Group Interventions for Breast Cancer Survivors

Inclusion Criteria:

- History of non-metastatic breast cancer (DCIS or Stage I, II, or III) as recorded in
the medical record at MSKCC by self-report, or by outside correspondence, including a
study checklist signed by a physician for patients outside of MSKCC

- Post completion of treatment (may be on hormone therapy, such as Tamoxifen or
monoclonal antibody, such as Herceptin or Pertuzumab)) for any type of cancer as
confirmed by the medical record at MSKCC, by self-report, or by outside
correspondence, including a study checklist signed by a physician for patients outside
of MSKCC

- Age 18 or older

- Access to a telephone, computer (e.g. desktop, laptop, smartphone, tablet) and
Internet

For Phase 2 only:

- A score of ≥ to 4 on the Distress Thermometer (DT) and indication that this distress
is related in some way to the patient's breast cancer or survivorship

- If taking medication for mood, anxiety, depression, thoughts, sensory experiences such
as hallucinations, or sleep, stable and consistent enough in dosage and use of that
medication so as to not result in a clinically significant change as determined by the
study PI/co-PI or, confirmed by reports in the medical record at MSKCC, by selfreport,
or by outside correspondence, including a study checklist signed by a physician for
patients outside of MSKCC

- Did not participate in Phase 1

Exclusion Criteria:

- Evidence of or treatment metastatic disease

- Significant psychiatric or cognitive disturbance sufficient, in the investigator's
judgment, to preclude providing informed consent or participating in the groups (i.e.,
acute psychiatric symptoms which require individual treatment).