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A theoretical model of the perimenopausal process.

A A Quinn1

  • 1University of Colorado Health Sciences Center, School of Nursing, Denver 80262.

Journal of Nurse-Midwifery
|January 1, 1991
PubMed
Summary

This study explored the menopause transition in 12 perimenopausal women, developing a theory called "Integrating a Changing Me" to explain their experiences. It highlights awareness, emotional processing, meaning-making, and adjustments during this life stage.

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Area of Science:

  • Women's Health
  • Menopause Transition
  • Qualitative Research

Background:

  • Menopause significantly impacts women's health and well-being.
  • Understanding the subjective experience of perimenopause is crucial for effective healthcare.
  • Existing theories may not fully capture the lived experiences of women during this transition.

Purpose of the Study:

  • To generate a grounded theory explaining the perimenopausal process from women's perspectives.
  • To explore the multifaceted experiences of women navigating menopause.
  • To provide a theoretical framework for understanding women's adaptation to menopause.

Main Methods:

  • Qualitative investigation using a purposive sample of 12 perimenopausal women.
  • Data collection through in-depth interviews, two-month daily logs, and field notes.
  • Grounded theory methodology to develop a substantive theory from participant data.

Main Results:

  • A substantive theory, "Integrating a Changing Me," was developed.
  • The theory identified four key categories: Tuning Into Me, Facing a Paradox of Feelings, Contrasting Impressions, and Making Adjustments.
  • These categories describe the awareness of changes, emotional processing, information assimilation, and adaptive strategies during perimenopause.

Conclusions:

  • The "Integrating a Changing Me" theory offers a comprehensive understanding of the perimenopausal process.
  • Findings have implications for improving healthcare and educational support for perimenopausal women.
  • Recognizing women's subjective experiences is vital for supportive menopause care.

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