Nurse-led attribution remodeling training based on the Neuman systems model to enhance resilience, adaptive coping, and attributional style in women newly diagnosed with breast cancer: A randomized controlled trial.
Int J Nurs StudJul 14, 2026 (epub)
Kaina Zhou, Li Yang, Cong Yao et al.
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In 30 seconds
This randomized controlled trial evaluated a nurse-led attribution remodeling training intervention for 130 women newly diagnosed with breast cancer. The intervention aimed to improve resilience, adaptive coping, and attributional style. At the 6-month follow-up, the intervention group showed significant improvements in resilience (mean difference: 1.49) and adaptive attributional style (4.16), among other outcomes.
Key findings
- At 6 months, the intervention group had a mean difference of 1.49 in resilience compared to the control group.
- Confrontation coping improved by 3.35 in the intervention group at 6 months.
- Adaptive attributional style increased by 4.16 in the intervention group at 6 months.
- Resignation coping decreased by -1.66 in the intervention group.
Why it matters
This study highlights the importance of addressing maladaptive attributional styles in breast cancer patients, suggesting that targeted psychological interventions can enhance resilience and coping strategies during a critical adjustment period.