 Descriptive statistics percentages, means and standard deviation SD were used to describe the proportions of patients who were interested in the group interventions and to examine their demographic, medical and psychological data. Baseline time 0 demographic, medical and psychological data were compared between groups to test for initial group equivalency using inferential statistics: analysis of variance ANOVA and Chi-square test, as appropriate. To be considered for the data analysis, patients had to attend at least three sessions. Multivariate analyses were calculated regarding group interventions and time of medical treatments during or after chemoradiation therapy. The pre- and post-assessment comparison of each measure within each group was made using the Wilcoxon test for matched pairs. All statistical tests were two-tailed, and a P-value 0.05 was considered statistically significant. Investigators also calculated Cohens d effect size for each group. The analyses were performed with SPSS Version 21.0 IBM Corp., Armonk, N.Y. 