Engagement in Meaningful Activity Mediates the Relationship Between Stressful Life Events and Functional Resilience

OTJR (Thorofare N J). 2024 Oct;44(4):689-698. doi: 10.1177/15394492241237746. Epub 2024 Mar 23.

Abstract

Resilience during stressful life events is a priority for administering the most client-centered care as possible. Occupational therapy practitioners have the unique opportunity to support resilience through promoting meaningful participation. The current study aims to understand the associations between meaningful activity engagement, resilience, and stressful life events. We specifically focused on answering if meaningful participation mediates the relationship between stressful life events and resilience. 492 participants from a non-clinical convenience sample of Amazon's MTurk completed the study. Participants completed an online survey and reported their experiences of stressful life events, resilience, well-being, and meaningful participation. We used SPSS and PROCESS to analyze our data. Stressful event severity and resilience were inversely related. When accounting for the effect of meaningful participation, the relationship became non-significant, indicating evidence of mediation. Implications: Focusing on measuring meaningful participation may be worth studying in further research.

Keywords: occupation; occupational science; regression analysis; survey.

Plain language summary

Engagement in Meaningful Activity Mediates the Relationship between Stressful Life Events and Functional ResilienceSupporting recovery both psychologically and physically after a stressful life event is an important aspect of providing client-centered care. By supporting patients’ and clients’ engagement in meaningful participation, therapists can promote resilient outcomes for all patients and clients. The current study explored the relationship between resilience and meaningful activity participation during stressful life events. The sample was comprised of a convenience sample of 492 participants who were recruited from the online crowdsourcing platform MTurk. The results of the study include that when the stressful life experience was more severe for an individual, they reported lower resilience scores. When meaningful activity participation was accounted for, the relationship between stressful life event severity and resilience became non-existent. The results of the study suggest the importance of using and measuring meaningful activity when supporting recovery after an stressful and adverse life event.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Life Change Events*
  • Male
  • Middle Aged
  • Occupational Therapy / methods
  • Resilience, Psychological*
  • Stress, Psychological / psychology
  • Surveys and Questionnaires
  • Young Adult