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Responding mindfully to unpleasant thoughts and images: Reliability and validity of the Southampton mindfulness questionnaire (SMQ)
Abstract
Objective: To assess the reliability and validity of the Southampton mindfulness questionnaire (SMQ), a 16‐item measure of mindful awareness of distressing thoughts and images. Methods: A total of 256 people participated, comprising a non‐clinical community sample of 134 (83 meditators and 51 non‐meditators) and a clinical sample of 122 people with a current distressing psychosis. To assess concurrent validity, non‐clinical participants and half clinical participants (total 197 participants) completed the mindful attention awareness scale (MAAS). Predicted links were assessed with affect, and 59 patients completed a validated measure to assess link between mindfulness and intensity of ‘delusional’ experience. Results: The scale has a single factor structure, was internally reliable, significantly correlated with the MAAS, showed expected associations with affect, and distinguished among meditators, non‐meditators and people with psychosis. Conclusions: The data support use of the SMQ in clinical practice and research to assess mindful responding to distressing thoughts and images.
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“The Southampton Mindfulness Questionnaire (SMQ) is a valid and reliable 16-item measure that assesses the degree to which a person can remain mindful in response to unpleasant thoughts and images (Chadwick et al., 2008).”
From Testing Mindfulness Mechanisms of Action on the Stress and Burnout of Social Workers (2024) · cites this paper as Chadwick et al., 2008
In the citing paper
“The SMQ is a 16-item measure assessing elements of mindfulness in response to unpleasant thoughts and images (Chadwick et al., 2008).”
From A randomised trial of Mindfulness-based Social Work and Self-Care with social workers (2023) · cites this paper as Chadwick et al., 2008
In the citing paper
“The SMQ has been found to have adequate concurrent and discriminant validity (Chadwick et al., 2008).”
From A randomised trial of Mindfulness-based Social Work and Self-Care with social workers (2023) · cites this paper as Chadwick et al., 2008
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Metadata
- Authors
- Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E., & Dagnan, D.
- Affiliations
- Royal South Hants Hospital (GB)
- University of Southampton (GB)
- King's College London (GB)
- Lancaster University (GB)
- Corresponding author
- Chadwick, Paul
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2008-11
- Volume
- 47
- Issue
- 4
- Pages
- 451-455
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2028960724
- Cited by
- 517
- References
- 12
- Citations by year
- 2026: 16 · 2025: 43 · 2024: 31 · 2023: 34 · 2022: 44 · 2021: 45 · 2020: 35 · 2019: 27 · 2018: 20 · 2017: 23 · 2016: 39 · 2015: 30 · 2014: 25 · 2013: 32 · 2012: 33
- FWCI
- 13.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Lancaster EPrints (Lancaster University) (submittedVersion)
- Insight (University of Cumbria) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- mindfulness, psychosis, delusional experiences, Mindful Attention Awareness Scale, meditators, affect, psychometric validation, factor structure
- MeSH terms
- Adolescent, Adult, Aged, Attention, Awareness, Cognition Disorders, Delusions, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Psychotic Disorders, Surveys and Questionnaires, Sensitivity and Specificity, Reproducibility of Results
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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