Page 35 - 《南京医科大学学报社会科学版》2025年第5期

南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
第5期 总第130期 南 ·
2025年10月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 459
Journal

The influence of activities of daily living on marital satisfaction among

older adults: based on the mediating role of anxiety

MENG Xinyu，WANG Zhizhong
School of Humanities and Social Sciences，Shanxi Medical University，Jinzhong 030600，China
Abstract：The study aims to explore the mechanism of anxiety between activities of daily living and
marital satisfaction，and to provide a theoretical basis for improving the marriage quality among older adults. A
convenience sampling method was used to select 419 older adults aged ≥60 years from Taiyuan，Jinzhong，

Yuncheng，and Jincheng cities in Shanxi Province as research subjects. Questionnaires were conducted using
the Barthel Index，Self ⁃ Rating Anxiety Scale，and the marital satisfaction subscale of the ENRICH Marital
Inventory. Results indicated that the score of activities of daily living among older adults was 100 （95.0，
100.0），the score of anxiety was 40（33.8，45.0），and the score of marital satisfaction was 39（32.0，46.0）.
There was a positive correlation between activities of daily living and marital satisfaction. The mediating analysis
revealed that anxiety played a complete mediating role in the impact of activities of daily living on marital
satisfaction. These findings suggest that alleviating anxiety can enhance marital satisfaction among older adults
experiencing declines in activities of daily living.
Key words：older adult；activities of daily living；anxiety；marital satisfaction