The Effect of Acupuncture on Cancer-Related Cognitive Difficulties

Inclusion Criteria: * English-proficient adult women with a history of stage 0, I, II, or III breast cancer * Free of oncologic disease by clinical examination or history * Moderate or greater CRCD as indicated by a score of "quite a bit" or "very much" on at least one of the two items that specifically assess concentration and memory on the EORTC QLQ-C30 (version 3.0) * Report that cognitive functions worsened since cancer diagnosis by replying "Yes" to all 3 questions * Do you think or feel that your memory or mental ability has gotten worse since your cancer diagnosis? * Do you think your mind isn't as sharp now as it was before your cancer diagnosis? * Do you feel like these problems have made it harder to function on your job or take care of things around the home? * Presence of insomnia symptoms as indicated by a score ≥8 on the ISI134 * Willing to adhere to all study-related procedures, including randomization to one of the 3 possible choices: acupuncture, sham acupuncture, or wait-list control Exclusion Criteria: * Metastatic breast cancer (stage IV) * Less than 1 month since completion of surgery, chemotherapy or radiation therapy * Greater than 10 years since most recent breast cancer diagnosis * Use of acupuncture for sleep or cognitive symptom management within the past 3 months * Diagnosis of Alzheimer's disease, vascular dementia, Parkinson disease, or other organic brain disorder * Score of \>10 indicative of overt dementia on the Blessed Orientation-…