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. 2019 May 14;9(5):e028739. doi: 10.1136/bmjopen-2018-028739

Table 1.

Intervention content

Main intervention
 Session Content
 1. Introduction Goal setting and importance of pleasant activities
 2. Tackling problems Identification of problems and problem-solving based on behavioural activation
 3. Psychoeducation Psychoeducation focusing either on depression or anxiety depending on individual needs
 4. Cognitive restructuring Development of functional positive thinking after identifying the relationship between thoughts, well-being and practising strategies
 5. Choosing most prominent symptoms Problem-solving targeted at either depression or exposure to anxiety-provoking stimuli depending on individual needs
 6. Deepening of skills chosen in session 5 Problem-solving and exposure in daily life
 7. Plan for the future Reflection on goal attainment and learning experiences. Implementation of intentions until the booster session
 8. Booster session (4 weeks after the completion of the seventh session) Reflection on goal attainment and learning experiences. Implementation of intentions during the upcoming months
 Elective modules
 1. Worry and rumination Information on worry and rumination, using a worry-diary and other techniques to challenge such thoughts
 2. Acceptance of unfulfilled needs Attending to unfulfilled needs and unsolvable problems and learning to accept them
 3. Relaxation Exercise on progressive muscle relaxation
 4. Alcohol consumption as emotion regulator Information on the relationship between mood and alcohol, self-assessment of consumption and techniques to decrease it
 5. Self-worth Information on the effects of low self-worth and exercises to increase it
 6. Perfectionism Identifying personal high standards and learning techniques to exit from a vicious circle
 7. Appreciation and gratitude Learning how to express gratitude and how to consciously appreciate positive things in daily life
 8. Sleep hygiene Sleep-limitation technique (ie, by initially limiting sleep being able to ultimately sleep better)