{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:58:30Z","timestamp":1773921510054,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2006,8,16]],"date-time":"2006-08-16T00:00:00Z","timestamp":1155686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2007,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Most patients are diagnosed with advanced lung cancer despite the presence of many and intense symptoms at diagnosis. This qualitative study aims to explore how people with inoperable lung cancer frame and conceptualize the onset of their sickness, to obtain knowledge which might facilitate earlier health care contact for people with potential lung cancer. Patients with inoperable lung cancer were recruited through a larger longitudinal study of 400 patients recruited consecutively from two university hospitals. The narrative analysis presented here is based on 91 narrative segments derived from audio\u2010taped and transcribed qualitative interviews with 37 patients who survived the first year post diagnosis, complemented with data from previous interviews with the same people. Findings indicate a wide array of bodily experiences leading to diagnosis, including symptoms seen as related to other disorders, systemic complaints not conceptualized as symptoms or indications of a serious problem, and more rarely, symptoms triggering immediate action. In addition to the \u2018biographical disruption\u2019 often associated with chronic illness, this analysis indicates an alternative or parallel process involving \u2018biographical continuity\u2019, allowing for integration of past and present aspects of patients' lives. Copyright \u00a9 2006 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1080","type":"journal-article","created":{"date-parts":[[2006,8,16]],"date-time":"2006-08-16T16:18:07Z","timestamp":1155745087000},"page":"466-473","source":"Crossref","is-referenced-by-count":39,"title":["Framing the onset of lung cancer biographically: narratives of continuity and disruption"],"prefix":"10.1002","volume":"16","author":[{"given":"Helena","family":"Leve\u00e4lahti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carol","family":"Tishelman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joakim","family":"\u00d6hl\u00e9n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,4,23]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.1_suppl.21S"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.127.3.768"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/02841860151116402"},{"issue":"18","key":"e_1_2_1_5_2","first-page":"23s","article-title":"Chemotherapy for advanced non\u2010small\u2010cell lung cancer: who, what, when, why?","volume":"20","author":"Bunn P","year":"2002","journal-title":"J Clin Oncol"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6600491"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2004.032698"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0169-5002(01)00293-8"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.04.00113603"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.123.1_suppl.97S"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1002\/pon.694"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.125.2.439"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.54.6.540"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1191\/026921601678576202"},{"issue":"1","key":"e_1_2_1_15_2","first-page":"45","article-title":"Effect of delays on prognosis in patients with non\u2010small cell lung cancer","volume":"59","author":"Myrdal G","year":"2004","journal-title":"Thorax"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1159\/000078318"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2004.029264"},{"key":"e_1_2_1_18_2","volume-title":"Contemporary Issues in Lung Cancer: A Nursing Perspective","author":"Haas M","year":"2003"},{"issue":"6","key":"e_1_2_1_19_2","first-page":"367","article-title":"A voice that wraps around the body\u2013communication problems in the advanced stages of non\u2010small cell lung cancer","volume":"74","author":"Moore RJ","year":"2001","journal-title":"Yale J Biol Med"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38111.639734.7C"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1800.2004.00235.x"},{"key":"e_1_2_1_22_2","volume-title":"Dialogue and Discourse in Clinical Practice","author":"Greenhalgh T","year":"1998"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139167017"},{"key":"e_1_2_1_24_2","volume-title":"Narrative Based Medicine. 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