Links between meaning in life and physical quality of life after rehabilitation: Mediating effects of positive experiences with physical exercises and mobility

Katarzyna Czekierda , Karolina Zarychta-Zajączkowska , Nina Knoll , Jan Keller , Aleksandra Łuszczyńska

Abstract

Background Indicators of emotional processes (positive experiences with physical exercises) and functional processes (mobility) were previously found to be associated with positive cognitive resources (meaning in life), and the key outcome in the rehabilitation, namely physical quality of life (QOL). Yet, the mediating roles of such processes were not tested. Therefore, this prospective study investigated whether the relationship between meaning in life and physical QOL was mediated by positive experiences with physical exercises and mobility. Methods Prospective data were collected at two measurement points, 1 month apart. A total of N = 339 participants (aged 19–84 years old, 57.9% women) provided data at Time 1 (T1) at the beginning of inpatient rehabilitation from central nervous system diseases (CNSD, e.g., stroke; n = 89) or musculoskeletal system diseases (MSD, e.g., dorsopathies; n = 250), and n = 234 at Time 2 (T2, the end of rehabilitation; 4 weeks after T1). Mediation analysis with meaning in life as predictor (T1), positive experiences with physical exercises and mobility as sequential mediators (T2), and physical QOL (T2) as the outcome was conducted. Results Higher meaning in life (T1) predicted more positive experiences with physical exercises (T2), which were associated with a higher level of mobility (T2), which in turn was associated with better physical quality of life (T2). Conclusions Meaning in life at the beginning of inpatient rehabilitation may trigger positive experiences with physical exercises and functional changes in mobility levels, leading to better physical quality of life. Screening for low meaning in life may allow to identify patients who are at risk for a lack of improvement of mobility and physical quality of life during rehabilitation.
Author Katarzyna Czekierda
Katarzyna Czekierda,,
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, Karolina Zarychta-Zajączkowska (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Karolina Zarychta-Zajączkowska,,
- II Wydział Psychologii we Wrocławiu
, Nina Knoll
Nina Knoll,,
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, Jan Keller
Jan Keller,,
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, Aleksandra Łuszczyńska (Filia we Wrocławiu / II Wydział Psychologii we Wrocławiu)
Aleksandra Łuszczyńska,,
- II Wydział Psychologii we Wrocławiu
Journal seriesPLoS ONE, ISSN 1932-6203, (N/A 100 pkt)
Issue year2019
Vol14
No10
Pages1-12
Publication size in sheets0.55
Article numbere0224503
ASJC Classification2700 General Medicine; 1100 General Agricultural and Biological Sciences; 1300 General Biochemistry, Genetics and Molecular Biology
DOIDOI:10.1371/journal.pone.0224503
Languageen angielski
File
Links_tekst.pdf 732.34 KB
Oświadczenie_ Luszczynska.pdf 104.35 KB
oswiadczenie_Zarychta.pdf 569.37 KB
Score (nominal)100
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2017 = 1.111; WoS Impact Factor: 2017 = 2.766 (2) - 2017=3.352 (5)
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