣大學心理學研究所。
65. 蔡芬芳(1997)。碩士論文(碩士論文)。台北市，國立台灣大學心理學研究所。

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