Inclusion Criteria:

- patient has a primary diagnosis of Stage 0 (Ductal Carcinoma in situ), 1, 2, or 3a
breast cancer

- patient has had breast cancer surgery within the last twelve months

- patient and partner married or cohabitating

- patient and partner 18 years of age or older

- patient and partner speak and read English

- patient and partner can provide meaningful informed consent

- patient and partner do not have any chronic physical or cognitive illness that would
preclude participation in the group sessions

- couple lives within 2 hour commuting distance to the center from which they are
recruited

Exclusion criteria:

- patient is male