Occupational Disruption and Role Strain During Perimenopause

Occupational Disruption and Role Strain During Perimenopause: A Mixed-Methods Study

The purpose of this sequential exploratory mixed-methods study is to examine the relationship between perimenopausal symptom severity and occupational performance, occupational balance, and role participation in women aged 40-55. A secondary purpose is to explore the lived experience of occupational disruption during perimenopause through qualitative interviews.

Perimenopause is associated with fatigue, sleep disturbance, vasomotor symptoms, mood changes, and cognitive difficulties. While the literature addresses symptom management, limited research examines the functional impact of perimenopause on daily occupations, work participation, and role performance. Occupational therapy (OT) emphasizes participation in meaningful activities; however, there is minimal research exploring occupational disruption during midlife hormonal transition. This study aims to add to the OT literature. The study aims to explore the question: How do perimenopausal symptoms impact occupational performance, role participation, and occupational balance in midlife women?

1. Is perimenopausal symptom severity associated with decreased occupational balance?
2. Is symptom severity associated with reduced role participation?
3. How do women describe the impact of perimenopause on daily occupations? The proposed study will examine how perimenopausal symptoms influence: Work performance, Home responsibilities, cognitive functioning, sleep and fatigue, and occupational balance. The goal is to better understand how healthcare professionals, including OTs, can support women during this transition.

Inclusion Criteria:

• Women aged 40-55
• Self-reported perimenopausal symptoms
• Currently employed (paid or unpaid) or managing household roles
• English-speaking

Exclusion Criteria:

• Surgical menopause
• Current pregnancy