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

Autoři: Katarzyna Czekierda aff001;  Karolina Zarychta aff001;  Nina Knoll aff002;  Jan Keller aff002;  Aleksandra Luszczynska aff001
Působiště autorů: Wroclaw Faculty of Psychology, SWPS University of Social Sciences and Humanities, Wroclaw, Poland aff001;  Department of Psychology, Freie Universität Berlin, Berlin, Germany aff002;  Trauma, Health, & Hazards Center, University of Colorado at Colorado Springs, Colorado Springs, CO, United States of America aff003
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: 10.1371/journal.pone.0224503



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.


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.


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).


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.

Klíčová slova:

Cognition – Economics of training and education – Exercise – Global health – Inpatients – Labor economics – Musculoskeletal system – Quality of life


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2019 Číslo 10