Table 1.

Intervention Sessions, Modules with Targeted Strategies and Measures

Session #1 Increase Mindful Awareness (phone)	Intervention Module 1: Personal Story of Emotional Response to Breast Cancer 2: Psychoeducation and Monitoring Emotional Experiences	Targeted Strategies and Measures Describe emotions and thoughts – FFMQ Non-judging stance toward emotions and thoughts –FFMQ Distress tolerance - DTS
#2 Increase Approach (in person)	3: Approach coping and mindfulness 4: Cognitive Flexibility	Cancer-related acceptance – COPE ACCEPTANCE Cancer-related emotion expression – EAC Notice/reappraise thinking – UP CSQ
#3 Reduce Avoidance (in person)	5: Countering Emotion-Driven Behaviors 6. Emotional Exposure	Cancer-related mental and behavioral disengagement & denial – COPE-AVOID Rumination - RRQ Experiential avoidance – MEAQ Reduce fear of depression – ACS
#4 Retention of Changes (phone)	7: Maintaining Emotional Approach and Low Avoidance 8: Anticipating Barriers and Moving Forward

FFMQ = Five Factor Mindfulness Questionnaire: Describe and Non-judging Subscales³³

DTS = Distress Tolerance Scale³⁴

COPE Inventory = Cancer-related Acceptance and Avoidance Subscales³⁵

EAC – Emotion Approach Coping: Emotion Expression Subscale³⁶

UP CSQ = Unified Protocol Cognitive Skills Questionnaire³⁷

RRQ = Rumination subscale of the Rumination and Reflection Questionnaire³⁸

MEAQ = Multidimensional Experiential Avoidance: Avoidance and Repression Subscales³⁹

ACS = Affective Control Scale: Depression Subscale⁴⁰