Reconstructing Disruptive Life Events Using the RE-LIFE Questionnaire: Further Validation of the 'Narrative Meaning Making of Life Events' Model Using Multiple Mediation Analysis

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.