Studies Published in Peer Reviewed Journals As Listed on www.EFTUniverse.com
Outcome Studies, Clinical Reports, Mechanisms Research, and Review Papers
- APA Standards for Empirically Validated TreatmentsStatistical Significance
- Laying Research Groundwork
- Types of Reports
- Organization of EFT Research Pages
- Outcome Studies
- Clinical Reports
- Mechanisms Papers
- Review Articles
Welcome to the EFT research pages. There are thousands of stories on www.eftuniverse.com written by people who have recovered from a wide variety of physical and psychological challenges using EFT. While such anecdotal evidence is valuable in pointing to what EFT can do, rigorous scientific research has been required in order to establish EFT as an "evidence-based" method that can be used with confidence by medical and psychological professionals in primary care.
The EFT research pages describe the many studies of EFT published in peer-reviewed professional journals. They begin with an overview of the APA (American Psychological Association) standards for "empirically validated treatments," continue with an explanation of the concept of statistical significance, then describe the current status of EFT research, and finally, organize abstracts of the large body of EFT research into Outcome Studies, Clinical Reports, Mechanisms Papers, and Review Articles.
The EFT research pages describe the many studies of EFT published in peer-reviewed professional journals. They begin with an overview of the APA (American Psychological Association) standards for "empirically validated treatments," continue with an explanation of the concept of statistical significance, then describe the current status of EFT research, and finally, organize abstracts of the large body of EFT research into Outcome Studies, Clinical Reports, Mechanisms Papers, and Review Articles.
Empirically Validated Treatments
EFT supports the evidence-based standards defined by the American Psychological Association (APA). APAs Division 12 (Clinical Psychology) task force defines an "empirically validated treatment" as one for which there are two different controlled trials conducted by independent research teams. For a treatment to be designated as "efficacious," the studies must demonstrate that the treatment is better than a wait list, placebo, or established efficacious treatment. To be designated as "probably efficacious," a treatment must have been shown to be better than a wait list in two studies that meet these criteria, or are conducted by the same research team rather than two independent teams.
Statistical Significance
The APA standards advocate that studies contain sufficient subjects to achieve a level of statistical significance of p < .05 or greater, which means that there is only one possibility in 20 that the results are due to chance.
When researchers speak of the "size" of a study they may not mean how many participants the study contained, but instead the size of the statistical significance obtained. The size of the significance is far more important in research than the number of subjects (the APA Task Force report found the mean number of subjects in each group in behavioral studies to be only 12). When a treatment has big effects, it can be demonstrated with just a few subjects; a weak treatment requires a great many subjects to achieve statistical significance at the p < .05 level.
You can picture this by imagining two studies of cars. The first asks the research question, "How many times does a wheel have to rotate against the road in order to wear down the tires by a centimeter?" This requires many thousands of rotations (subjects) to give a p < .05 effect size, because each rotation has only a tiny effect.
Compare it to another study which asks the question, "Does removing a car's battery make it hard to start?" You only need to do this with a very few cars (subjects) to get a statistically significant p < .05, because removing the battery has a huge effect. A bigger effect shows up as a smaller p value; a study with p < .0001 means that there is only one possibility in 1,000 that the results are due to chance.
Compare it to another study which asks the question, "Does removing a car's battery make it hard to start?" You only need to do this with a very few cars (subjects) to get a statistically significant p < .05, because removing the battery has a huge effect. A bigger effect shows up as a smaller p value; a study with p < .0001 means that there is only one possibility in 1,000 that the results are due to chance.
All the published studies listed below have effects at the p < .05 level or better. EFT has met the APA standards as an "efficacious" or "probably efficacious" treatment for phobias, anxiety, depression, and PTSD.
There are several definitions in the field of medicine (as distinguished from the field of psychology) of what constitutes an "evidence-based" treatment. One of the most useful comes from the National Registry of Evidence-Based Treatments (NREPP) in the US.
It requires a standardized description of the method in the form of a manual and training materials, documentation that the treatment was delivered with fidelity to that method, the use of validated and reliable outcome measures, corrections for dropouts (such as an intent-to-treat analysis), appropriate statistical analysis, sample sizes sufficient to produce a probability of p < .05 or better, and publication in a peer-reviewed professional journal.
It requires a standardized description of the method in the form of a manual and training materials, documentation that the treatment was delivered with fidelity to that method, the use of validated and reliable outcome measures, corrections for dropouts (such as an intent-to-treat analysis), appropriate statistical analysis, sample sizes sufficient to produce a probability of p < .05 or better, and publication in a peer-reviewed professional journal.
