Brief Behavioral Therapy in Improving Sleep Disorders in Patients With Stage I-III Breast Cancer Undergoing Chemotherapy

Inclusion Criteria:

* Newly diagnosed breast cancer (stage I, II, III)
* Be receiving chemotherapy in either weekly, 2-week or 3-week cycles and have at least 6 weeks of chemotherapy treatment remaining; patients are eligible any time before chemotherapy cycle 3 if on a 2- or 3-week cycle, or cycle 4 if on a 1-week cycle; (Note: use of biologics \[e.g., Herceptin (trastuzumab)\] is permitted)

  * For patients on a weekly regimen, there should be at least 3 dosages of chemotherapy remaining
  * For patients on either a 2 week or 3 week cycle, there should be at least 2 dosages of chemotherapy remaining
  * Patients will not be dropped from the study if their chemotherapy is discontinued after they are enrolled
* Report sleep disturbance of 8 (sum total of all 7 items) or greater on the Insomnia Severity Index

  * (Note: this measure will be repeated again at baseline assessment)
* Report sleep problems that began or got worse with the diagnosis of cancer or with chemotherapy; (did your sleep problems begin or get worse with the diagnosis of cancer or with chemotherapy?)
* Be able to speak and read English
* Patients can take sleep aids (e.g., hypnotics and sedatives) for insomnia if they use sleep aids as needed; patients taking sleep aids every night are excluded; use of melatonin every night is permitted and these patients are not excluded
* Be able and willing to wear an Actiwatch for the entire 24 hours of each day they are scheduled to wear it

Exclusion Criteria:

* Have diagnosis of breast cancer stage IV
* Have sleep problems that began before diagnosis and have not changed since diagnosis
* Self-report or have a medical record of an unstable comorbid medical or psychiatric condition that would make it unsafe or impossible to adhere to the study protocol
* Have a clinical diagnosis of sleep apnea or restless leg syndrome
* Be unable or unwilling to discontinue anxiolytic medication within 4 hours of intervention sessions
* Take medication for sleep (e.g., hypnotics and sedatives) every night; melatonin is permitted
* Patients who are shift workers are excluded; shift worker is defined as someone who has irregular work and sleep hours (such as working a non-traditional schedule: e.g., 4pm-midnight or 10pm-6am; a rotating schedule e.g., alternating between day and night shifts, or starting work between 4am and 7am)
* Have an implanted device for heart failure (e.g., pacemaker, defibrillator, left ventricular assist device, etc.)