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Table 1 Categories, subcategories, and initial categories

From: Falling and rising in the vortex of cancer: children’s adaptation with cancer: a qualitative study

Physical challenges (physiological mode)

Disruption in breathing pattern

Disruption in nutritional pattern

Disruption in activity and rest pattern

Collapse of the protective system

Unpleasant accompaniment of pain

Agitated nerves

Oxygenation less than the body’s need

Need for respiratory support

Change in food intake level

Adherence to the diet

Lack of adherence to the diet

Weight fluctuations

Limitations in performing daily activities

Limited leisure

Change in play pattern

Disruption in sleep pattern

Disruption in skin integrity

Hair loss

Immune system weakness

Pain due to cancer

Pain due to diagnosis and treatment

Pharmacological methods of pain relief

Non-Pharmacological methods of pain relief

Inefficiency of pain relief methods

Symptoms of CNS involvement

Resolving neurological symptoms post-treatment

Fragile self-concept (self-concept mode)

Distorted body image (physical self)

Unstable personal self (personal self)

Feeling of ugliness following hair loss

Efforts to regain fitness

Apprehension

Emotional behavior

Fragile spirituality

Threatened future

Efforts for positive thinking

Difficulty of role transition (role function mode)

Responsibility despite cancer (primary role)

Loss of income (secondary role)

Efforts to tolerate cancer (tertiary role)

Adjusting responsibility at home

Continuing education despite difficulties

Employment before the disease

Quitting one’s job after the disease

In search of diagnosis

Cancer bottlenecks

Adherence to treatment

Reduction in social activities

Disruption of the path to independence(interdependence mode)

Influential others (significant others)

Insufficient support systems

Empowering behaviors

Limiting behaviors

Financial problems of the family

Lack of an integrated and purposive treatment system

Sufficiency of the educational system

Helpfulness of charity associations

Lack of specialized and all-inclusive insurance