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Background: The evidence base for acupoint tapping including Emotional Freedom Techniques (EFT) includes over 120 clinical trials showing relatively rapid and durable improvements for a range of psychological and physical conditions. It supports the premise that tapping is an active ingredient and shows associated physiologic changes. This evidence is based in standard Western literature databases such as EBSCO and overwhelmingly in English. Objective: The current report explores international and regional research on EFT not previously known in the Western literature evidence base. Methods and Results: A search of ResearchGate found 86 research studies on acupoint tapping not identified in standard Western databases. A systematic search of 21 databases using the EBSCO search engine yielded an additional five previously unknown papers for a total of 91 research studies. These studies were published in regional and international journals (71% in Indonesia) with most published primarily in languages other than English (81% had only title and/or abstract available in English). EFT was used in 47% of the studies, and the remaining studies used “Spiritual EFT” (SEFT), a variation developed in Indonesia combining tapping with spiritual affirmations from the Quran. The majority (84%) were single group or comparative clinical trials and 5% were literature reviews. The target issue included a range of psychological or medical conditions such as anxiety (29%), depression (15%), and hypertension (11%). In a further step, the potential magnitude of this additional research base was explored using Google Scholar. Challenges include inconsistent quality of translations, limited search capabilities of Google Scholar, lack of full text translated into English, and reasons why this literature is not found in the major databases. Conclusion: This review identified a large number of studies that had been “invisible” in the West due to their having been published in non-English-language journals. They demonstrate growing interest in EFT throughout the world. In comparison with English-language EFT databases, these studies tend to be more frequently performed in treatment settings such as hospitals, clinics, and universities, and they often address medical diagnoses such as diabetes, hypertension, and pain as well as psychological conditions. In addition, they apply EFT with populations rarely focused upon in Western EFT studies, such as prisoners, addicts, cancer patients, and diabetics. Finally, these studies provide a valuable perspective on how acupoint tapping is being used around the world in real-life settings. Keywords: tapping, EFT, Emotional Freedom Techniques, energy psychology, acupoint tapping, Spiritual EFT
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REVIEW ARTICLE
Tapping Research around the World Energy Psychology 14:1 • May 2022 1
Research on Acupoint Tapping Therapies
Proliferating around the World
John Freedom, Santa Rosa, California USA
Marg Hux, Burlington, Ontario, Canada
Jan Warner, Veteran Aairs Medical Center, Cleveland, Ohio USA
John Freedom, CEHP, is a counselor and EFT practitioner
and trainer in private practice in Santa Rosa, California. Au-
thor of Heal Yourself with Emotional Freedom Technique, he
is the research committee chair for the Association for Com-
prehensive Energy Psychology (ACEP), serves on the board
of trustees for EFT International, and is executive director of
Finding Recovery and Empowerment from Abuse (FREA).
Marg Hux, MSc, DipSP, is a registered psychotherapist in
Toronto with a private practice using EFT and spiritual modali-
ties. For 25 years she worked as a health economics researcher
assessing the cost-eectiveness of dierent therapies in health
care systems. Jan Warner, LISWS, PhD, is a clinical social
worker aliated with the Department of Social Work Services,
Veterans Aairs Medical Center in Cleveland, Ohio. She is
Abstract
Background: The evidence base for acupoint
tapping including Emotional Freedom Tech-
niques (EFT) includes over 120 clinical trials
showing relatively rapid and durable improve-
ments for a range of psychological and physical
conditions. It supports the premise that tapping
is an active ingredient and shows associated
physiologic changes. This evidence is based in
standard Western literature databases such as
EBSCO and overwhelmingly in English.
Objective: The current report explores interna-
tional and regional research on EFT not previ-
ously known in the Western literature evidence
base.
Methods and Results: A search of Research-
Gate found 87 research studies on acupoint
tapping not identied in standard Western
databases. A systematic search of 21 databases
using the EBSCO search engine yielded an
additional ve previously unknown papers for a
total of 91 research studies. These studies were
published in regional and international journals
(71% in Indonesia) with most published primari-
ly in languages other than English (81% had only
title and/or abstract available in English). EFT
was used in 47% of the studies, and the remain-
ing studies used “Spiritual EFT” (SEFT), a vari-
ation developed in Indonesia combining tapping
with spiritual armations from the Quran. The
majority (84%) were single group or compara-
tive clinical trials and 5% were literature reviews.
The target issue included a range of psychologi-
cal or medical conditions such as anxiety (29%),
depression (15%), and hypertension (11%). In a
further step, the potential magnitude of this addi-
tional research base was explored using Google
Scholar. Challenges include inconsistent quality
of translations, limited search capabilities of
Google Scholar, lack of full text translated into
English, and reasons why this literature is not
found in the major databases.
Conclusion: This review identied a large
number of studies that had been “invisible” in
the West due to their having been published in
non-English journals. They demonstrate growing
interest in EFT throughout the world. In compar-
ison with English-language EFT databases, these
studies tend to be more frequently performed
in treatment settings such as hospitals, clinics,
and universities, and they often address medi-
cal diagnoses such as diabetes, hypertension,
and pain as well as psychological conditions. In
addition, they apply EFT with populations rarely
focused upon in Western EFT studies, such as
prisoners, addicts, cancer patients, and diabet-
ics. Finally, these studies provide a valuable
perspective on how acupoint tapping is being
used around the world in real-life settings.
Keywords: tapping, EFT, Emotional Freedom
Techniques, Energy Psychology, acupoint tap-
ping, Spiritual EFT
2Energy Psychology 14:1 • May 2022 Tapping Research around the World
interested in the applications of EFT to reduce symptoms of
bromyalgia as well as in applications of Energy Psychology
in low- and middle-income countries. Correspondence:
John Freedom, CEHP, 8901 Oak Trail Drive, Santa Rosa, CA
95409; email: freejjii@gmail.com. Disclosures: John Freedom
derives income from the practice of the methods described in
this article. Marg Hux derives income from the practice of
EFT. Jan Warner declares no conict of interest.
Emotional Freedom Techniques (EFT) and
Thought Field Therapy (TFT) are two
modalities within the relatively new thera-
peutic approach known as Energy Psychology.
EFT and TFT, together referred to as “acupoint
tapping protocols,” are evidence based, as exam-
ined in more than 300 peer-reviewed journal arti-
cles, including 120 clinical trials.
This evidence base as described by Feinstein
(2021) shows that acupoint tapping results in
improvements for a range of psychological con-
ditions (anxiety, depression, phobias, anger, post-
traumatic stress disorder [PTSD], chronic pain,
concentration diculties, stress, food cravings,
insomnia, and performance blocks) and physi-
cal conditions (bromyalgia, frozen shoulder,
obesity, pain, psoriasis, and headaches). Recent
independent meta-analyses conrm benets for
three common psychological conditions: anxi-
ety (Clond, 2016), depression (Nelms & Castel,
2016), and PTSD (Sebastian & Nelms, 2017). All
but two of the 120 clinical trials reported statis-
tically signicant improvement in at least one of
the target outcomes (Feinstein, 2021). Addition-
ally, the research shows that results are relatively
rapid (compared to other therapies) and durable,
with benets retained on follow-up of 30 days to
two years.
Although some skeptics have suggested that
the tapping is an inconsequential artifact, six stud-
ies and a meta-analysis have shown that tapping
is an active ingredient in the process (Church &
Gallo, 2018). EFT and TFT are mind-body psy-
chosensory techniques that produce measurable
biological changes on physiological assessments
including cardiovascular function (heart rate
variability [HRV], resting heart rate, blood pres-
sure), immune function (e.g. immunoglobulin A,
increased lymphocyte production), and the stress
hormone cortisol (Babamahmoodi et al., 2015;
Bach et al., 2019). Brain scan studies using qEEG
and fMRI have shown that these protocols increase
or decrease arousal in specic areas of the brain
(Feinstein, 2021). Additionally, the magnitude
of clinical change and brevity of treatment sug-
gest substantial healthcare cost savings (Church,
2010), and tapping described as “combined cog-
nitive and somatic therapies” has been shown to
be cost-eective compared to other standard treat-
ments for PTSD (Mavranezouli, 2020).