The State of EFT Research
While many important EFT research questions remain to be answered, a great deal of groundwork is already in place: EFT has been researched in more than 7 countries, by more than 50 investigators, whose results have been published in more than 15 different peer-reviewed journals. These including distinguished top-tier journals such as Journal of Clinical Psychology, the APA journals Psychotherapy: Theory, Research, Practice, Training and Review of General Psychology, and the oldest psyciatric journal in the US, the International Journal of Nervous and Mental Disease.
EFT research includes investigators affiliated with many different institutions. In the US, these range from Harvard Medical School, to the University of California at Berkeley, to City University of New York, to Walter Reed Army Medical Center (USUHS), to Texas A&M University. Institutions in other countries whose faculty have contributed to EFT research include Lund University (Sweden), Ankara University (Turkey), Santo Tomas University (Philippines), Lister Hospital (England), Cesar Vallejo University (Peru), and Griffith University (Australia).
The wide variety of institutions, peer-reviewed journals, investigators, and settings that have, in independent research, found EFT to be efficacious, are one indication of the breadth of existing research results.
The next frontier of EFT research is replication of the studies that have not yet been replicated, and investigations into the physiological changes that occur during EFT, using such tools as DNA microarrays (gene chips), MEGs (magnetoencephalograms), fMRIs, and neurotransmitter and hormone assays. EFT Universe programs and practitioners use "Clinical EFT" which is supported by an extensive base of evidence and clinical practice.
EFT research includes investigators affiliated with many different institutions. In the US, these range from Harvard Medical School, to the University of California at Berkeley, to City University of New York, to Walter Reed Army Medical Center (USUHS), to Texas A&M University. Institutions in other countries whose faculty have contributed to EFT research include Lund University (Sweden), Ankara University (Turkey), Santo Tomas University (Philippines), Lister Hospital (England), Cesar Vallejo University (Peru), and Griffith University (Australia).
The wide variety of institutions, peer-reviewed journals, investigators, and settings that have, in independent research, found EFT to be efficacious, are one indication of the breadth of existing research results.
The next frontier of EFT research is replication of the studies that have not yet been replicated, and investigations into the physiological changes that occur during EFT, using such tools as DNA microarrays (gene chips), MEGs (magnetoencephalograms), fMRIs, and neurotransmitter and hormone assays. EFT Universe programs and practitioners use "Clinical EFT" which is supported by an extensive base of evidence and clinical practice.
Types of Reports: Outcome Studies, Clinical Reports, Mechanisms Research, and Review Articles
There are several kinds of research papers listed on these pages. The first is "outcome" research. These studies compare the medical or psychological outcomes of two groups of people with similar symptoms, or the same people before and after EFT. Outcome studies measure changes in, for instance, pain, depression, or PTSD symptoms.
An outcome study measures the successful outcome of treatment.While an outcome study is designed to answer the research question, "Does this work?" the second kind of paper asks the question, "How does it work?" With EFT having been shown in many outcome studies to work very quickly and reliably for a variety of ailments, researchers have become increasingly interested in the physiological mechanisms of action by which such rapid healing is possible.
So the second kind of paper you will find here are mechanisms papers. The third category of paper is the "clinical report." Rather than using validated numerical instruments to assess outcomes, clinical reports describe the use of EFT with special groups, such as people with epilepsy, veterans, children, or prisoners. They may present a single case. Finally, there are "review papers." These gather together all the published evidence about a topic, present it in a structured manner, and evaluate that body of knowledge.
An outcome study measures the successful outcome of treatment.While an outcome study is designed to answer the research question, "Does this work?" the second kind of paper asks the question, "How does it work?" With EFT having been shown in many outcome studies to work very quickly and reliably for a variety of ailments, researchers have become increasingly interested in the physiological mechanisms of action by which such rapid healing is possible.
So the second kind of paper you will find here are mechanisms papers. The third category of paper is the "clinical report." Rather than using validated numerical instruments to assess outcomes, clinical reports describe the use of EFT with special groups, such as people with epilepsy, veterans, children, or prisoners. They may present a single case. Finally, there are "review papers." These gather together all the published evidence about a topic, present it in a structured manner, and evaluate that body of knowledge.
How the EFT Research Pages are Organized
For convenience, and to organize the large number of studies referenced on this site, outcome studies are presented first, by the condition for which data was collected, e.g. Depression, Pain, etc. The titles of studies are listed below the heading. If you click on a title, you jump to the paper's abstract, and if available, the full text of the paper, or a location online where you can obtain it. A PTSD study might have also collected data on pain; if so, the study will appear under both headings.
The abstract tells you the treatment protocol, number of subjects, assessments used, change in symptoms, and statistical significance. Below outcome studies, clinical reports, mechanisms papers, and review articles are listed.
The abstract tells you the treatment protocol, number of subjects, assessments used, change in symptoms, and statistical significance. Below outcome studies, clinical reports, mechanisms papers, and review articles are listed.
