Research Article
Effectiveness of Cognitive Behavioral Therapy in the Management of Depression among Patients with Advanced Breast Cancer in South-Eastern Nigeria
Issue:
Volume 15, Issue 4, August 2026
Pages:
52-59
Received:
24 August 2026
Accepted:
14 September 2026
Published:
28 September 2026
Abstract: Depression is common among patients diagnosed with advanced or metastatic breast cancer (BC), with the diagnosis often associated with severe emotional and psychological decline that may result from the disease or from treatment-related toxicity. Cognitive Behavioral Therapy (CBT) has emerged as one of the most evidence-based and effective psychotherapeutic approaches for the management of depression and anxiety in cancer populations but its implementation, use and role in the management of depression among advanced BC patients in low resource settings remains limited. Therefore, this study aimed to evaluate the effectiveness of CBT in reducing depressive symptoms among patients with advanced breast cancer patients receiving treatment at the University of Nigeria Teaching Hospital, Enugu. This study investigated the role of a six (6) week group CBT on depression among advanced BC patients. The study adopted randomized controlled Pre-test Post-test design. Forty two (42) advanced breast cancer patients were randomly divided into two groups: CBT group (n= 20) and control group (n= 22). The CBT group received a 6 week, 90 minutes CBT sessions once a week and the control group only received their cancer treatment and patient navigation assistance. Assessment was carried out for both groups at baseline (Pre-test) and the intervention. A total of BC patients were accessed for depression of which 42 patients recruited and 27 patients completed the study. Baseline assessment of participants showed mean depression scores of 12.05 ± 1.61 for CBT group and 12.77 ± 1.95 for the control groups (p=0.20). Post intervention assessment result showed that participants in the CBT group reported a significantly greater decrease in depression (3.50 ± 0.94) compared to participants in the control group (13.23 ± 1.78) (p<0.001). Cognitive behavioral therapy has been shown as an effective treatment for clinical depression. Implementing CBT into practice may appear challenging at first, but efforts to help these patients in achieving better all-around health are efforts well spent.
Abstract: Depression is common among patients diagnosed with advanced or metastatic breast cancer (BC), with the diagnosis often associated with severe emotional and psychological decline that may result from the disease or from treatment-related toxicity. Cognitive Behavioral Therapy (CBT) has emerged as one of the most evidence-based and effective psychoth...
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Research Article
Agreement Between Wearable-based Vital-sign Monitoring and Standard Bedside Monitoring in Patients After Knee Arthroscopy
Min Wang,
Pan Zhang,
Wenhui Ma,
Jing Hu-Yan,
Erfei Zhang*
Issue:
Volume 15, Issue 4, August 2026
Pages:
60-68
Received:
13 September 2026
Accepted:
8 October 2026
Published:
28 October 2026
DOI:
10.11648/j.cmr.20261504.12
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Abstract: Postoperative vital sign monitoring is essential for early detection of inpatient hemodynamic and respiratory complications. Although conventional bedside monitors serve as the clinical gold standard, their fixed design limits patient mobility and continuous ambulatory monitoring, which hinders early rehabilitation after orthopedic surgery. Wearable monitoring devices have shown great potential for postoperative vital sign surveillance due to their mobility and continuous data collection capabilities, yet real-world validation data in orthopedic postoperative patients remain insufficient, and wearable blood pressure measurement accuracy remains controversial. This study aimed to evaluate the agreement between a wearable monitor and a standard bedside monitor for heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure, and peripheral oxygen saturation (SpO2) in patients undergoing knee arthroscopy. A total of 100 elective knee arthroscopy patients were prospectively enrolled. Paired vital sign data were collected simultaneously via the two devices at four daily time points over two postoperative days. Intra-class correlation coefficient (ICC), Lin’s concordance correlation coefficient, Bland-Altman analysis, temporal trend analysis, and clinical acceptability evaluation were performed for statistical assessment. After excluding five missing values, 3995 paired observations were analyzed. The wearable device showed excellent agreement for heart rate (ICC = 0.994, bias = −0.63 bpm, 95% LoA: −2.97 to 1.70 bpm), good agreement for respiratory rate (ICC = 0.940, bias = −0.51 breaths/min, 95% LoA: −2.71 to 1.68 breaths/min), and moderate-to-good agreement for SpO2 (ICC = 0.872, bias = −0.85%, 95% LoA: −3.50 to 1.80%). Diastolic blood pressure showed moderate agreement (ICC = 0.827, bias = −1.42 mmHg, 95% LoA: −12.90 to 10.06 mmHg), while systolic blood pressure demonstrated the lowest agreement (ICC = 0.811) with a prominent positive systematic bias of 5.63 mmHg. Temporal trends remained stable across postoperative days, with consistent inter-device bias over time. The clinical acceptability rates of heart rate, respiratory rate and SpO2 exceeded 99.5%, compared with 92.2% for diastolic blood pressure and only 79.6% for systolic blood pressure. In conclusion, the wearable monitor provides reliable heart rate, respiratory rate, and SpO2 measurements and is suitable for routine postoperative monitoring after knee arthroscopy. However, blood pressure measurements, particularly systolic blood pressure, show notable systematic deviation, and targeted algorithm calibration is needed to improve its blood pressure monitoring performance.
Abstract: Postoperative vital sign monitoring is essential for early detection of inpatient hemodynamic and respiratory complications. Although conventional bedside monitors serve as the clinical gold standard, their fixed design limits patient mobility and continuous ambulatory monitoring, which hinders early rehabilitation after orthopedic surgery. Wearabl...
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,
Chioma Asuzu