In late 2020, the rst author (JF) identied
a body of additional EFT research not part of the
recognized evidence base, which includes research
studies published in English in Western jour-
nals and indexed in major search engines such as
Scopus, EBSCO, PsycInfo, and PubMed. These
additional studies were identied through Research
Gate (researchgate.com). With a subsequent search
of reference lists of the initial papers, a total of 87
research papers of tapping therapies not indexed
in the major search engines were identied. These
papers included clinical studies using single group
or control group designs for psychological or
medical issues and several literature reviews of
the research related to acupoint tapping therapies.
A substantial number used a specic form of EFT
called “Spiritual EFT” (SEFT), a variation of EFT
developed by Ahmad Faiz Zainuddin of Indonesia
that combines tapping with spiritual armations
from the Quran (Zainuddin, 2008).
The existence of this body of additional
research was considered to be potentially sig-
nicant since it may be larger than the previously
known evidence base. Further exploration of this
additional body of research was undertaken.
Locating studies beyond those available
through indexed literature databases, however,
held some challenges in using replicable methods
of evidence review and synthesis. Many published
research studies are not available within the major
indexed databases, as databases such as PubMed
include only journals that have applied and met
strict criteria. For articles that are indexed, there are
powerful search engines with capabilities to facili-
tate identifying, classifying, and extracting infor-
mation from literature on a specic review topic.
To nd literature not within these indexed
databases, web searching tools can provide a
much wider range of information, including pub-
lished studies in regional journals or dissertations.
Google Scholar, for instance, is one web searching
tool for research that uses internet crawler algo-
rithms to nd a wider range of scholarly papers
located on journal hosting platforms, university
libraries, and personal websites.
3
Tapping Research around the World Energy Psychology 14:1 • May 2022
Objective
The current study is an exploration of the
growing number and kinds of acupoint tapping
research studies conducted and published in pro-
fessional journals that are outside the standard
evidence base, as well as the challenges in nding
and identifying such research.
Methods
This exploration considered initial reports
of research studies of acupoint tapping proto-
cols EFT or TFT, collectively labeled “Energy
Psychology” including any of the following
designs: comparative clinical trials (randomized
or not), single cohort studies assessing outcomes
before and after treatment (cohort pre/post), case
series, or qualitative studies. Literature reviews
(systematic or comparative reviews) of acupoint
tapping protocols were also considered eligible.
As the purpose of this review was to explore some
of the additional research not currently known,
only studies not in the current known evidence
base were considered. Studies published in any
language were considered eligible.
An initial search of the EBSCO database sys-
tem was conducted to identify if there were any
further studies not previously identied, with a
focus on publications not in English by exclud-
ing English papers where this was possible within
the member databases of EBSCO. The authors
selected the search data criteria as follows: articles
published between 2000 and 2021 with the fol-
lowing search phrases in the title and/or abstract:
“Emotional Freedom Technique,” “Emotional
Freedom Techniques,” “Energy Psychology,”
“Thought Field Therapy,” and “Spiritual EFT.”
The search was conducted on October 2, 2021, on
21 relevant databases oered by EBSCO.
Screening of articles based on title and abstract
was conducted to identify eligible research studies
or literature reviews not in the currently known evi-
dence base. Editorial opinions and interviews were
excluded. We included combined treatments where
EFT, TFT, or SEFT were studied as a mixed treat-
ment with another intervention such as meditation.
The body of research identied both from
this systematic review and informally was then
combined for our full set (Freedom, 2022). These
were reviewed to abstract relevant characteristics.
Information available in English (titles and cita-
tions) was used insofar as possible, and additional
web searching was conducted for locations of
treatment or study settings. Articles were classied
with regard to country of the research/publication,
English language availability (none, title only,
title and abstract, full text), study design, energy
psychology modality (EFT, TFT, SEFT), combi-
nation with other modality, comparator, study set-
ting (medical, educational, community, forensic),
population, target issue, sample size, and whether
the study reported a signicant benet/eect. As
many papers had only the title and abstract avail-
able in English, and we did not attempt to translate
content from the original language, some of these
factors were unclear.
In a subsequent step, broad web searching via
Google Scholar with the same search terms was
used to explore the potential magnitude, location,
and types of additional research that might exist in
regional medical journals.
Results
The EBSCO database search identied 171
results using the abstract search and 128 results
using the title search, with most of the studies
being found in four databases: Medline, Medline
Complete, APA PsycInfo, and CINAHL Plus.
After screening and removing duplicates, ve
additional eligible publications were found and
added to the articles identied by the rst author
for a full set of 94 articles.
Appendices A and B provide a table of the
study and clinical characteristics for each of the
included studies and a list of the citations for each.
Table 1 summarizes the country, English availabil-
ity, and study types.
The majority (72%) of studies were conducted
in Indonesia or published in Indonesian profes-
sional journals, with Korea (8%) and India (5%)
the next most frequent, and the remaining studies
representing a range of other countries. For most
(81.5%), only abstract and/or title information
was available in English and few full texts were
in English. The majority (84%) were single group
or comparative clinical trials. Of the 45 compara-
tive studies, 41 (91%) did not state in the available
information that the control was an active com-
parator, and so this was designated to be a “No
tapping” comparator. Active comparison interven-
tions included autogenic relaxation, ngerhold
relaxation technique, music or singing, meditative
walking or a teaching intervention.
4Energy Psychology 14:1 • May 2022 Tapping Research around the World
Table 2 shows the study modalities, settings,
target issues, and whether clinical benet was
reported.
The SEFT modality was reported for 53%
of the studies; remaining studies were of EFT.
There were no TFT (Thought Field Therapy) stud-
ies found.
The most frequent primary target issues were
the psychological issues of anxiety (30%), depres-
sion (15%), and the medical issue of hypertension
(11%). Participants included medical or psychiat-
ric patients (anxiety and depression being the most
frequent). Other groups included prisoners, those
employed, those with substance abuse, and even
a population described as “introverted and extro-
verted personality types.” The population of par-
ticipants drew from many ages including children,
university students, and the elderly.
Considering the clinical trials (single group or
comparative), 84% stated in the abstract that there
was a clinical benet of tapping. Most studies had
small sample sizes, and of the 30 cohort pre/post
studies reporting a sample size in their abstract,
21 (70%) had less than 30 participants (range
5–23) while 9 (30%) had 30 or more (range
30–97). Of the 40 comparative studies (including
RCTs) reporting a sample size in their abstract,
35 (87.5%) had less than 60 participants allowing
approximately 30 per group (range 7–52) while
only 5 (12.5%) had 60 or more (range 60–100).
Table 1. Study Characteristics
Total N %
Country 91
Indonesia 65 71.4%
Korea 7 7.7%
India 5 5.5%
China 2 2.2%
Iran 2 2.2%
Malaysia 2 2.2%
Other* 7 7.7%
Unclear 1 1.1%
English availability 91
Title only 4 4.4%
Title & abstract 70 76.9%
Full text 17 18.7%
Type of Study 91
Literature review 5 5.5%
Case series or case study 6 6.6%
Qualitative 4 4.4%
Cohort pre/post 31 34.1%
Comparative clinical trial** 45 49.5%
Note: *One paper (1.1%) was found for each of: Colombia,
Gaza, Germany, Pakistan, Spain, Turkey, and Australia.
**Comparative (controlled) trials may have been randomized
and this was not always clear from abstract.