All the studies listed at the top of this page have been published in peer-reviewed professional journals, are in press, or have been submitted for publication. Some papers have been presented at professional conferences or informally circulated.
These are listed in a separate section at the bottom of the page, since they have not met the rigorous standards inherent in peer review, in which committees of reviewers, usually doctors, psychologists, and statisticians, examine every statement and statistic in a study to make sure that it is correct and credible, and meets the prevailing standards of evidence-based research prior to publication.
These are listed in a separate section at the bottom of the page, since they have not met the rigorous standards inherent in peer review, in which committees of reviewers, usually doctors, psychologists, and statisticians, examine every statement and statistic in a study to make sure that it is correct and credible, and meets the prevailing standards of evidence-based research prior to publication.
Many of these studies have been performed by a team of dedicated volunteers at Soul Medicine Institute. A great need exists for money and expertise to perform the next level of research on EFT, to pay for gene chips, lab tests, and data analysis. If you would like to make a tax-deductible donation or bequest to EFT research, you may do so here through the Soul Medicine Institute web site. EFT Info and Disclaimer Document.
Outcome Studies
Outcome studies compare outcomes, e.g. levels of pain, degree of depressive symptoms, either between two groups, or between the same people before and after EFT. The headings below tell you, in alphabetical order, the conditions for which data was gathered in the trials below them.
Anxiety
- Efficacy of EFT in Reducing Public Speaking Anxiety: A Randomized Controlled Trial
- Psychological Trauma in Veterans using EFT: A Randomized Controlled Trial
- The Effect of a Brief EFT Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers
- Psychological Symptom Change in Veterans After Six Sessions of EFT: An Observational Study
- The Treatment of Combat Trauma in Veterans Using EFT
- The Effects of EFT on Long-term Psychological Symptoms
- Psychological Symptom Change After Group Application of EFT
- Self-administered EFT in Individuals with Fibromyalgia: a Randomized Trial
- Pilot Study of EFT, WHEE and CBT for Treatment of Test Anxiety in University Students
- Assessment of EFT: An Alternative Treatment for Fear
- Methodological Problems in Waite & Holder (2003) Preclude Meaningful Interpretations About EFT
- The Effect of Progressive Muscular Relaxation and EFT on Test Anxiety in High School Students: A Randomized Controlled Trial
Athletic Performance
- The Effect of EFT on Athletic Performance: A Randomized Controlled Blind Trial
- A Re-Examination of Church’s (2009) Study into the Effects of EFT on Basketball Free-Throw Performance
Depression
- Brief Group Intervention Using EFT for Depression in College Students: A Randomized Controlled Trial
- Psychological Trauma in Veterans using EFT: A Randomized Controlled Trial
- The Effect of a Brief EFT Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers
- Psychological Symptom Change in Veterans After Six Sessions of EFT: An Observational Study
- The Treatment of Combat Trauma in Veterans Using EFT
- The Effects of EFT on Long-term Psychological Symptoms
- Psychological Symptom Change After Group Application of EFT
- Self-administered EFT in Individuals with Fibromyalgia: a Randomized Trial
Pain and Physical Symptoms
- The Effect of a Brief EFT Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers
- Psychological Trauma in Veterans using EFT: A Randomized Controlled Trial
- EFT as an Effective Adjunctive Treatment in the Neurotherapeutic Treatment of Seizure Disorders
- Self-administered EFT in Individuals with Fibromyalgia: a Randomized Trial
- Neurophysiological Indicators of EFT Treatment Of Post-Traumatic Stress
Phobias
- Evaluation of a Meridian-Based Intervention, EFT, for Reducing Specific Phobias of Small Animals
- The Immediate Effect of a Brief Energy Psychology Intervention (EFT) on Specific Phobias: A Pilot Study
- EFT Reduces Intense Fears: A Partial Replication and Extension of Wells et al. (2003)
PTSD
- A Controlled Comparison of the Effectiveness and Efficiency of Two Psychological Therapies for Post-traumatic Stress Disorder: EMDR vs. EFT
- Efficacy of EFT Provided by Coaches vs. Licensed Therapists in Veterans with PTSD: A Randomized Controlled Trial
- Single session reduction of the intensity of traumatic memories in abused adolescents: A randomized controlled trial
- Psychological Symptom Change in Veterans After Six Sessions of EFT: An Observational Study
- The Treatment of Combat Trauma in Veterans Using EFT
- Neurophysiological Indicators of EFT Treatment Of Post-Traumatic Stress
- Six Trauma Imprints Treated with Combination Intervention: Critical Incident Stress Debriefing and Thought Field Therapy (TFT) or EFT
Weight Loss and Cravings
- A Randomized Clinical Trial of a Meridian-Based Intervention for Food Cravings with Six Month Follow-up
- The Effect of a Brief EFT Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers
Clinical Reports
Clinical Reports describe the use of EFT with various groups, e.g. university students, prisoners, refugees, or abused children. They may contain quantitative data, e.g. scores on symptom assessments, or they may describe the ways in which practitioners can work with this population.
