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. 2021 Dec 8;8(12):e29661. doi: 10.2196/29661

Table 1.

Description of the interventions.

Study Therapeutic approach Intervention components Exposure Cognitive reappraisal Behavioral activation Therapist feedback
Brodbeck et al [41] CBTa Text-based modules including writing assignments, covering the areas psychoeducation, assessment of current situation, fostering positive thoughts and emotions, finding comfort, self-care, and accepting memories Yes Yes No Yes
Dominick et al [38] Social cognitive theory 3 intervention modules (“My grieving style”; “Who am I?”; and “How am I doing?”), including interactive exercises supplemented by video testimonials; type-in responses and check lists; additional models: “Grief experience” and “Resources” offering text articles and websites or books covering grief-related topics No Yes No No
Eisma et al [35] CBT Email-based homework assignments; exposure condition: writing assignments, imaginal or in vivo exposure exercises; behavioral activation condition: 7-day activity diary, identification of pleasurable and meaningful activities, identification of personal core values, development of new meaningful and pleasurable activities based on these values Yes No Yes Yes
Van der Houwen et al [39] CBT Email-based writing assignments; exposure: describing the most distressing aspects of the loss (2 assignments); cognitive reappraisal: information on and identification of dysfunctional grief cognitions, letter to hypothetical bereaved friend (2 assignments); integration or restoration: letter to the deceased (1 assignment) Yes Yes No No
Litz et al [40] CBT Internet-based psychoeducation (18 sessions); education about loss and grief, instruction on stress management and other coping skills, behavioral activation: assignments on self-care and social re-engagement, accommodation of loss by establishing and working toward a personalized goal, and relapse prevention No No Yes Yes
Kersting et al [34] CBT Email-based writing assignments; self-confrontation: describing the circumstances of the loss (4 assignments); cognitive restructuring: supportive letter to hypothetical bereaved friend (4 assignments); social sharing: symbolic farewell letter to oneself, a loved one, or a person connected to the loss (2 assignments) Yes Yes No Yes
Kersting et al [33] CBT Similar intervention components as Kersting et al [34] Yes Yes No Yes
Wagner et al [36] CBT Email-based writing assignments; exposure: describing the circumstances of the loss, specifically distressing loss-related thoughts (4 assignments); cognitive reappraisal: letter to hypothetical bereaved friend, identification of new role or identity after the loss and possible rituals to remember the deceased by, activation of social resources and competencies (4 assignments); integration and restoration: outlining important memories about the loss; reflecting on therapeutic process and grieving style; letter to oneself, a significant person, or a person related to the loss Yes Yes No Yes
Wagner and Maercker [37] CBT Similar intervention components as Wagner et al [36] Yes Yes No Yes

aCBT: cognitive behavioral therapy.