Table 2. Study Clinical Characteristics
Total N %
Treatment Modality
EFT 43 46.7%
SEFT 49 53.3%
Study Treatment Setting
Medical 36 39.1%
Community 14 15.2%
Educational 11 12.0%
Forensic 3 3.3%
Unclear 23 25.0%
N/A (review article) 5 5.4%
Target issue
Anxiety 27 29.7%
Depression 14 15.4%
Hypertension 10 11.0%
Pain 8 8.8%
Quality of life 7 7.7%
Aggressiveness 3 3.3%
Negative emotions 4 4.4%
Insomnia 3 3.3%
Cognition 2 2.2%
Fatigue 2 2.2%
PTSD symptoms 2 2.2%
Schizophrenia symptoms 2 2.2%
Smoking 2 2.2%
Other* 5 5.5%
Clinical benet (in clinical studies)**
Yes 64 84.2%
Between groups nonsignicant 4 5.3%
Unclear 8 10.5%
Note: *Other includes “any condition” (review study), family
functioning, spiritual perception, hypertension, blood sugar,
and “qualitative experience of EFT.” **For the 79 studies
reporting trial (single cohort, comparative, randomized trial).
5
Tapping Research around the World Energy Psychology 14:1 • May 2022
Explorations were conducted of the feasibil-
ity of systematic searching using a web-based
search engine, Google Scholar (GS). A search for
these same terms (as of November 19, 2021) iden-
tied 7,890 scholarly papers. GS allows search by
several identied languages, and of these, 5,670
were published in English and 778 had other
identied language of: German (180), Spanish
(155), French (154), Japanese (55), Korean (54),
Portuguese (47), Dutch (38), Italian (38), Turkish
(34), Chinese (16), or Polish (7). From an inspec-
tion of titles and abstracts for several European
languages, most identied papers were discus-
sions of tapping protocols and their relevance
in local clinical practice, and not reports of new
research. None of the Dutch papers were relevant
to our exploration.
As it is not possible in Google Scholar to
identify papers excluding specic languages,
although we can assume that there are approxi-
mately 1,420 in another non-English language, it
is not possible to identify a list of those for more
specic screening.
Conducting a GS search for “spiritual emo-
tional freedom technique” yielded 926 results and
limiting to English yielded 224 results. A visual
inspection of the English language papers showed
that there are additional studies documenting the
eectiveness of SEFT, most of which originated
in Indonesia.
Discussion
We describe here a set of 91 research stud-
ies not previously part of the Western literature
evidence base for acupoint tapping therapies and
have identied the potential existence of a large
number of additional studies in additional coun-
tries. Beyond the research discovered informally,
an EBSCO database search conrmed that very
few of these were included in the standard indexed
databases.
The studies include both EFT and Spiritual
EFT modalities in a wide range of countries with
Asian countries and Indonesia particularly being
the most frequent. The research was mostly (84%)
single group or comparative trials, and for most,
only title and abstract were available in English.
Compared to the Western body of evi-
dence, these studies considered similar target
issues in some regards, with the most frequently
addressed issues being anxiety and depression,
both considered to meet criteria for being evi-
dence based (Feinstein, 2021). Medical issues
and settings were well represented in this body
of research, with medical being the most frequent
setting type, and medical issues (e.g., hypertension
or women’s health) a frequent target. This is in
contrast to the Western body of meridian tapping
research which focuses primarily on psychologi-
cal issues. Most comparative studies only stated in
the abstract that they had a control group, and this
was assumed to be a “no tapping” comparator for
our summary. Similarly, a high proportion (84%)
stated there was a clinical benet.
A high proportion of the research found was
conducted in Indonesia and used an EFT variation
called “Spiritual Emotional Freedom Technique”
(SEFT), developed by Ahmad Faiz Zainuddin,
which carries a religious connotation and refers to
combining tapping acupoint points with reciting
verses from the Quran and surrendering to the Will
of Allah. Considering the 66 Indonesian studies,
45 used the Spiritual EFT modality; SEFT studies
were also found in India, Malaysia, and Spain for
a total of 49 SEFT studies. Adding spirituality to
healing is consistent with an Indonesian empha-
sis on spirituality in other aspects of society; for
example, citizens are required to specify their
religious aliation on identication cards. Thus,
SEFT is a psychospiritual as well as a psychosen-
sory technique.
This exploration of local or regional scien-
tic research on acupoint tapping was challeng-
ing. Local and regional scientic journals are not
indexed in the international databases, which have
quite strict inclusion criteria. Journal editors aim-
ing to be included in such a database submit a
formal application providing supporting evidence
that is reviewed by scientic committees consid-
ering quality of the scientic content, principles
of publication ethics, and author consent, and
including a peer review process. Criteria include
the research impact measured as number of cita-
tions within the major databases, which is dicult
to meet without being indexed and constitutes a
“Catch-22” (Bordons & Gomez, 2004). Addition-
ally, regional journals are often published primar-
ily in the local language of the medical community,
and even when included in the indexed databases,
English full text may not be available. Standard
practice in systematic searching is to exclude
non-English papers, and such exclusion is consid-
ered to have no impact on the nal conclusions
6Energy Psychology 14:1 • May 2022 Tapping Research around the World
(Jackson & Kuriyama, 2019). A review of
250 systematic reviews for traditional medical
topics found that only 22% included any non-
English papers, and in those, the non-English
papers formed 2% of the total evidence base
(Jackson & Kuriyama, 2019). Meta-analyses and
systematic reviews investigating the eect on
the conclusions of excluding publications in lan-
guages other than English found no evidence of
systematic bias in the results. (Dobrescu et al.,
2021; Morrison et al., 2012).
Strengths and Limitations
This paper has identied that a body of
research on the eectiveness of tapping protocols
exists outside of and potentially larger than the
(primarily Western) previously known research.
These studies relate to local medical and psycho-
logical practice in Asian countries and regional
academic journals. Although for most papers only
abstract information was available, 85% of stud-
ies reported a clinical benet of the tapping pro-
tocol for a variety of target issues, populations,
and settings. Similar to other EFT research, most
studies used relatively small sample sizes of 30
or fewer.
Strengths of these studies include the follow-
ing: most of the studies were conducted at clinics,
hospitals, and/or universities. In addition to the
common psychological issues of anxiety, depres-
sion, stress, and PTSD, research studies explored
EP eectiveness for addictions, aggression, burn-
out, self-acceptance, learning concentration,
schizophrenia, and overall mental health. Many
documented the eectiveness of acupoint tapping
for medical conditions (e.g., diabetes, fatigue,
hypertension, insomnia, and menstrual pain).
Some documented eectiveness for psychological
or medical conditions in specic populations (e.g.,
children, people with cancer, coronary heart dis-
ease, chronic kidney disease, drug addicts, elderly,
female university students, HIV/AIDS, hemodi-
alysis patients, pregnant women, prisoners, pul-
monary tuberculosis, stroke patients, and women
with breast cancer) Finally, these studies provide
a valuable perspective on how acupoint tapping is
being used around the world in real-life settings.
A major limitation of this review is that full
English text was available for few research papers.
For the majority of papers only the title and
abstract were in English. Therefore, classications
of the major characteristics were not always
present, and assumptions were used from brief
statements. For example, whether a control was a
wait list or no intervention, any follow-up or mag-
nitude of eects were often not known without the
full English text.
Another limitation is that we describe stud-
ies identied from an informal search and a few
additional ones found using a systematic search
process of 22 databases in EBSCO, but not includ-
ing SCOPUS, another possibly relevant database.
We found that although a large body of potential
additional research studies exists, it was beyond
the scope of this review to screen the 7,890 cita-
tions in GS to identify research papers without
the capabilities to remove duplicates and build a
search strategy in the ways that the standard data-
bases allow.
Based on website searches using GS, we
found a large additional set of studies utiliz-
ing EFT and SEFT as interventions, with a large
research base in Indonesia. (These research stud-
ies from Indonesia are potentially larger than those
in all other countries combined!) However, since
these are not represented in major publications
databases, and Indonesian language studies are
not indexed in Google Scholar, screening of the
full set of potential results was beyond the scope
of this exploration.
These limitations make it dicult to general-
ize the ndings of this review to understand the
full evidence outside the Western evidence base.
Additional searching using GS with the large
number of papers found using keywords would
supplement this research set, even though GS
lacks standard capabilities found in the major
databases to conduct this search, which would
therefore make this challenging.