- Integrating Energy Psychology into Treatment for Adult Survivors of Childhood Sexual Abuse
- Application of Emotional Freedom Techniques
- Energy Psychology Treatment for Orphan Heads of Households in Rwanda: An Observational Study
- Single Session EFT for Stress-Related Symptoms After Motor Vehicle Accidents
- Change Is Possible: EFT with Life-Sentence and Veteran Prisoners at San Quentin State Prison
- Energy Psychology Treatment for Posttraumatic Stress in Genocide Survivors in a Rwandan Orphanage: A Pilot Investigation
- Clinical Story of a 6-Year-Old Boy's Eating Phobia: An Integrated Approach
- EFT For Traumatic Brain Injury
- Veterans: Finding their way home with EFT
- Working With Military Service Members and Veterans: A Field Report of Obstacles and Opportunities
- Six Trauma Imprints Treated with Combination Intervention: Critical Incident Stress Debriefing and Thought Field Therapy (TFT) or EFT
- Emotional Freedom Techniques: The Practising Midwife
Mechanisms Papers
The "mechanisms of action" for a technique such as EFT describe what is happening in the body during application of the technique. These papers describe the neurological, epigenetic, psychoneuroimmunological, and hormonal pathways that are believed to be active during EFT sessions.
- The Effect of EFT on Stress Biochemistry: A Randomized Controlled Trial
- Rapid Treatment of PTSD: Why Psychological Exposure with Acupoint Tapping May Be Effective
- The Neurochemistry of Counterconditioning: Acupressure Desensitization in Psychotherapy
- The Dream to Freedom Technique, a Methodology for Integrating the Complementary Therapies of Energy Psychology and Dreamwork
- Modulating Gene Expression through Psychotherapy: The Contribution of Non-Invasive Somatic Interventions
- Energy Psychology in Rehabilitation: Origins, Clinical Applications, and Theory
Review Articles
Review articles gather all the evidence for a method, such as EFT, or a condition, such as phobias, PTSD, or pain. They review the studies that have been completed, and draw general conclusions about the characteristics of the method. A number of review articles of EFT and/or Energy Psychology have been published in peer-reviewed journals in recent years:
- Energy Psychology in Disaster Relief
- Energy Psychology: A Review of the Preliminary Evidence
- Energy Psychology in Rehabilitation: Origins, Clinical Applications, and Theory
- Thought Field Therapy and its Derivatives: Rapid Relief of Mental Health Problems through Tapping on the Body
- Theoretical and Methodological Problems in Research on EFT and Other Meridian Based Therapies
- Application of Emotional Freedom Techniques
- Your DNA is Not Your Destiny: Behavioral Epigenetics and the Role of Emotions in Health
- Controversies in Energy Psychology
- Emotional Freedom Techniques: The Practising Midwife
- Energy Psychology: Time for a Second Look
Studies Presented at Professional Conferences or Informally Presented
These studies have been presented at professional conferences, or informally presented such as in books. They have not been peer reviewed and are thus not to be relied on for the empirical rigor that the review process brings. They should be regarded as suggestive only.
Studies Presented at Professional Conferences
- The Neurological Foundations of Energy Psychology: Brain Scan Changes During 4 Weeks of Treatment for Generalized Anxiety Disorder
- Critical Incident Recall and Sport Confidence Changes After a Brief EFT Intervention
- Pain and Mental Health Symptoms after PTSD Remediation in Veterans: A Randomized Controlled Trial
- The Effect of EFT on Psychological Symptoms in Addiction Treatment
- World Trade Center Tower 2 Survivor: EP Treatment of Long-term PTSD: A Case Study
- A Randomized Clinical Trial of a Meridian-Based Intervention for Food Cravings With 12-Month Follow-up
- Measuring Physiological Markers of Emotional Trauma: A Randomized Controlled Trial of Mind-Body Therapies
Informal and Unpublished Research
- An Objective Experiment on the Use of EFT for Depression
- EFT Brings About 80.7% Sports Performance Improvement
- The Genie in Your Genes: An Extraordinary Book on the Science Behind EFT
- Reducing Anxiety in Dental Patients with EFT
- EFT for Libido: 80% Report an Improvement of 50% or More
- Emotional Improvements with Student Athletes in 4 Weekly EFT Sessions
- Eyesight Improvement after Clearing Emotional Issues
- EFT Improves Minerals, Amino Acids & Vitamins
- Articles Evidencing the Existence of Energy Meridians
- Before and After Photos of Rouleaux, "Blood Cell Clumping"
- Emotions Affect Blood