Stress Reduction in Improving Quality of Life in Patients With Recurrent Gynecologic or Breast Cancer

Inclusion Criteria: * Diagnosis of recurrent breast or gynecologic cancer (any site) with any disease-free interval; second primary cancers do not meet this criterion * English speaking * Able and willing to give informed consent * To be considered for the blood and saliva collection, women must fulfill the following secondary criteria: * Diagnosis of recurrent breast or ovarian cancer with any disease-free interval Exclusion Criteria: * Residence \> 70 miles from research site * Subnormal intellectual potential (diagnosis of mental retardation) * Progressive neurological or chronic, progressive, debilitating condition (e.g., dementia) * Non-ambulatory * Life expectancy less than 160 days, per the treating oncologist * Current suicide risk sufficient to preclude treatment on an outpatient basis * Chronic inflammatory or autoimmune disorder (e.g., rheumatoid arthritis, lupus)