“…Participants should be reminded regularly of the limitations of confidentiality and that, in some ways, they should treat their postings as potentially public documents. Manhal-Baugus, 72 Childress, 73 and Humphreys et al 74 have reviewed the ethical issues involved in webbased interventions. This study adds to the growing literature on the benefits of various interventions for primary breast carcinoma patients, including the benefits of brief, unstructured, supportive-expressive group therapy, 75,76 brief education-based groups, 66 and brief cognitivebehavioral groups.…”