Conclusion
Interest in EFT and EFT research continues to
proliferate organically throughout the world. The
current study used a categorical review process to
examine the research evidence for cross cultural
ecacy of EFT and SEFT. It identied a large
body of previously unknown research across a
wide demographic range, with varied populations
receiving benet. As therapeutic interventions,
EFT and SEFT show clinical value as cost-
eective, non-pharmaceutical treatments for both
psychological and some medical conditions, in
a wide range of settings and demographics, in a
large collection of targeted issues.
7
Tapping Research around the World Energy Psychology 14:1 • May 2022
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8Energy Psychology 14:1 • May 2022 Tapping Research around the World
Appendix A: Table of Included Studies
Ref
#
Author, Year Country English
Available
Study Type EP
Modality
Comparator Setting Type Population Target Issue Sample
Size
1 Wati et al., 2021 Indonesia Full text Comparative study EFT No tapping Medical Chronic kidney disease Fatigue 19
2 Altuntas et al., 2020 Turkey Title & abstract Qualitative EFT N/A unclear Women Other 21
3 Ardan et al., 2020 Indonesia Title & abstract Cohort pre/post SEFT None unclear HIV/AIDS adults Depression 16
4 Asmawati et al., 2020 Indonesia Full text Cohort pre/post SEFT None Community NAPZA residents Anxiety 18
5 Dewi & Fitri, 2020 Indonesia Title & abstract Qualitative SEFT N/A Forensic Prisoners Depression 10
6 Dewi et al., 2020 Indonesia Full text Comparative study EFT No tapping Medical Post-stroke patients QOL 46
7 Fachrin et al., 2020 Indonesia Title & abstract Comparative study SEFT No tapping Community Employed Fatigue 38
8 Fitri, 2020 Indonesia Title & abstract RCT EFT No tapping Community Elderly Anxiety 20
9 Isnadiya et al., 2020 Indonesia Title & abstract RCT EFT No tapping Medical Patients undergoing
percutaneous coronary
intervention
Anxiety 24
10 Lataima et al., 2020 Indonesia Full text Literature review EFT N/A N/A N/A Anxiety 11
11 Muliani et al., 2020 Indonesia Title & abstract Cohort pre/post EFT None Medical Psychiatric patients Aggressiveness 19
12 Permatasari et al.,
2020
Indonesia Title & abstract Comparative study SEFT No tapping Medical Pregnant women with
hypertension
Hypertension 15
13 Rahmadanti &
Widyarini, 2020
Indonesia Title & abstract Cohort pre/post EFT None Community Victims of violence Negative
emotions
11
14 Setiyowati & Rahman,
2020
Indonesia Title & abstract Case study SEFT N/A Medical unclear Anxiety 1
15 Susanto, 2020 Indonesia Title & abstract Comparative study SEFT No tapping Medical Patients Pain 36
16 Trejos Parra et al.,
2020
Colombia Full text Cohort pre/post EFT None Community Children with abuse-
related PTSD
PTSD
symptoms
37
17 Aftrinanto et al., 2019 Indonesia Title & abstract Cohort pre/post SEFT None unclear Women QOL 6
18 Ali & Loona, 2019 Pakistan Full text Cohort pre/post EFT None Educational Female university
students
Anxiety 70
19 Ardan et al., 2019 Indonesia Full text RCT SEFT No tapping Medical People living with
HIV/AIDS
Depression 32
20 Begré, 2019 Germany Title & abstract Literature review EFT N/A N/A N/A Anxiety N/A
21 Fatmasari et al., 2019 Malaysia Title & abstract Cohort pre/post SEFT None unclear Hypertensive patients Anxiety 5
9
Tapping Research around the World Energy Psychology 14:1 • May 2022
22 Hidayatullah et al.,
2019
Indonesia Title & abstract RCT SEFT No tapping Educational Introverted and
extroverted students
Anxiety 36
23 Isworo et al., 2019 Indonesia Title & abstract RCT EFT No tapping Medical Hypertensive patients
on antihypertensive
medication
Hypertension 32
24 Krishnamurthy &
Sharma, 2019
India Title & abstract RCT EFT No tapping Medical Patients with depression Depression 10
25 Lina et al., 2019 Indonesia Title & abstract RCT SEFT Autogenic
relaxation
Medical Hemodialysis patients Anxiety unclear
26 Lismayanti &
Hidayatulloh, 2019
Indonesia Title & abstract RCT SEFT No tapping unclear Hypertensive patients Hypertension 30
27 Liu et al., 2019 China Title & abstract RCT EFT No tapping unclear Elderly patients with
coronary heart disease
Depression 52
28 Marwing, 2019 Indonesia Title & abstract Cohort pre/post SEFT None Community Adolescents being
fostered
Aggressiveness 16
29 Prabowo, 2019 Indonesia Title & abstract Comparative study SEFT No tapping Medical Preoperative adults Anxiety 60
30 Prabowo et al., 2019 Indonesia Title & abstract Comparative study SEFT No tapping unclear Congestive heart failure Anxiety 40
31 Rosyanti et al., 2019 India Full text Comparative study SEFT No tapping unclear Adults with schizophrenia Schizophrenia
symptoms
20
32 Sonhaji &
Lekatompessy, 2019
India Title & abstract Comparative study SEFT Singing Community Elderly Hypertension unclear
33 Susilowati et al., 2019 India Title Literature review SEFT N/A N/A N/A Anxiety na
34 Warni & Hayana, 2019 Indonesia Title & abstract Comparative study SEFT No tapping Community Adults Hypertension 64
35 Wati et al., 2019 Indonesia Full text Comparative study EFT No tapping Medical Nurses Negative
emotions
38
36 Afriyanti & Wenni,
2018
Indonesia Full text Cohort pre/post SEFT None Medical Women with breast cancerDepression 33
37 Hamidiyah & Jannah,
2018
Indonesia Title & abstract Cohort pre/post SEFT None Medical Females with
dysmenorrhea
Pain 10
38 Huda & Alvita, 2018 Indonesia Full text Comparative study SEFT No tapping unclear Hypertensives Hypertension 33
39 Kasron, 2018 Indonesia Title & abstract Comparative study SEFT Progressive
muscle
relaxation
unclear Hypertensives Insomnia 32
(Continued)
10 Energy Psychology 14:1 • May 2022 Tapping Research around the World
Ref
#
Author, Year Country English
Available
Study Type EP
Modality
Comparator Setting Type Population Target Issue Sample
Size
40 Khoeriyah et al., 2018 Indonesia Title & abstract Comparative study EFT No tapping Forensic Adolescent prisoners Negative
emotions
32
41 Komang et al., 2018 Indonesia Title & abstract Comparative study EFT No tapping Educational Adolescents Cognition 30
42 Lismayanti, 2018 Indonesia Full text Cohort pre/post SEFT None unclear Adults < 65 Hypertension 30
43 Madoni et al., 2018 Indonesia Title & abstract Comparative study EFT Group
counselling
with systematic
desensitization
Educational Students Anxiety 16
44 Mardjan et al., 2018 Indonesia Title & abstract Comparative study EFT No tapping unclear Pregnant adolescents Anxiety unclear
45 Ma’rifah et al., 2018 Indonesia Title & abstract Comparative study SEFT Fingerhold
relaxation
technique
Medical Mothers Pain 45
46 Navianti et al., 2018 Indonesia Title & abstract Comparative study EFT No tapping Medical Patients giving blood Anxiety 65
47 Novitriani & Hidayati,
2018
Indonesia Title & abstract Comparative study SEFT No tapping Forensic Female prisoners QOL 31
48 Patriyani & Rahayu,
2018
Indonesia Title & abstract Comparative study SEFT No tapping Medical Type 2 diabetics Other 100
49 Puspita, 2018 Indonesia Title & abstract Cohort pre/post SEFT None Educational Young women Pain 97
50 Rosyanti et al., 2018 Indonesia Title & abstract Comparative study SEFT No tapping Medical People living with
schizophrenia
Schizophrenia
symptoms
7
51 Sahlia et al., 2018 Indonesia Title & abstract Comparative study EFT No tapping unclear People with hypertension Depression 20
52 Etika et al., 2017 Indonesia Title & abstract Comparative study SEFT Keroncong
music
Medical Elderly Depression 20
