The relationship between chronic stress and weight management efforts may be a concern for African American (AA) women, who have a high prevalence of obesity, high stress levels, and modest response to obesity treatment. This pilot study randomly assigned 44 overweight/obese AA women with moderate to high stress levels to either a 12-week adaptation of the Diabetes Prevention Program Lifestyle Balance intervention augmented with stress management strategies (Lifestyle + Stress) or Lifestyle Alone. A trend toward greater percentage of baseline weight loss at 3-month data collection was observed in Lifestyle + Stress (-2.7 plus or minus 3.6%) compared with Lifestyle Alone (-1.4 plus or minus 2.3%; "p" = 0.17) and a greater reduction in salivary cortisol (Lifestyle + Stress: -0.2461 plus or minus 0.3985 ng/mL; Lifestyle Alone: -0.0002 plus or minus 0.6275 ng/mL; "p" = 0.20). These promising results suggest that augmenting a behavioral weight control intervention with stress management components may be beneficial for overweight/obese AA women with moderate to high stress levels and merit further investigation with an adequately powered trial. (Contains 2 figures and 3 tables.)