Department of Psychology, The Education University of Hong Kong, Hong Kong, China.
Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, China.
Int J Environ Res Public Health. 2021 May 18;18(10):5352. doi: 10.3390/ijerph18105352.
(1) Background. Extending previous work, the present study examined whether marital satisfaction would magnify the dyadic effect of disabilities on life satisfaction among older married couples. (2) Methods. With responses collected from 11,694 participants (5847 couples; age = 63.36 years, median: 62 years) in a large-scale survey study in China in 2015, the actor-partner interdependence model (APIM) analyses were conducted to examine how marital satisfaction moderated the actor and partner effects of disabilities on life satisfaction. In addition, mixed linear model analyses were conducted to examine the gender effect. (3) Results. The results showed that marital satisfaction magnified the negative association between disabilities and life satisfaction with different patterns for each gender. Specifically, husbands' disabilities significantly negatively predicted their own levels of life satisfaction among those with higher marital satisfaction but not among those with lower marital satisfaction. In contrast, for wives, spousal disabilities significantly predicted lower levels of life satisfaction among those with higher marital satisfaction but not among those with lower marital satisfaction. (4) Conclusions. The evidence for the magnifying effect of marital satisfaction obtained in the present study implicates the importance of taking dyadic dynamics in close relationships into account in health care research.
(1) 背景。在先前工作的基础上，本研究检验了婚姻满意度是否会放大残疾对老年已婚夫妇生活满意度的双重影响。(2) 方法。本研究采用 2015 年在中国进行的一项大规模调查研究中收集的 11694 名参与者（5847 对夫妇；年龄=63.36 岁，中位数：62 岁）的回应，运用演员-伙伴相互依赖模型（APIM）分析来检验婚姻满意度如何调节残疾对生活满意度的演员和伙伴效应。此外，还进行了混合线性模型分析以检验性别效应。(3) 结果。结果表明，婚姻满意度放大了残疾与生活满意度之间的负相关关系，但对于不同性别，其模式有所不同。具体来说，在婚姻满意度较高的情况下，丈夫的残疾显著地负向预测了他们自身的生活满意度，但在婚姻满意度较低的情况下则没有。相比之下，对于妻子来说，在婚姻满意度较高的情况下，配偶的残疾显著地预测了较低的生活满意度，但在婚姻满意度较低的情况下则没有。(4) 结论。本研究中获得的婚姻满意度放大效应的证据表明，在医疗保健研究中考虑亲密关系中的二元动态的重要性。
