Study of Cognitive Behavioral Therapy for Insomnia (CBT-I) and Acupuncture for Insomnia and Related Distress Among Cancer Caregivers

Inclusion Criteria:

- As per self report, age 18 and older

- As per self report, identifying as an informal caregiver to MSKCC patients of any site
or stage of cancer

- Score greater than 7 on the Insomnia Severity Index and meet the criteria for Insomnia
Disorder as defined by the Diagnostic and Statistical Manual of Mental disorders, 5th
Edition (DSM-5) (56) as assessed by the Insomnia Interview Schedule

- In the judgment of the investigators and/or consenting professional, able to read and
comprehend English

- In the judgment of the consenting professional cognitively able to provide informed
consent

Exclusion Criteria:

- As per self report, participant has another sleep disorder provided that it is not
adequately treated (e.g., sleep apnea without CPAP treatment)

- As per self report, participant has major depressive disorder, alcohol or drug
dependence and

- As per self report, heavy drinker (regularly having more than 14 alcoholic beverages
per week)

- As per self report, engaging in night shift work

- To not obscure cortisol assessment, regular smokers per self report (daily use) will
be excluded.

- As per self report significant needle phobia as to prevent participation in
acupuncture