Tapping (EFT) Research
6 peer-reviewed studies supporting this intervention. Evidence rating: B
Study Comparison
| Study | Year | Type | Journal | Key Finding |
|---|---|---|---|---|
| Zheng D et al. | 2025 | Journal of psychosomatic research | EFT significantly reduces anxiety and depression in cancer patients, with moderate-to-large effect sizes, supporting its use as a complementary psychosocial intervention in oncology. | |
| Stapleton P et al. | 2023 | Frontiers in psychology | EFT produces large effect sizes for PTSD symptom reduction, with outcomes comparable to or exceeding established treatments like CBT and EMDR. | |
| Church D et al. | 2022 | Systematic Review | Frontiers in psychology | Clinical EFT meets APA Division 12 criteria as an evidence-based treatment, with over 100 studies demonstrating efficacy for anxiety, depression, PTSD, pain, and physiological markers like cortisol. |
| Nelms JA et al. | 2016 | Review of General Psychology | EFT shows very large effect sizes (d=2.96) for PTSD treatment, with most participants no longer meeting diagnostic criteria after treatment. | |
| Clond M et al. | 2016 | Journal of Nervous and Mental Disease | EFT demonstrates large treatment effects for anxiety (d=1.23), significantly outperforming control conditions across 14 randomized controlled trials. | |
| Church D et al. | 2013 | RCT | Journal of Nervous and Mental Disease | A single hour of EFT tapping reduced cortisol levels by 24% compared to talk therapy or rest, demonstrating measurable physiological stress reduction. |
Study Details
Journal of psychosomatic research
View Summary
This meta-analysis and systematic review examined the effectiveness of Emotional Freedom Techniques (EFT) for managing psychological distress in people with cancer. The authors focused specifically on three common psychological burdens in oncology patients: anxiety, depression, and anticipatory grief. These conditions are prevalent in cancer populations and often undertreated.
The review systematically searched major databases for randomized controlled trials evaluating EFT interventions in cancer patients compared to standard care or active control conditions. Studies across various cancer types and stages were included, reflecting the diverse psychological challenges faced throughout the cancer journey from diagnosis through treatment and survivorship.
The pooled analysis demonstrated that EFT produced statistically significant improvements in both anxiety and depression outcomes compared to control conditions, with moderate-to-large effect sizes. The authors concluded that EFT shows promise as a feasible, low-cost complementary intervention for psychological support in oncology care, though they noted the need for larger, higher-quality trials.
Frontiers in psychology
View Summary
This updated systematic review and meta-analysis examined the efficacy of Emotional Freedom Techniques (EFT) for treating post-traumatic stress disorder (PTSD). Building on earlier meta-analyses, the authors searched multiple databases for randomized controlled trials and clinical outcome studies comparing EFT to waitlist controls, active treatments, or other standard interventions for PTSD.
The analysis included studies across diverse populations including veterans, survivors of abuse, accident victims, and others with clinically diagnosed PTSD. Effect sizes were calculated using Hedge's g to account for sample size variability. The pooled results demonstrated large effect sizes favoring EFT for PTSD symptom reduction, with EFT performing comparably to gold-standard trauma therapies.
The authors concluded that EFT meets the criteria for an evidence-based treatment for PTSD according to APA Division 12 standards, and recommended its wider adoption in clinical practice and integration into PTSD treatment guidelines.
Frontiers in psychology
View Summary
This comprehensive systematic review evaluated the full body of evidence for Clinical EFT (Emotional Freedom Techniques) across both psychological and physiological conditions. The authors assessed whether EFT meets the American Psychological Association's Division 12 standards for empirically validated treatments, reviewing over 100 clinical trials and outcome studies published through 2022.
The review covered EFT's application across a wide range of conditions including anxiety disorders, depression, PTSD, phobias, chronic pain, food cravings, and physiological biomarkers such as cortisol, blood pressure, and immune function. The authors examined study quality, replication by independent research teams, and consistency of findings across populations and settings.
The review concluded that Clinical EFT meets the criteria for an evidence-based practice across multiple conditions. The strongest evidence was found for anxiety (Cohen's d = 1.23), depression (d = 1.31), and PTSD (d = 2.96). Physiological studies showed significant cortisol reduction and improvements in immune markers, suggesting EFT works through both psychological and biological pathways.
Review of General Psychology
View Summary
This systematic review examined the evidence for Emotional Freedom Techniques in treating post-traumatic stress disorder. The review analyzed clinical trials involving veterans, abuse survivors, and other trauma populations.
The pooled effect size was very large (d = 2.96), one of the largest reported in the PTSD treatment literature. Across studies, 86% of participants no longer met clinical criteria for PTSD after EFT treatment. The review noted that EFT has been approved as an evidence-based treatment by the Veterans Administration.
Journal of Nervous and Mental Disease
View Summary
This systematic review and meta-analysis evaluated the efficacy of Emotional Freedom Techniques for anxiety disorders and symptoms. The analysis included 14 randomized controlled trials with a combined sample of over 650 participants.
The pooled effect size was large (Cohen's d = 1.23), indicating EFT produces substantial reductions in anxiety compared to control conditions. Effects were consistent across different anxiety presentations including test anxiety, public speaking anxiety, and generalized anxiety. The review concluded that EFT meets criteria for an evidence-based treatment.
Journal of Nervous and Mental Disease
View Summary
This randomized controlled trial examined whether Emotional Freedom Techniques (EFT) produces measurable changes in stress hormones. Participants were randomly assigned to receive one hour of EFT, supportive talk therapy (psychoeducation), or rest.
The EFT group showed a 24% decrease in cortisol levels, significantly greater than the talk therapy (-14%) or rest (-14%) groups. Psychological symptoms (anxiety, depression) also improved more in the EFT group. This study provided important objective biological evidence for EFT's stress-reducing effects.
Evidence Assessment
This intervention has moderate evidence from some randomized trials and consistent observational data, though more research would strengthen conclusions.