Inclusion Criteria:  Omani Women Having a breast cancer diagnosis stage, I and II Completing breast cancer surgery within 5 years Subsequently received adjuvant treatment including chemotherapy, hormonal treatment, or Radiation therapy Being comfortable writing and speaking in Arabic Or English  Exclusion Criteria:  Nonconsenting Presence of severe physical illness Diagnoses with severe Mental or intellectual disorder Advanced breast cancer Un able to comply with trial protocol Presence of another cancer diagnoses