title: Not feeling sick from breast cancer: A framework on health status perceptions transition process.
abstract: OBJECTIVE
  In what state of health do women with breast cancer consider themselves to be? Health professionals classify them as cancer victims but few studies have examined women's perceptions of their own health following a breast cancer diagnosis. We looked at the transition in health status perceptions between before and after receiving the diagnosis.
  
  
  METHODS
  A grounded theory design was chosen to develop a framework.
  
  
  RESULTS
  From an analysis of semi-structured individual interviews with 32 women, it emerged that 1) over a two-year period, the participants went through four iterative steps between receipt of the official diagnosis and the return of the level of energy once the treatments are done. Theses four steps are: reacting emotionally, facing the situation, constructing a new identity and reacting to social representations of cancer, 2) the participants did not feel sick from breast cancer.
  
  
  CONCLUSIONS
  This study shows learning to live with a sword of Damocles over the head during the transition process. The emergent steps of the health status perceptions transition process in breast cancer trajectory give direction for care.
authors.affiliation: University of Quebec in Trois-Rivieres, 3351 Boul. des Forges. C.P. 500, Trois-Rivières, Québec, G9A 5H7, Canada. Electronic address: Maude.Hebert@uqtr.ca.
authors.forename: Maude
authors.initials: M
authors.lastname: Hébert
authors.affiliation: Nursing School, University of Sherbrooke, 3001, 12(e) Avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada. Electronic address: Frances.Gallagher@usherbrooke.ca.
authors.forename: Frances
authors.initials: F
authors.lastname: Gallagher
authors.affiliation: Nursing School, University of Sherbrooke, 3001, 12(e) Avenue Nord, Sherbrooke, Québec, J1H 5N4, Canada. Electronic address: Denise.St-Cyr.Tribble@usherbrooke.ca.
authors.forename: Denise
authors.initials: D
authors.lastname: St-Cyr Tribble
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000150:complications* / Q000523:psychology*; D015331:Cohort Studies; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008875:Middle Aged; D010465:Perception; D011792:Quebec; D012649:Self Concept
keywords: Breast cancer; Grounded theory; Health status; Perceptions; Transition