A growing body of evidence suggests that younger women with breast cancer are at increased risk of psychosocial distress compared with older women, both at diagnosis and follow-up (104,105,106,107,108,110,110). In a large prospective cohort study, women age 40 and younger who developed breast cancer experienced significant declines in their QOL compared with age-matched women without breast cancer (111). Adjusting for disease severity and treatment factors, young women who developed breast cancer had the largest relative declines in QOL following diagnosis compared with middle-aged and elderly women who developed breast cancer. In a survey of women who were 50 years or younger at diagnosis and disease-free at 6 years follow-up, women generally reported high levels of physical functioning, but the youngest women (ages 25–34 at diagnosis) exhibited the greatest degree of psychosocial distress, particularly with social and emotional functioning as well as vitality (22). Many young women also feel isolated and lacking information (112). When they attend breast cancer support groups, their issues are often substantially different from those of the older women. Others in their age cohort are planning for the future, whereas young women with breast cancer are facing a life-threatening and physically mutilating disease. Little information is available regarding work and life decisions made by these women. And although access to psychosocial support is associated with a better QOL in breast cancer survivors, these results have not been presented ...