Breast cancer is the most frequently diagnosed cancer worldwide (23%) and the leading cause of cancer-related deaths among women (14%).1 In Oman, the incidence of breast cancer increased from 53 cases in 1996 to 104 cases in 2008, with 100–150 new cases reported annually.2 Moreover, in comparison to Western women, women in Oman are often diagnosed in the later stages of cancer, at an earlier age and have lower survival rates.2,3 A diagnosis of breast cancer can be devastating and can trigger distressing psychological reactions in patients, including feelings of hopelessness, anxiety, fear, lone liness, negative self-image and self-blaming as well as sexual problems.4–6 Women with breast cancer have also reported suffering from social discrimination and stigma; hence, they may be less able to cope with the subsequent challenges and adjustments which come with their diagnosis.