{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:07:10Z","timestamp":1791414430846,"version":"4.3.3"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>The war metaphor is one strategy used frequently in breast cancer to inspire individuals in a \u201cfight\u201d against cancer and assist patients in navigating their illness experience. Despite prominent use, the emotional impact of this language has not been examined in the context of meaning making among women with metastatic breast cancer (MBC).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This study involved a semi-structured interview considering the war metaphor\u2019s impact on women\u2019s illness experience with MBC. Participants (<jats:italic>n<\/jats:italic> = 22) had been diagnosed with MBC for at least 6 months or following 1 disease progression and were undergoing treatment at an NCI-designated cancer center in Western Pennsylvania at the time of interview. Each participant underwent an individual interview exploring the war metaphor\u2019s impact on illness experience. Qualitative thematic analysis was performed to assess feelings about the war metaphor and emotional response to the lived experience of cancer.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Two themes were identified surrounding metaphor use and participants\u2019 experiences with meaning making in cancer. First, women with MBC perceive the diagnosis as an \u201cunfair fight\u201d due to its incurable nature. Second, patients use alternative language of \u201cliving life\u201d and communicate resistance to being defined by their cancer diagnosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>War metaphors are one collection of terminology people use to understand their diagnosis. However, their use may apply pressure to prioritize positivity in the face of diagnosis and treatment, in a unique clinical context where this may not be adaptive. These findings affirm a need to consider patients\u2019 lived experiences to best facilitate psychological adjustment to illness.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00520-024-08309-5","type":"journal-article","created":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T07:02:27Z","timestamp":1705474947000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["I\u2019m still me, I\u2019m still a person: war metaphor use and meaning making in women with metastatic breast cancer"],"prefix":"10.1007","volume":"32","author":[{"given":"Sarah B.","family":"Hulse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zainab","family":"Balogun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret Q.","family":"Rosenzweig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna L.","family":"Marsland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa M.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"issue":"26","key":"8309_CR1","doi-asserted-by":"publisher","first-page":"6440","DOI":"10.1200\/JCO.2005.02.3259","volume":"23","author":"BD Bultz","year":"2005","unstructured":"Bultz BD, Carlson LE (2005) Emotional distress: the sixth vital sign in cancer care. 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All research activities involving human participants were performed in accordance with the ethical standards of the University of Pittsburgh Institutional Review Board and with the principles defined in the Declaration of Helsinki (1964) and its amendments.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"108"}}