53 Jhansi et al., 2017 unclear Title & abstract Comparative study EFT No tapping unclear unclear Anxiety unclear
54 Kartikasari et al., 2017 Indonesia Title & abstract Cohort pre/post EFT None unclear Elderly Insomnia 23
55 Kim, 2017 Korea Title Case study EFT N/A unclear unclear QOL 1
56 Kusnanto et al., 2017 Indonesia Full text Cohort pre/post SEFT None unclear People with tuberculosis QOL 22
57 Lee et al., 2017 Korea Title & abstract Literature review EFT N/A N/A N/A Anxiety N/A
58 Liu et al., 2017 China Title & abstract Cohort pre/post EFT None Medical People with cancer Depression unclear
59 Soto-Vasquez &
Alvarado-García, 2017
Spain Title & abstract Comparative study EFT No tapping Educational University students Anxiety 48
11
Tapping Research around the World Energy Psychology 14:1 • May 2022
60 Sutiyarsih & Sri, 2017 Indonesia Title & abstract Cohort pre/post EFT None unclear Geriatric Depression 30
61 Yuswinda, 2017 Indonesia Title & abstract Cohort pre/post SEFT None Medical Preop Patients Anxiety 8
62 Faridah, 2016 Indonesia Title & abstract RCT SEFT No tapping Medical Blood pressure Other 26
63 Kim et al., 2016 Korea Title & abstract Comparative study EFT Meditative walk Community Menopausal women QOL 26
64 Ningsih et al., 2016 Malaysia Title & abstract Comparative study EFT No tapping Medical Breast cancer patients Anxiety 30
65 Sastra & Sari, 2016 Indonesia Title & abstract Comparative study EFT No tapping Educational Adolescents Pain 12
66 Wahyuliarmy, 2016 Indonesia Title & abstract Case study SEFT N/A Community 63 -year-olds Pain 1
67 Abdi & Abolmaali,
2015
Iran Title & abstract Comparative study EFT No tapping Community Single mothers Aggressiveness 30
68 Astuti et al., 2015 Indonesia Title & abstract Cohort pre/post SEFT None Medical Women with HIV Depression 30
69 Banerjee, 2015 India Full text Qualitative EFT N/A Educational University students Depression 30
70 Etika & Wijaya, 2015 Indonesia Title & abstract Cohort pre/post SEFT None Educational Students of SMAN 5
Kediri City
Smoking 14
71 Ghamsari & Lavasani,
2015
Iran Title & abstract Comparative study EFT No tapping Medical Pregnant women Anxiety 30
72 Hermanwan et al.,
2015
Indonesia Title & abstract Comparative study EFT No tapping Educational Students Cognition unclear
73 Kartikodaru et al.,
2015
Indonesia Title & abstract Cohort pre/post SEFT None Medical Receiving chemotherapy Anxiety 17
74 Putra, 2015 Indonesia Title & abstract Case Study SEFT N/A Medical Parents of sexually abused
child
Anxiety 1
75 Rofacky & Aini,
2015
Indonesia Title & abstract Comparative study SEFT No tapping unclear Hypertensives Hypertension 30
76 Susanti, 2015 Indonesia Title & abstract Cohort pre/post SEFT None Medical Patients with hypertensionHypertension 17
77 Wijaya, 2015 Indonesia Title & abstract Cohort pre/post SEFT None unclear Elderly patients with
hypertension
Hypertension 16
78 Desmaniarti & Avianti,
2014
Indonesia Title & abstract RCT SEFT No tapping Medical Patients with cervical
cancer
Anxiety 68
79 Latifah & Ramawati,
2014
Indonesia Title & abstract Comparative study EFT None Medical Women post Caesarian
section
Pain 30
80 Lee et al., 2014 Korea Title Case series EFT N/A unclear unclear Anxiety unclear
(Continued)
12 Energy Psychology 14:1 • May 2022 Tapping Research around the World
Ref
#
Author, Year Country English
Available
Study Type EP
Modality
Comparator Setting Type Population Target Issue Sample
Size
81 MacKinnon, 2014 Australia Full text Case study EFT N/A Community People with trauma
in family therapy
Other 2
82 Shari et al., 2014 Indonesia Title & abstract Cohort pre/post EFT None Medical Coronary patients Anxiety 30
83 Song et al., 2014 Korea Title Qualitative EFT N/A unclear Hwa-byung (suppressed
anger)
Negative
emotions
13
84 Alwan & Nawajha,
2013
Gaza Full text Comparative study EFT No tapping Community Diabetic persons QOL 36
85 Bakara et al., 2013 Indonesia Title & abstract Comparative study SEFT No tapping Medical Patients with coronary
disease
Depression 42
86 Kim et al., 2013 Korea Title & abstract Literature review EFT N/A N/A N/A Other N/A
87 Mariyati & Habibah,
2013
Indonesia Title & abstract Cohort pre/post SEFT None Educational Junior high school
students
Smoking 12
88 Satri & Sadif, 2013 Indonesia Full text Cohort pre/post SEFT None Medical Renal hemodialysis
patients
Depression 12
89 Ulfa, 2013 Indonesia Title & abstract RCT SEFT No tapping unclear Adolescent survivors
of volcanic eruption
PTSD
symptoms
22
90 Lee et al., 2011 Korea Title & abstract Cohort pre/post EFT None Community Elderly women Insomnia 10
91 Hakam et al., 2009 Indonesia Title & abstract Cohort pre/post SEFT None Medical Cancer patients Pain 20
Note: NAPZA = narcotics, psychotropics, and other addictive substances; QOL = quality of life.
13
Tapping Research around the World Energy Psychology 14:1 • May 2022
Appendix B: List of Citations
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Emotional Freedom Technique (EFT) therapy on chronic
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2. Altuntas, S., & Duzguner, S. (2020). A qualitative research
on individual, social and spiritual changes in women
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Q10:S49
3. Ardan, M., Zulkii, A., & Jafar, N. (2020). Therapy SEFT
for controlling the level of depression in people with HIV
and AIDS. Enfermeria Clinica, 30(4), 444–447.
4. Asmawati, Ikhlasia, M., & Panduragan, S. L. (2020). The
eect of Spiritual Emotional Freedom Technique (SEFT)
therapy on the anxiety of NAPZA (narcotics, psychotropic,
and other addictive substances) residents. Enfermeria
Clinica, 30(Suppl 5), 206–208.
5. Dewi, I., & Fitri, S. (2020). Utilization of SEFT as a com-
munity therapy model (TC) for mental and spiritual health
of drug addicts. Jurnal Pengabdian Untuk Munege RI, 4(1).
6. Dewi, N. L., Arin, M., & Ismail, S. (2020). The inuence
of Gayatri Mantra and Emotional Freedom Technique on
quality of life of post-stroke patients. Journal of Multidis-
ciplinary Healthcare, 13, 909–916. doi:10.2147/JMDH.
S266580 Corpus ID: 221880595
7. Fachrin, S., Amelia, A., Rizki, A., & Farinah, K. (2020).
The eectiveness of Spiritual Emotional Freedom Tech-
nique (SEFT) therapy against the reduction of work fatigue
in PT WIKA Beton Makassar. International Journal of
Science and Healthcare Research, 5(3), ss.338–344.
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in the face of degenerative disease in the elderly viewed
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tion, 5(1), 52–66.
9. Isnadiya, A., Risca, F., Tauq, R., & Utomo, P. (2019). The
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patients. Jurnal Ilmu Keperawatan Medikal Bedah, 1(2).
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10. Lataima, N., Kurniawati, N., & Astuti, P. (2020). Benets
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risk behavior. Jurnal Keperawatan, ’Aisyiyah, 6(2).
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hypertension. International Journal of Nursing and Health
Services, 3(3), 402–410.
13. Rahmadanti, D., & Widyarini, N. (2020). The eectiveness
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negative emotions in women victims of violence. Interna-
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spiritual freedom emotional technique (SEFT) therapy for
tuberculosis patients with nursing problems at the Sawahan
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Agung Semarang. Medicalia Hospitalia, 7(1), 59–63.
