Examination of the reliability and validity of the Mindful Eating Questionnaire in pregnant women.

OBJECTIVE: Mindfulness is theorized to affect the eating behavior and weight of pregnant women, yet no measure has been validated during pregnancy. METHODS: This study qualitatively and quantitatively evaluated the reliability and validity of the Mindful Eating Questionnaire (MEQ) in overweight and obese pregnant women. Participants completed focus groups and cognitive interviews. The MEQ was administered twice to measure test-retest reliability. The Eating Inventory (EI) and Mindful Attention Awareness Scale (MAAS) were administered to assess convergent validity, and the Neighborhood Environment Walkability Scale (NEWS) assessed discriminant validity. RESULTS: Participants were 20 ± 8 weeks gestation (mean ± SD), 30 ± 2 years old, and 55% were obese. The MEQ total score had good test-retest reliability (r = .85). The total score internal consistency reliability was poor (Cronbach's α = .56). The external cues subscale (ECS) was not internally consistent (α = .31). Other subscales ranged from α = .59-.68. When the ECS was excluded, the MEQ total score internal consistency was acceptable (α = .62). Convergent validity was supported by the MEQ total score (with and without ECS) correlating significantly with the MAAS and the EI disinhibition and hunger subscales. Discriminant validity of the MEQ was supported by the MEQ and NEWS total scores and subscales not being significantly correlated. The quantitative results were supported by the qualitative context and content analysis. CONCLUSION: With the exception of the ECS, the MEQ's reliability and validity was supported in pregnant women, and most of the subscales were more robust in pregnant women than in the original sample of healthy adults. The MEQ's use with overweight and obese pregnant women is supported.

Light on body image treatment: acceptance through mindfulness.

The treatment of body image has to be multifaceted and should be directed toward the treatment of the whole individual-body, mind, and spirit-with an ultimate culmination of acceptance and compassion for the self. This article presents information on a mindful approach to the treatment of body image as it pertains to concerns with body size and shape. This approach fosters the idea that the treatment process should be one of observation, nonjudgment, neutrality, and acceptance. To this end, this article will depict the conceptualization of body image treatment from a mindful perspective, in which mindfulness serves as the foundation on which the multiple facets of treatment are built. The core components of body image treatment (i.e., cognitive, perceptual, behavioral, and emotional), in the context of mindfulness, are discussed as they relate to the treatment of body image disturbance. This article may be viewed as a theoretical overview of a new treatment concept for body image disturbance.