CD4 and depressive symptom measurement: Depression is commonly linked to ART non-adherence among HIVinfected individuals (Kidia etal., 2015), with recent findings highlighting depression as aself-reported explanation for non-adherence to viral suppression medication (Betancur et al., 2017).Research also suggests that chronic depressive symptoms are associated with higherviral loads and lower CD4 counts (Crawford and Thornton, 2017; Ickovics et al., 2001;Yehia et al., 2015),irrespective of medication adherence (Amanor-Boadu et al., 2016).