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Confirmatory factor analysis results revealed an 18-item questionnaire with 3 factors extracted active coping, avoidance coping, and minimizing the situation. Conclusions The 24- and 18-item MWCQ-brief versions demonstrate fair psychometric properties to measure adaptability among women with breast cancer in Taiwan. This scale is simple but contains 4 or 3 concepts for coping that can be appropriately used to assess underlying states of adaptation in women with breast cancer. Implications for practice The MWCQ-brief is a valid and reliable tool to understan