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EFT Research Database › Substantial Evidence

Re-examining the Effect of Emotional Freedom Techniques on Stress Biochemistry: A Randomized Controlled Trial

Summary: This study is a direct replication of Church, Yount, and Brooks (2012), randomly assigning 53 participants to a single 60-minute session of Emotional Freedom Techniques (EFT), psychoeducation (PE), or no treatment (NT), with salivary cortisol and psychological distress (via the SA-45) measured before and after. The original 2012 study had found EFT produced significant reductions in anxiety, depression, overall symptom severity, and symptom breadth, along with a notably larger cortisol drop than the PE and NT groups.

In this replication, the EFT group again showed a significant cortisol reduction — even larger than in the original study (-43.24%) — and significantly greater than the PE group's reduction, though this time it wasn't matched by significant improvements in self-reported psychological distress. The EFT group's post-treatment cortisol was lower than the NT group's, but that difference didn't reach statistical significance, and neither the PE nor NT groups showed meaningful cortisol change.

Overall, the authors conclude the results support EFT as an efficient, effective brief intervention for reducing the biological marker of cortisol, even though the subjective symptom findings from the original study weren't fully replicated.

Citation and Link: Stapleton, P., Crighton, G., Sabot, D., & O'Neill, H. M. (2020). Reexamining the effect of emotional freedom techniques on stress biochemistry: A randomized controlled trial. Psychological Trauma: Theory, Research, Practice, and Policy, 12(8), 869–877. https://doi.org/10.1037/tra0000563

Read the Original Study at Psychological Trauma: Theory, Research, Practice, and Policy

Level
Substantial Evidence
Type
Follow-up Studies, Randomized Controlled Trials
Author
Crighton, G, ONeill, H M, Sabot, D, Stapleton, P
Year
2020

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Clinical EFT for Individuals with Visual Impairment: Effects on Psychological Wellbeing and Subjective Visual Functioning

Level
Substantial Evidence
Type
Randomized Controlled Trials
Topics
Anxiety / Emotional Distress, Depression, Serious Disease / Chronic Conditions, Visual Impairment
Author
Roil, C, Stapleton, P
Year
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About Face: Is Virtual Group Delivery of Clinical Emotional Freedom Techniques (EFT) as Effective as Face-to-Face Group Delivery in Improving Psychological and Physiological Markers of Health?

Level
Substantial Evidence
Type
Randomized Controlled Trials
Topics
Anxiety / Emotional Distress, EFT Mechanisms / Efficacy
Author
Boath, E H, Church, D, Stapleton, P
Year
2026

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EFT International (EFTi) is a not-for-profit Charitable Incorporated Organisation (CIO), registered in England and Wales, Charity number 1176538.

Our Mission

EFT International is dedicated to advancing and upholding exemplary standards for education, training, professional development, and the skillful and ethical application of EFT (Emotional Freedom Techniques or "Tapping").

We are committed to supporting the growing body of evidence-based research into the efficacy of EFT, and are actively working to integrate EFT into the mainstream.

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