The primary goal of our project is to study how being a breast cancer survivor affects the trajectory of quality of life in different race/ethnic groups, and how that relationship is modified by social support, depression, and spirituality. We are studying the trajectory of quality of life for a two-year period in four distinct subgroups of breast cancer survivors: African -American, Asian - American, Latina, and white American women. The findings may provide the broader health, social services, and policy communities withnew ideas about how to meet the needs of breast cancer survivors from diverse populations.Through understanding the support needs (social, spiritual, mental) of breast cancer survivors from these populations, culturally tailored social support programs can be implemented that can enhance the quality of life for breast cancer survivors in diverse communities.