Effectiveness of psychosocial intervention for internalizing behavior problems among children of parents with alcohol dependence: Randomized controlled trial

Table 1 Protocol of brief cognitive behavior therapy

Session	Techniques (methods)	Personal projects
I: Initiating therapeutic process	(1) Mini-lecture on effects of alcoholism; (2) Group discussion; (3) In session practice-list the effects of alcoholism on their family; (4) Relaxation exercises; and (5) Psychoeducation	(1) Mood thermometer; and (2) Practice deep breathing exercises
II: Identifying negative thoughts	(1) Mini-lecture on positive and negative thoughts; (2) In session practice list of positive and negative thoughts; and (3) Relaxation exercises	(1) Mood thermometer; (2) List of positive and negative thoughts; (3) Practice deep breathing exercises; and (4) Practice progressive muscle relaxation
III: Identifying thinking errors	(1) Mini-lecture on thinking errors; (2) Group discussion on common thinking errors; (3) In session practice–categorizing negative thoughts into suitable cognitive distortions; and (4) Relaxation exercises	(1) Mood thermometer; (2) Continue to list positive and negative thoughts; (3) Practice deep breathing exercises and progressive muscle relaxation; and (4) Work sheet for recoding thinking errors
IV: Cognitive restructuring	(1) Mini-lecture on distraction techniques; (2) In session practice–converting negative thought into positive thought; and (3) Relaxation exercises	(1) Mood thermometer; (2) Practice some of strategies discussed to improve positive thoughts; (3) Practice deep breathing exercise, progressive muscle relaxation and guided imagery; and (4) Work sheet for recoding thinking errors
V: Untwisting negative thinking	(1) Mini-lecture on 10 ways of untwisting negative thinking; (2) In session practice–challenging cognitive distortions; (3) Group discussion on rational thinking; and (4) Relaxation exercises	(1) Mood thermometer; (2) Practice some of strategies discussed to challenge cognitive distortions; (3) Practice deep breathing exercise, progressive muscle relaxation and guided imagery; and (4) Challenging cognitive distortions
VI: Behavioral activation	(1) Mini-lecture on scheduling pleasurable activities and how to mastery over those activities; (2) In session practice-list of pleasant activities; (3) Relaxation exercises; and (4) Group discussion on healthy lifestyle.	(1) Mood thermometer; (2) Practice deep breathing exercise, progressive muscle relaxation and guided imagery; (3) List of pleasant activities; and (4) Weekly schedule for behavioral activation
VII: Effective coping mechanism	(1) Problem solving game; (2) Mini-lecture on coping mechanism and expression of emotions in healthy way; and (3) Relaxation exercises	(1) Mood thermometer; (2) Practice all relaxation exercises; (3) List of pleasant activities; and (4) Weekly schedule for behavioral activation
VIII: Social skills and assertiveness	(1) Mini-lecture on social skills and assertiveness; (2) Relaxation exercises; and (3) Group sharing on activities learned in each session	Practice techniques learned in all sessions