{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:25:12Z","timestamp":1777890312268,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T00:00:00Z","timestamp":1575417600000},"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":["WORK: A Journal of Prevention, Assessment &amp; Rehabilitation"],"published-print":{"date-parts":[[2019,12,28]]},"abstract":"<jats:sec specific-use=\"heading-level-1\">\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Employment rates for people with HIV\/AIDS are low, compared to the general population. One widespread barrier is fatigue, accompanied by daytime sleepiness and a lack of stamina. Previous pharmacological studies have demonstrated improvement of fatigue-related symptoms without affecting work-related goal attainment<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-2\">\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>In this pilot study, we sought to determine whether a pharmacologic-behavioral two-phase combined approach could facilitate returning to work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-3\">\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>HIV+ participants with fatigue were treated with armodafinil. If energy improved, 8 sessions of biweekly manualized Behavioral Activation (BA) counseling were added to medication maintenance. Outcome was assessed on a 3-point scale along with clinician and self-ratings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-4\">\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Of the 46 participants enrolled in BA, 15 (33%) did not complete all 8 sessions: 6 got jobs so they no longer needed counseling; 4 did not like BA, and 5 dropped out for reasons such as moving away or substance use relapse. Of the 46, 29 (63%) attained their vocational goal and showed significant changes on self-report scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec specific-use=\"heading-level-5\">\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Our integrated treatment including armodafinil plus BA counseling significantly increased the success of achieving work-related goals. The two-phase medication plus counseling program was well-tolerated by participants and the manualized BA counseling was readily applied by counselors without advanced mental health training, making the method potentially feasible in community settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/wor-193046","type":"journal-article","created":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T11:26:50Z","timestamp":1575631610000},"page":"843-852","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Returning to work after fatigue treatment and counseling in HIV\/AIDS"],"prefix":"10.1177","volume":"64","author":[{"given":"Martin C.","family":"McElhiney","sequence":"first","affiliation":[{"name":"New York State Psychiatric Institute","place":["USA"]},{"name":"Columbia University Medical Center","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith G.","family":"Rabkin","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute","place":["USA"]},{"name":"Columbia University Medical Center","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacey B.","family":"Daughters","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin C.","family":"Timperlake","sequence":"additional","affiliation":[{"name":"Gallaudet University","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milton L.","family":"Wainberg","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center","place":["USA"]},{"name":"New York State Psychiatric Institute","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,12,4]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"Living and working with HIV in France in 2003: Results from the ANRS-EN12-VESPA Study","author":"Dray-Spira R","year":"2007","unstructured":"Dray-SpiraR, LertF, VESPA Study Group. 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