Stress Management for Cancer Survivors

This study aims to evaluate a computer-based stress-management therapy called expressive
writing. This involves logging in to an online survey and writing in the survey about your
thoughts and feelings about your cancer or to type in your everyday experiences. This
requires 20-30 minutes of writing a day for 4 consecutive days. You will also provide saliva
samples.

Inclusion Criteria:

- have completed their cancer radiation treatment (intent to cure),

- are cancer free, i.e. do not have currently have a diagnosis of primary/secondary
cancer or any recurrence/relapse of cancer,

- are in the re-entry phase of cancer survivorship, i.e. 2-12 months post-treatment
completion,

- have access to a computer and internet in a private setting, e.g. at home,

- are fluent in English,

- are able to provide informed consent.

Exclusion Criteria:

- patients scheduled to undergo any type of cancer treatment (intent to
cure/palliative) in the future (e.g. surgery after completing radiation),

- patients on any kind of corticosteroid medication (e.g. long-term prednisone
therapy),

- patients having any condition that affects function of the adrenal glands (e.g.
adrenal hyperplasia),

- patients with limited ability to produce saliva, e.g. patients that received
radiation (or surgery) on the face region or on salivary glands; or patient's
suffering from dry mouth (e.g. Sjögren's syndrome),

- patient's suffering from inflammation of the oral cavity (e.g. gingivitis).