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29. Prabowo, R. (2019). Efektivitas Terapi Spiritual Emotional
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5506.2019.00074.3
32. Sonhaji, S., & Lekatompessy, R. (2019) The eective-
ness of Spiritual Emotional Freedom Technique (SEFT)
and singing to elderly blood pressure at the Rumpelsos
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Therapy Emotional Freedom Technique (SEFT) on the
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therapy (Spiritual Emotional Freedom Technique) on
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sleep quality of hypertension patients in South Cilacap.
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40. Khoeriyah, S., Lubis, D., Lubis, U., & Istichomah, I.
(2018). Eect of Emotional Freedom Technique for
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ijhr.2018.1.2.12
42. Lismayanti, L. (2018). Eectiveness of Spiritual Emotional
Freedom Therapy (SEFT) in reducing blood pressure in
the elderly who have hypertension. Proceedings of the
National Seminar and Health Research, 1(1).
43. Madoni, R., Wibowo, M., & Japar, M. (2018). Group
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Freedom Techniques to reduce public speaking anxiety.
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44. Mardjan, M., Prabandari, Y., Hakimi, M., & Marchira, C.
(2018). Emotional Freedom Techniques for reducing anxi-
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ujph.v7i1.19212
45. Ma’rifah, A., Handayani, R. & Dewi, P. (2018). The
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doi:10.36780/jmcrh.v1i2.28
46. Navianti, D., Garini, A., & Karneli, K. (2018). The reduction
of anxiety and pain during venous blood sampling using
Hypno-EFT (Emotional Freedom Techniques) method.
Public Health of Indonesia, 4(2), 67–72. doi:10.36685/phi.
v4i2.154
47. Novitriani, A., & Hidayati, F. (2018). The Spiritual Emo-
tional Freedom Technique’s inuence on self-acceptance
of inmates in women’s penitentiaries. Psympathic: Jurnal
Ilmiah Psikologi, 5(1), 1–12. doi:10.15575/psy.v5i1.2322
48. Patriyani, R., & Rahayu, S. (2018). The eect of Spiritual
Emotional Freedom Technique (SEFT) on the reduction of
blood sugar levels in diabetes in diabetes mellitus Type 2
in Rsud Kota Surakarta. Journal of Health Sciences, 7(2).
49. Puspita, E. (2018). Spiritual eects of Emotional Freedom
Technique (SEFT) against decreased primary dysmenor-
rhea in young women. Quality Journal of Health, 1(1),
14–19.
50. Rosyanti, L., Hadi, I., Tanra, J., & Islam, A. (2018). The
eectiveness of Spiritual Qur’anic Emotional Freedom
Technique (SQEFT) intervention against the change of
Brief Psychiatric Rating Scale (BPRS) on patients with
schizophrenia. Health Notions, 2(8).
51. Sahlia, M., Wantiyah, W., & Hakam, N. (2018). The
eect of Emotional Freedom Technique (EFT) therapy on
depression in hypertensive clients. Health Library, 6(3),
446–452. Retrieved from https://jurnal.unej.ac.id/index.
php/JPK/article/view/11687
52. Etika, A. N., Haryuni, S., & Sulistya, W. (2017). Dierence
in eectiveness between SEFT therapy (Spiritual
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53. Jhansi, S., Rajeswari, H., & Indira, S. (2017). Eectiveness
of emotional freedom techniques on anxiety. International
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54. Kartikasari, B., Handini, F., & Putri, M. (2017). Eect of
Emotional Freedom Technique (EFT) on fullling sleep
needs in the elderly. Malang Nursing Journal, 2(1), 18–21.
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15
Tapping Research around the World Energy Psychology 14:1 • May 2022
55. Kim, Y-H. (2017). A Case Study of Emotional Freedom
Technique (EFT) Counseling for well-being. Journal of
the Korea Entertainment Industry Association, 11(3), 223.
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56. Kusnanto, K., Pradanie, R., & Karima, I. (2017). Spiritual
Emotional Freedom Technique (SEFT) on the quality of
life of lung tuberculosis patients. Jurnal Keperawatan
Padjadjaran, 4(3). doi:10.24198/jkp.v4i3.284
57. Lee, S., Jeong, B., Chae, H., & Lim, J. (2017). Emotional
Freedom Techniques (EFT) for students’ mental health:
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58. Liu, J., Yang, L., & Chen, J. (2017). Eect of emotional
freedom technique on perceived stress, anxiety and depres-
sion in cancer patients: A preliminary experiment. Modern
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59. Soto-Vásquez, M. R., & Alvarado-García, P. A. A. (2017).
Efecto del extracto uido de Passiora edulis y técnicas
de libertad emocional EFT en el tratamiento de la ansiedad
ante los exámenes (Eect of uid extract of Passiora
edulis and emotional freedom techniques EFT on test
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61. Yuswinda, K. (2017). Evidence base practice SEFT
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63. Kim, H-K., Lee, Y-H., Koo, C-D., & Sik, Y-P. (2016).
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eectiveness of Emotional Freedom Technique (EFT)
therapy on the anxiety of patients with stage II and III
breast cancer. Online Journal of Nursing Science Study
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69. Banerjee, P., Puri, A., & Luqman, N. (2015). Emotional
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71. Ghamsari, M., & Lavasani, M. (2015). Eectiveness of
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72. Hermanwan, C., Sobarningsih, N., & Rahayu, Y. (2015).
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16 Energy Psychology 14:1 • May 2022 Tapping Research around the World
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failure patients are in Cilacap Hospital to undergo hemo-
dialysis. International Journal of Social Science and
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preliminary study for the evaluation of the eects of EFT
for insomnia in the elderly. Journal of Oriental Neuropsy-
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... EFT is taught or used with patients in other hospital systems such as Kaiser Permanente in the US and the National Health Service in the UK. There are over 90 EFT studies published in non-English-language journals and these demonstrate its use in non-Western countries in many conventional medical settings such as hospitals, universities, and clinics (Freedom et al., 2022). ...
... Many studies of EFT have been conducted in non-Englishspeaking countries. A systematic review of these, conducted in October 2021, identified 91 studies published in non-Englishlanguage journals (Freedom et al., 2022). While the inclusion criteria for the current investigation excluded this body of literature, it is noteworthy that EFT is being investigated in many different parts of the world other than Englishspeaking countries. ...
... Besides the studies published in English-language journals, a great deal of EFT research has occurred in non-Western countries. A recent review mentioned earlier identified 91 papers published in non-English-language journals (Freedom et al., 2022). Based on this literature, what are useful next steps for EFT research? ...
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Background Since the turn of the century, Emotional Freedom Techniques (EFT) has come into widespread use in medical and psychological treatment settings. It is also used as self-help by tens of millions of people each year. Clinical EFT, the manualized form of the method, has been validated as an “evidence-based” practice using criteria published by the American Psychological Association (APA) Division 12 Task Force on Empirically Validated Therapies. Its three essential ingredients are exposure, cognitive framing, and acupressure. Objectives In 2013 we published a paper defining Clinical EFT and reviewing published research. It has been viewed or downloaded over 36,000 times, indicating widespread interest in this treatment modality. Here we update our findings based on subsequently published literature and propose directions for future research. Method We performed a systematic review of the literature to identify randomized controlled trials (RCTs) and meta-analyses. Retrieval of 4,167 results resulted in the identification of 56 RCTs (n = 2,013), 41 of which were published subsequent to our earlier review, as well as eight meta-analyses. Results RCTs have found EFT treatment to be effective for (a) psychological conditions such as anxiety, depression, phobias, and posttraumatic stress disorder (PTSD); (b) physiological issues such as pain, insomnia, and autoimmune conditions; (c) professional and sports performance; and (d) biological markers of stress. Meta-analyses evaluating the effect of EFT treatment have found it to be “moderate” to “large.” Successful independent replication studies have been carried out for anxiety, depression, PTSD, phobias, sports performance, and cortisol levels. We outline the next steps in EFT research. These include determining its impact on cancer, heart disease, diabetes, and cognitive impairment; analysis of the large-scale datasets made possible by mobile apps; and delivery through channels such as virtual practitioner sessions, artificial intelligence agents, online courses, apps, virtual reality platforms, and standardized group therapy. Conclusions Subsequent research has confirmed the conclusions of earlier studies. These find Clinical EFT to be efficacious for a range of psychological and physiological conditions. Comparatively few treatment sessions are required, treatment is effective whether delivered in person or virtually, and symptom improvements persist over time. Treatment is associated with measurable biological effects in the dimensions of gene expression, brain synchrony, hormonal synthesis, and a wide range of biomarkers. Clinical EFT is a stable and mature method with an extensive evidence base. Its use in primary care settings as a safe, rapid, reliable, and effective treatment for both psychological and medical diagnoses continues to grow.
