{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:33:33Z","timestamp":1777466013355,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T00:00:00Z","timestamp":1502409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Behav Modif"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p>Advances in HIV treatment through highly active antiretroviral therapy (HAART) have led to a steady decline in HIV-related mortality rates. However, HAART requires adherence to strict and often complicated medication regimens, and nonadherence to HAART can significantly decrease its effectiveness. Depression has consistently shown a robust association with medication nonadherence; consequently, numerous psychological interventions have been developed to target depression and increase medication adherence among HIV-infected individuals. The length of these interventions, however, may be prohibitive for certain HIV-infected populations, such as patients in rural areas. Therefore, this study provides an initial investigation of a one-session behavioral activation treatment for depression designed specifically for HIV-infected patients (BATD-HIV) at a community infectious disease clinic serving a largely rural population. In this initial uncontrolled open trial, BATD-HIV was administered to 10 HIV-infected patients with elevated symptoms of depression following their clinic appointment. Depression, anxiety, and stress symptom severity; behavioral activation processes; medication adherence; and CD4 T-cell count were assessed pre- and 1 month postintervention. Participants exhibited significant reductions in anxiety symptom severity and avoidance of negative aversive states and rumination from pre- to 1 month posttreatment. Although nonsignificant, participants also showed medium effect size reductions in depression and stress symptoms and work\/school and social impairment, and medium effect size improvements in medication adherence and CD4 T-cell counts. Despite the preliminary nature of this study, results suggest that BATD-HIV may have utility as a brief treatment for HIV-infected patients with depression and warrants further investigation in larger scale randomized controlled trials.<\/jats:p>","DOI":"10.1177\/0145445517723901","type":"journal-article","created":{"date-parts":[[2017,8,11]],"date-time":"2017-08-11T06:22:23Z","timestamp":1502432543000},"page":"196-209","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["An Initial Open Trial of a Brief Behavioral Activation Treatment for Depression and Medication Adherence in HIV-Infected Patients"],"prefix":"10.1177","volume":"42","author":[{"given":"Matthew T.","family":"Tull","sequence":"first","affiliation":[{"name":"The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher R.","family":"Berghoff","sequence":"additional","affiliation":[{"name":"The University of Toledo, Toledo, OH, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph R.","family":"Bardeen","sequence":"additional","affiliation":[{"name":"Auburn University, Auburn, AL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Schoenleber","sequence":"additional","affiliation":[{"name":"St. Norbert College, De Pere, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah J.","family":"Konkle-Parker","sequence":"additional","affiliation":[{"name":"The University of Mississippi Medical Center, Jackson, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,8,11]]},"reference":[{"key":"bibr1-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1080\/09540120701426516"},{"key":"bibr2-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500466820"},{"key":"bibr3-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.19.2.124"},{"key":"bibr4-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00468-2"},{"key":"bibr5-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1348\/014466508X377757"},{"key":"bibr6-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.11.001"},{"key":"bibr7-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1037\/1082-989X.1.2.170"},{"key":"bibr8-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1007\/BF03392173"},{"key":"bibr9-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1136\/ebmh.1.3.70"},{"key":"bibr10-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1037\/h0035605"},{"key":"bibr11-0145445517723901","doi-asserted-by":"publisher","DOI":"10.1037\/a0016383"},{"key":"bibr12-0145445517723901","first-page":"1","volume":"1","author":"Gonzalez J. 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