Emotional Freedom Techniques for Treating Post Traumatic Stress Disorder: an Updated Systematic Review and Meta-analysis

Overview

Journal Front Psychol

Date 2023 Aug 28

PMID 37637920

Authors

Peta Stapleton

Kevin Kip

Dawson Church

Loren Toussaint

Jacqui Footman

Pat Ballantyne

Tom OKeefe

Affiliations

Soon will be listed here.

Abstract

Introduction: Clinical Emotional Freedom Techniques (EFT) is a psychophysiological intervention that includes cognitive and somatic elements, utilizing techniques from both Cognitive Behavioral Therapy (CBT) and Prolonged Exposure therapy (PE). Because only a single meta-analysis existed examining EFT for PTSD, this systematic review and meta-analysis represents an update.

Method: Ten databases were searched for quantitative reviews and randomised clinical trials, and six met inclusion criteria.

Results: Study quality and effect size were evaluated and the results demonstrated that treatment with Clinical EFT, when compared to wait list, usual care, or no treatment controls, resulted in significant and large effect sizes, ranging from 1.38 to 2.51. When compared to active controls, effect sizes ranged from -0.15 to 0.79, producing treatment results similar to other evidence-based therapies.

Discussion: Limitations are presented and considerations for further research are proposed.

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References

Church D, Stapleton P, Vasudevan A, OKeefe T . Clinical EFT as an evidence-based practice for the treatment of psychological and physiological conditions: A systematic review. Front Psychol. 2022; 13:951451. PMC: 9692186. DOI: 10.3389/fpsyg.2022.951451. View

Church D, Yount G, Rachlin K, Fox L, Nelms J . Epigenetic Effects of PTSD Remediation in Veterans Using Clinical Emotional Freedom Techniques: A Randomized Controlled Pilot Study. Am J Health Promot. 2016; 32(1):112-122. DOI: 10.1177/0890117116661154. View

Clond M . Emotional Freedom Techniques for Anxiety: A Systematic Review With Meta-analysis. J Nerv Ment Dis. 2016; 204(5):388-95. DOI: 10.1097/NMD.0000000000000483. View

Karatzias T, Power K, Brown K, McGoldrick T, Begum M, Young J . A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder: eye movement desensitization and reprocessing vs. emotional freedom techniques. J Nerv Ment Dis. 2011; 199(6):372-8. DOI: 10.1097/NMD.0b013e31821cd262. View

Bach D, Groesbeck G, Stapleton P, Sims R, Blickheuser K, Church D . Clinical EFT (Emotional Freedom Techniques) Improves Multiple Physiological Markers of Health. J Evid Based Integr Med. 2019; 24:2515690X18823691. PMC: 6381429. DOI: 10.1177/2515690X18823691. View

Leskowitz E . How Tapping into "Energy" Can Trigger a Paradigm Shift in Biomedicine. J Altern Complement Med. 2018; 24(6):525-527. DOI: 10.1089/acm.2018.0073. View

Church D, Feinstein D . The Manual Stimulation of Acupuncture Points in the Treatment of Post-Traumatic Stress Disorder: A Review of Clinical Emotional Freedom Techniques. Med Acupunct. 2017; 29(4):194-205. PMC: 5580368. DOI: 10.1089/acu.2017.1213. View

Sebastian B, Nelms J . The Effectiveness of Emotional Freedom Techniques in the Treatment of Posttraumatic Stress Disorder: A Meta-Analysis. Explore (NY). 2016; 13(1):16-25. DOI: 10.1016/j.explore.2016.10.001. View

Ma Y, Dong M, Zhou K, Mita C, Liu J, Wayne P . Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed. PLoS One. 2016; 11(12):e0168123. PMC: 5156436. DOI: 10.1371/journal.pone.0168123. View

10.

Levitt H, Bamberg M, Creswell J, Frost D, Josselson R, Suarez-Orozco C . Journal article reporting standards for qualitative primary, qualitative meta-analytic, and mixed methods research in psychology: The APA Publications and Communications Board task force report. Am Psychol. 2018; 73(1):26-46. DOI: 10.1037/amp0000151. View

11.

Higgins J, Thompson S . Quantifying heterogeneity in a meta-analysis. Stat Med. 2002; 21(11):1539-58. DOI: 10.1002/sim.1186. View

12.

Church D, Yount G, Brooks A . The effect of emotional freedom techniques on stress biochemistry: a randomized controlled trial. J Nerv Ment Dis. 2012; 200(10):891-6. DOI: 10.1097/NMD.0b013e31826b9fc1. View

13.

Langevin H, Yandow J . Relationship of acupuncture points and meridians to connective tissue planes. Anat Rec. 2002; 269(6):257-65. DOI: 10.1002/ar.10185. View

14.

Tan J, Suen L, Wang T, Molassiotis A . Sham Acupressure Controls Used in Randomized Controlled Trials: A Systematic Review and Critique. PLoS One. 2015; 10(7):e0132989. PMC: 4503717. DOI: 10.1371/journal.pone.0132989. View

15.

Wittfoth D, Pfeiffer A, Bohne M, Lanfermann H, Wittfoth M . Emotion regulation through bifocal processing of fear inducing and disgust inducing stimuli. BMC Neurosci. 2020; 21(1):47. PMC: 7681990. DOI: 10.1186/s12868-020-00597-x. View

16.

Chambless D, Hollon S . Defining empirically supported therapies. J Consult Clin Psychol. 1998; 66(1):7-18. DOI: 10.1037//0022-006x.66.1.7. View

17.

Alexander W . Pharmacotherapy for Post-traumatic Stress Disorder In Combat Veterans: Focus on Antidepressants and Atypical Antipsychotic Agents. P T. 2012; 37(1):32-8. PMC: 3278188. View

18.

von der Warth R, Dams J, Grochtdreis T, Konig H . Economic evaluations and cost analyses in posttraumatic stress disorder: a systematic review. Eur J Psychotraumatol. 2021; 11(1):1753940. PMC: 7803086. DOI: 10.1080/20008198.2020.1753940. View

19.

Li J, Wang Q, Liang H, Dong H, Li Y, Ng E . Biophysical characteristics of meridians and acupoints: a systematic review. Evid Based Complement Alternat Med. 2013; 2012:793841. PMC: 3546562. DOI: 10.1155/2012/793841. View

20.

Church D, Stern S, Boath E, Stewart A, Feinstein D, Clond M . Emotional Freedom Techniques to Treat Posttraumatic Stress Disorder in Veterans: Review of the Evidence, Survey of Practitioners, and Proposed Clinical Guidelines. Perm J. 2017; 21:16-100. PMC: 5499602. DOI: 10.7812/TPP/16-100. View