Psychological Adjustment to Breast Cancer Diagnosis and Treatment: Evaluating an Interactive Self-Help Workbook.

INTERVENTION: The self‐help workbook was entitled "Finding Your Way". This intervention consisted of several components, including: education about common psychosocial issues, relaxation and meditation (relaxation/meditation CD included), suggestions, cognitive behaviour therapy worksheets, survivor quotes and stories, and therapeutic writing. The level of utilisation was up to participants, but was monitred via structured feedback phone calls at 1 and 2 months, and via self‐report at follow‐up assessments. The total duration of the study was 6 months. CONDITION: breast cancer distress PRIMARY OUTCOME: Distress: Anxiety scores as measured by Depression Anxiety Stress Scale Distress: Depression scores as measured by Depression Anxiety stress Scale Distress: Truamatic stress as measured by the total scale score of the Posttraumatic Stress Scale‐Self Report SECONDARY OUTCOME: Maladaptive coping: anxious preoccupation ‐ measured by the mini‐Mental Adjustment to Cancer Scale Maladaptive coping: cognitive avoidance ‐ measured by the mini‐Mental Adjustment to Cancer Scale Maladaptive coping: helplessness/hopelessness ‐ measured by the mini‐Mental Adjustment to Cancer Scale Quality of life (QOL): Global QOL, measured by EORTC QLQ‐C30 Quality of life: Body Image, measured by EORTC BR‐23. INCLUSION CRITERIA: Stage 0 to II breast cancer, diagnosed in the previous month, English speaking, aged 18 years or over