Chapter
This chapter presents Clinical Emotional Freedom Techniques (EFT) as a promising mind-body approach for treating post-traumatic stress disorder (PTSD). Through the compelling cases of Sarah and John, two individuals grappling with PTSD symptoms despite previous therapies, the chapter underscores the need for a more integrative treatment modality. It explores the foundations and principles of Clinical EFT, a technique that combines cognitive strategies with somatic acupressure point stimulation. The growing evidence base supporting EFT's efficacy is presented, and a detailed, step-by-step guide for clinicians is offered, including how clients can use at home, in and between sessions. Sarah and John's specific EFT protocol tailored to their cases is outlined, relating to repeated childhood trauma, and a single event military deployment trauma. With its emphasis on rapid symptom reduction, low dropout rates, and comparable efficacy to established therapies, Clinical EFT emerges as a valuable addition to the clinician's toolkit.
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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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Integrando la estimulación manual de los puntos de acupuntura a la psicoterapia: una revisión sistemática con recomendaciones clínicas La integración a la psicoterapia de los protocolos con estimulación de los puntos de acupuntura con un suave tapping, un modo de acupresión, está surgiendo ampliamente en la práctica clínica. Una premisa subyacente es que el procedimiento genera señales activadoras y desactivadoras que, en tiempo real, impactan las zonas del cerebro excitadas por el foco de atención del cliente. Esto posibilita que el terapeuta pueda velozmente facilitar cambios cognitivos y neurológicos por cambiar la redacción y las imágenes que acompañan al tapping. El abordaje ha sido controversial, con entusiastas promotores y obstinantes críticos. Un total de 309 artículos revisados por homólogos, de revistas en inglés, se han enfocado en este desarrollo. El objetivo de este artículo es poner estos informes en contexto usando un modelo basado en la “jerarquía de evidencia”. En una jerarquía de evidencia, juicios sobre la eficacia de un abordaje clínico se forman en base a la fortaleza relativa de los tipos de estudios que apoyan el método. La jerarquía de evidencia para las psicoterapias que usan el tapping sobre los puntos de acupuntura incluye 28 revisiones sistemáticas o meta análisis, 125 pruebas clínicas, 25 casos de estudio, 26 informes describiendo observaciones sistemáticas, 17 pruebas clínicas de método mixto con un componente de tapping y 88 artículos abordando procedimientos clínicos, teoría, mecanismos, o cuestiones parecidas. Se remarca la consistencia en resultados positivos posterior al tapping de selectos puntos de acupuntura para un rango de condiciones, y los puntos débiles en los diseños de los estudios se discuten. Se consideran los mecanismos de acción y se presentan sugerencias para integrar protocolos de acupoint tapping a la práctica clínica. El artículo concluye en que, aunque se necesita más investigación, la base creciente de evidencia que documenta la efectividad, velocidad y durabilidad del abordaje es promisoria.
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Presentamos una investigación experimental controlada y aleatorizada con pre y pos-prueba, llevada a cabo en 47 niños internados por maltrato en cua-tro centros de protección. Se utilizó una escala graduada según los criterios del DSM-5 para el trastorno de estrés postraumático (TEPT). El programa com-prendió seis sesiones que implementaron Técnicas de Liberación Emocional (EFT) junto con expresión plástica recreativa. La Expresión Plástica fue apro-piada, considerando las habilidades verbales en desarrollo y la hipoactivación del área del lenguaje del TEPT, y facilitó la aproximación a los recuerdos en un entorno seguro y grupal. La recreación brindó bienestar que ayudó a contra-rrestar la evitación que está en la génesis del TEPT. La EFT produjo una rápida disminución de la respuesta de alarma y contribuyó a la pronta elaboración del recuerdo. El Programa disminuyó significativamente el nivel del TEPT, fa-cilitó el aprendizaje de nuevas formas eficaces de afrontamiento y aportó al pensamiento de un proyecto de vida personal.
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Introduction: Fatigue is one of the most common symptoms felt by patients who experience Chronic Kidney Disease, the level of fatigue experienced from low to severe. Some management to deal with fatigue has been done a lot, but the results have not been maximized. Emotional Freedom Technique (EFT) is a psychological therapy that can treat many diseases, both physical illness and psychological illness. Aims: This study aims to determine the effect of EFT therapy on fatigue in CKD patients.Methods: This type of research is a quasi-experimental design with a control group pre-post-test Sample divided into 2 groups, consisted of 19 people, selected through purposive sampling.Results: The results showed that the p-value in the treatment group = 0,000 means that there is an effect of therapy EFT on health in CKD patients, whereas, in the control group, there is no difference with the p-value = 1,000. Discussion: The change in CKD patients' fatigue level after EFT therapy is due to a combination of techniques that support the effectiveness of EFT therapy.Conclusion: With this study, it is expected that hospitals can carry out EFT therapy to reduce fatigue in CKD patients to help cure patients.
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Background: Emotional Freedom Technique (EFT), otherwise called tapping, is a developing psychological treatment based on tapping therapy that has been utilized to treat an assortment of conditions, including anxiety. Study aimed to investigate the effectiveness of emotional freedom technique as a tapping therapy for the treatment of anxiety among female university students. Method: Quasi experimental design was used. Study was conducted at International Islamic University, from October 2018 to December 2018. Following convenience sampling, a sample of seventy female university students (N=70) with age range of 18 to 25 years was selected from International Islamic university, Islamabad out of 100 students (N=100) based on inclusion criteria. Following a pre-test and post-test design, State-Trait Anxiety Inventory was administered before and after implementation of emotional freedom technique in order to determine the anxiety i-e State- Anxiety and Trait-Anxiety. Results: For Data Analysis, in SPSS 23, paired sample t-test was used. Paired sample t-test indicated a significant pre and post test difference in the state and trait anxiety levels in female university students (p<.001) Conclusion: Thus, using Emotional freedom technique as a tapping therapy can decrease state and trait anxiety among university students.
