The theoretical model: 'Narrative meaning making and integration of life events' hypothesizes that life events such as falling ill may result in an 'experience of contingency'. Through narrative meaning making, this experience may be eventually integrated into patients' life stories, which, in turn, may enhance their quality of life. To contribute to our understanding of this existential dimension of falling ill and to further validate the theoretical model, we examined the relationships among the concepts assessed with the RE-LIFE questionnaire. Two hypothesized mediation models were assessed using regression-based serial multiple mediation analysis. Model 1, assessing the influence of 'experience of contingency' on 'acknowledging', was significant and showed partial mediation by indirect influences through 'negative impact on life goals' and 'existential meaning'. Model 2, assessing the influence of 'experience of contingency' on 'quality of life', was also significant, with a full mediation by the variables 'negative impact on life goals', 'existential meaning' and 'acknowledging'. In conclusion, several hypothesized relationships within the theoretical model were confirmed. Narrative meaning making and integration significantly influence people's self-evaluation of their quality of life.

中文翻译：

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使用 RE-LIFE 问卷重建破坏性生活事件：使用多重中介分析进一步验证“生活事件的叙事意义制定”模型

理论模型：“生活事件的叙事意义制造和整合”假设，诸如生病等生活事件可能会导致“偶然性体验”。通过叙事意义的构建，这种体验最终可能会融入患者的生活故事，进而提高他们的生活质量。为了有助于我们理解生病的这个存在维度并进一步验证理论模型，我们检查了用 RE-LIFE 问卷评估的概念之间的关系。使用基于回归的连续多重中介分析评估了两个假设的中介模型。模型 1，评估“偶然经历”对“承认”的影响，是显着的，并通过“对生活目标的负面影响”和“存在意义”的间接影响显示出部分中介作用。模型 2 评估了“偶然经历”对“生活质量”的影响，也很重要，完全由变量“对生活目标的负面影响”、“存在意义”和“承认”调节。总之，理论模型中的几个假设关系得到了证实。叙事意义的形成和整合显着影响人们对其生活质量的自我评价。通过变量“对生活目标的负面影响”、“存在意义”和“承认”的充分中介。总之，理论模型中的几个假设关系得到了证实。叙事意义的形成和整合显着影响人们对其生活质量的自我评价。通过变量“对生活目标的负面影响”、“存在意义”和“承认”的充分中介。总之，理论模型中的几个假设关系得到了证实。叙事意义的形成和整合显着影响人们对其生活质量的自我评价。