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Data included (1) pretest and\/or post\u2010test survey scores of demographic, disease\u2010related, and psychosocial factors, (2) automatically collected CHESS usage data, and (3) computer\u2010aided content analysis of social support messages posts.<\/jats:p><jats:p><jats:italic>Results<\/jats:italic>: Hierarchical regression analyses revealed that those who receive higher levels of support from others have fewer breast cancer\u2010related concerns (<jats:italic>\u03b2<\/jats:italic> = \u2212 0.15, <jats:italic>p<\/jats:italic>&lt;0.05), while those who give higher levels of support to others reframe their own problems in a positive light and adopt more positive strategies for coping (<jats:italic>\u03b2<\/jats:italic> = 0.16, <jats:italic>p<\/jats:italic>&lt;0.05). In addition to these positive effects, partial correlation analysis indicated that these two supportive behaviors are reciprocal.<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: We concluded that supportive exchanges of receiving and giving play positive, but different, roles in predicting psychosocial health outcomes. Moreover, emotional support giving and receiving tend to reinforce each other. Our findings help practitioners, health\u2010care providers, and health system designers make sense of diverse social support processes among cancer patients participating within CMSS groups. Copyright \u00a9 2011 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/pon.1942","type":"journal-article","created":{"date-parts":[[2011,3,18]],"date-time":"2011-03-18T02:43:08Z","timestamp":1300416188000},"page":"531-540","source":"Crossref","is-referenced-by-count":115,"title":["The process and effect of supportive message expression and reception in online breast cancer support groups"],"prefix":"10.1002","volume":"21","author":[{"given":"Eunkyung","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeong Yeob","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae Joon","family":"Moon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bret","family":"Shaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dhavan V.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona M.","family":"McTavish","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Gustafson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,3,17]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"36","article-title":"Psychosocial aspects of breast cancer treatment","volume":"24","author":"Spiegel D","year":"2007","journal-title":"Semin Oncol"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113575"},{"key":"e_1_2_7_4_2","volume-title":"Social Networks and Social Support","author":"Gottlieb BH","year":"1981"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.119.3.488"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327027hc1102_2"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1207\/s15327027hc0403_4"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-2466.2001.tb02879.x"},{"key":"e_1_2_7_9_2","first-page":"529","volume-title":"Handbook of Interpersonal Communication","author":"Walther JB","year":"2002"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/1359105304036100"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1035"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7449.1166"},{"key":"e_1_2_7_13_2","unstructured":"FoxS FallowsD. 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