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Terapi SEFT dapat digunakan sebagai salah satu tehnik terapi untuk mengatasi masalah emosional dan fisik, yaitu dengan melakukan totok ringan (tapping) pada titik syaraf (meridian tubuh). Spiritual dalam SEFT adalah doa yang diafirmasikan oleh klien pada saat akan dimulai hingga sesi terapi berakhir. Terapi SEFT bersifat universal, artinya untuk semua kalangan tanpa membeda-bedakan latar belakang keyakinan klien. Hipertensi merupakan penyakit yang tidak dapat disembuhkan sehingga memerlukan penanganan yang rumit dan sulit. Penyakit hipertensi juga menyebabkan komplikasi yang serius apabila tidak mendapatkan penanganan yang serius.Tujuan dalam penelitian ini adalah untuk melihat gamabaran keberhasilan terapi Spiritual Emotional Freedom Technique (SEFT) terhadap penurunan tekanan darah pada penderita hipetensi di Desa Pandau Jaya. Penelitian ini menggunakan desain quasi-eksperimental pre dan post control group design dan berjumlah 64 responden dibagi menjadi dua kelompok,kelompok intervensi 32 responden dan kelompok kontrol 32 responden. Instrumen penelitian teridiri dari tensimeter air raksa, manset ukuran dewasa dan stetoskop. Teknik pengambilan sampel menggunakan purposive sampling. Pada penelitian ini digunakan ujistatistik Uji t dependent(paired-sample t test) untuk untuk melihat gambaran perubahan tekanan darah sistole dan diastole pada penderita hipertensi di kelompok kontrol dan kelompok intervensi kontrol . Hasil Penelitian terdapat perubahan tekanan pada kelompok kontrol sistole 157 mmHg diastole 96 mmHg dan Kelompok Intervensi sistole 146 mmHg dan diastole 87,35 mmHg. Berdasarkan hasil penelitian terdapat perubahan tekanan darah sebelum dan sesudah di lakukan terapi SEFT, di saran untuk menggunakan terapi SEFT sebagai pengobatan alternatif untuk hipertensi
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Kondisi stres akan meningkatkan pelepasan kortisol sehingga akan menyebabkan peningkatantekanan darah. Terapi Emotional Freedom Technique (EFT) dipercaya mampu untukmenghilangkan emosi berlebihan seperti stres, Tujuan penelitian ini adalah untuk mengidentifikasipengaruh terapi EFT terhadap penurunan tekanan darah pada lansia hipertensi. Penelitianini menggunakan metode quasi experiment dengan pendekatan pretest-posttest with controlgroup design. Teknik pengambilan sampel menggunakan metode consecutive sampling, dengankriteria inluksi (1) bersedia menjadi responden, (2) Tekanan Darah Sistolik (TDS) 140-160mmHg dan Tekanan Darah Diastolik (TDD) 90-100 mmHg, (3) tidak menderita gagal ginjal,penyakit kardiovasuler lainnya, dan diabetes, (4) pasien yang mengkonsumi obat anti hipertensi.sedangkan kriteria eksklusi adalah (1) pasien yang tidak mengikuti semua tahapan terapi, (2)menggunakan obat atau teknik untuk menurunkan stres, (3) mengalami penurunan kesadaran,(4) mempunyai masalah pendengaran. Sebanyak 32 lansia hipertensi, dibagi menjadi duakelompok, masing-masing 16 responden untuk kelompok intervensi dan kelompok kontrol. TerapiEFT dilakukan selama 20 menit setiap hari selama seminggu. Alat untuk mengukur tekanandarah menggunakan sphignomanometr air raksa manual, merk Sphymed Medical. Analisis datamenggunakan Uji-T. Hasil penelitian menunjukkan ada perbedaan yang bermakna TDS sebelumdan setelah diberikan terapi EFT (p<0,001), tetapi tidak ada perbedaan yang bermakna padaTDD pada kelompok intervensi (p=0,699). Pada kelompok kontrol baik TDS maupun TDD tidakada perbedaan bermakna sebelum dan sesudah perlakuan (p=0,343), (p=0,620), berurutan.Namun, ditemukan adanya perbedaan yang bermakna penurunan TDS antara kelompok intervensidan kelompok kontrol (p=0,014), namun tidak demikian pada TDD (p=0,582). Dapat disimpulkanbahwa EFT mampu menurunkan tekanan darah sistolik pada lansia hipertensi.
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Burnout can develop as a result of long work stress and cause a change in attitudes and behaviors withdrawing psychologically. The most visible impact of burnout is the decline in performance and quality of service. As a result, they were unable to fulfill the work demands and finally decided not to attend, increasing rates of sick leave, reduced work effectiveness or even leaving their jobs. This study aims to determine the effect of Emotional Freedom Technique (EFT) therapy on burnout in implementing nurses. The design of this study uses quasi-experimental design with control group. The sample in the study were 38 nurses, divided into 2 groups, each group consisting of 19 people selected through purposive sampling. This study used the Wilcoxon Signed Rank Test to determine the differences in one pre-post group and the Mann Whitney Test to analyze changes after two different post-post groups. The results showed the value of p value in the treatment group = 0,000 which means that there was an effect of therapy (EFT) on burnout in the implementing nurses, whereas in the control group there was no difference with the p value = 0.925, the p value was influenced by EFT therapy (Emotional Freedom Technique ) towards burnout of nurse nurses before and after in groups of 0,000. It is expected that the Hospital can overcome burnout by passing EFT therapy.
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Problems that can be rendered by hemodialysis include anxiety, relationships in marriage, and disobedience in diet and medicine, limitations in lifestyle and threat of death. The purpose of this study was to find out the effectiveness comparison between the Spiritual Emotional Freedom Technique (SEFT) with autogenic relaxation to decrease the anxiety scale of hemodialysis patients. The research design employed Quasy Experiment Without Control Group Design. The results of independent t-test analysis in the Emotional Spiritual intervention group Freedom Technique (SEFT) obtained results p = 0,000, in the Autogenic Relaxation intervention group the results were p = 0,000. The results of the independent t-test analysis showed that p = 0.184. The study indicates that there was no difference between the Spiritual Emotional Freedom Technique (SEFT) and Autogenic Relaxation on decreasing the anxiety scale of hemodialysis patients. It is looked forward that the Hospital can enforce independent interventions such as Spiritual Emotional Freedom Technique (SEFT) and Autogenic Relaxation to degrade the anxiety scale of hemodialysis patients.
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The purpose of this study was to analyze the effectiveness of Spiritual Emotional Freedom Technique therapy to reduce work fatigue in workers at PT. WIKA Beton Makassar. This type of research was a quantitative approach with a quasi-experimental research method, and the research design used was a pretest-posttest control group design. In this study, the population was 60 workers and was taken into a sample of 38 respondents. Those were divided into 19 respondents in the experimental group and 19 respondents in the comparison or control group using a purposive sampling technique for sampling. The results of the different tests using the Wilcoxon Signed-Ranks test as the non-parametric analysis found that the intervention group value of ρ 0.000 <0.005 was obtained, and the control group got a value of ρ 0.001 <0.005. It indicated differences at the level of fatigue before and after therapy, both in the intervention and control group. Then the results of the Mann-Whitney test as the non-parametric comparison analysis showed that the intervention group got a value of ρ 0.000 <0.005, while the control group obtained a value of ρ 0.035 <0.005. The results of the analysis indicated that Spiritual Emotional Freedom Technique therapy was more effective in reducing work fatigue compared to the untreated control group. It is suggested that the results of this study can be a reference for company leaders, workers, and also future researchers to use SEFT therapy as an alternative therapy in reducing physical and psychological problems such as work fatigue.
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Anxiety disorders are subjective feelings about mental tension as a general reaction and inability to overcome a problem or feeling insecure. SEFT (Spiritual Emotional Freedom Technique) is a combined therapy of Spiritual Power Energy, Psychology, and Spiritual. The ability to change a person's emotional state into relaxation is used as an additional intervention for NAPZA residents who are undergoing drug rehabilitation. This study aimed to determine the effect of SEFT therapy with a decrease in anxiety levels toward NAPZA residents. This research method uses a pre-experimental quantitative design. The approach used is one-group pre–post-test design. The sampling technique is consecutive sampling with a sample of 18 respondents. The results showed that there was an effect of SEFT therapy with a decrease in anxiety level toward NAPZA residents with the value of <0.001. SEFT interventions could reduce anxiety levels toward NAPZA residents. It can be used as an additional therapy for the treatment of disease without interfering with medical treatment because health workers, families, and the general public can do it. This therapy is straightforward to do cheap and practical.
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Objective This study aims to assess the effect of SEFT combination therapy on controlling depression levels in PLWHA. Methods The design of this study used a quasi-experimental method with a nonrandomized one group pretest posttest design. Samples taken by purposive sampling were 16 ODHA and analyzed dependent t-test. Results Respondents’ characteristics of the two research groups with male sex were 62.5%, female 37.5%, average age 26–35 years 50.0% and education level of high school graduates. There was a decrease in the average score of depression before and after the SEFT intervention with the value of each p = 0.001, p = 0.000 and p = 0.000. Conclusion Peer Damping groups are expected to provide support, motivation and assistance as well as being able to actively provide SEFT therapy to be able to control the level of depression in PLWHA as a non-pharmacological therapy effort.