title: Randomized pilot of a self-guided internet coping group for women with early-stage breast cancer.
abstract: BACKGROUND
  Internet-based methods for provision of psychological support and intervention to cancer survivors hold promise for increasing the public impact of such treatments.
  
  
  OBJECTIVE
  The goal of this controlled pilot study was to examine the effect and potential mechanisms of action of a self-guided, Internet-based coping-skills training group on quality of life outcomes in women with early-stage breast cancer.
  
  
  METHODS
  Sixty-two women completed baseline evaluations and were randomized into either a small online coping group or a waiting-list control condition.
  
  
  RESULTS
  No main effects for treatment were observed at the 12-week follow up. However, there was a significant interaction between baseline self-reported health status and treatment, such that women with poorer self-perceived health status showed greater improvement in perceived health over time when assigned to the treatment condition. Linguistic analyses revealed that positive changes across quality of life variables were associated with greater expression of negative emotions such as sadness and anxiety, greater cognitive processing, and lower expression of health-related concerns.
  
  
  CONCLUSIONS
  These results demonstrate the potential efficacy of self-guided Internet coping groups while highlighting the limitations of such groups.
authors.affiliation: Department of Psychology, Loma Linda University, CA 92350, USA. jowen@psych.llu.edu
authors.forename: Jason E
authors.initials: JE
authors.lastname: Owen
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Klapow
authors.forename: David L
authors.initials: DL
authors.lastname: Roth
authors.forename: John L
authors.initials: JL
authors.lastname: Shuster
authors.forename: Jeff
authors.initials: J
authors.lastname: Bellis
authors.forename: Ron
authors.initials: R
authors.lastname: Meredith
authors.forename: Diane C
authors.initials: DC
authors.lastname: Tucker
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology*; D004644:Emotions; D005260:Female; D006801:Humans; D020407:Internet; D008037:Linguistics; D008875:Middle Aged; D010353:Patient Education as Topic; D011615:Psychotherapy, Group; D011788:Quality of Life; D016896:Treatment Outcome