ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025
The mediating role of attribution style between psychological predictors and resilience in women newly diagnosed with breast cancer: a cross-sectional study.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study examined how attribution style mediates the relationship between psychological predictors and resilience in recently diagnosed women with breast cancer.
methodsIn total, 287 patients participated in this cross-sectional study. Pearson's correlation coefficient was used to identify the relationships between the above-mentioned variables. Multiple linear regression was utilized to examine the psychological factors that predicted resilience. Structural equation modeling (SEM) was applied to identify the mediating effects of attribution style on the relationship between psychological predictors and resilience.
resultsResilience was positively correlated with attribution style (r = 0.63), life attitude (r = 0.67), and confrontation coping (r = 0.56) and negatively correlated with resignation coping (r = -0.60). The predictors of resilience were life attitude (B = 0.26; 95% confidence interval [CI]: 0.20, 0.32; p < 0.001), attribution style (1.04 [0.53, 1.54], p < 0.001), confrontation coping (0.25 [0.09, 0.41], p = 0.003), and resignation coping (-0.26 [-0.48, -0.03], p = 0.026). The three SEM models consistently demonstrated significant direct, indirect, and total effects of life attitude and coping style (confrontation or resignation) on resilience. Attribution style played a significant mediating role in life attitude, coping style (confrontation or resignation), and resilience.
conclusionAttribution style was found to be a key mediator linking life attitude, coping style, and resilience. Interventions aimed at adjusting attribution style should be developed by considering the positive influences of life attitude and coping style on resilience in women newly diagnosed with breast cancer.
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