Feasibility of Emotional Freedom Techniques in Patients with Posttraumatic Stress Disorder: a pilot study
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Objectives: Posttraumatic stress disorder (PTSD) is a prevalent mental health condition, and techniques using sensory stimulation in processing traumatic memories have gained attention. The Emotional Freedom Techniques (EFT) is a psychotherapy that combines tapping on acupoints with exposure to cognitive reframing. This pilot study aimed to assess the feasibility of EFT as a treatment for PTSD by answering the following research questions: 1) What is the compliance and completion rate of patients with PTSD with regard to EFT protocol? Is the dropout rate reasonable? 2) Is the effect size of EFT protocol for PTSD sufficient to justify a future trial? Methods: Thirty participants diagnosed with PTSD were recruited. They received weekly EFT sessions for five weeks, in which they repeated a statement acknowledging the problem and accepting themselves while tapping the SI3 acupoint on the side of their hand. PTSD symptoms were evaluated using the PTSD Checklist for DSM-5 (PCL-5) before and after the intervention. Results: Of the 30 PTSD patients (mean age: 34.1 ± 9.1, 80% female), 96.7% showed over 80% compliance to the EFT sessions, and 86.7% completed the entire study process. The mean PCL-5 total score decreased significantly after the intervention, with a large effect size (change from baseline: –14.33 [95% CI: –19.79, –8.86], p < 0.0001, d = 1.06). Conclusion: The study suggests that EFT is a feasible treatment for PTSD, with high session compliance and low dropout rates. The effect size observed in this study supports the need for a larger trial in the future to further investigate EFT as a treatment for PTSD. However, the lack of a control group and the use of a self-rated questionnaire for PTSD symptoms are limi
Abstract
Objectives: Posttraumatic stress disorder (PTSD) is a prevalent mental health condition, and techniques using sensory stimulation in processing traumatic memories have gained attention. The Emotional Freedom Techniques (EFT) is a psychotherapy that combines tapping on acupoints with exposure to cognitive reframing. This pilot study aimed to assess the feasibility of EFT as a treatment for PTSD by answering the following research questions: 1) What is the compliance and completion rate of patients with PTSD with regard to EFT protocol? Is the dropout rate reasonable? 2) Is the effect size of EFT protocol for PTSD sufficient to justify a future trial? Methods: Thirty participants diagnosed with PTSD were recruited. They received weekly EFT sessions for five weeks, in which they repeated a statement acknowledging the problem and accepting themselves while tapping the SI3 acupoint on the side of their hand. PTSD symptoms were evaluated using the PTSD Checklist for DSM-5 (PCL-5) before and after the intervention. Results: Of the 30 PTSD patients (mean age: 34.1 ± 9.1, 80% female), 96.7% showed over 80% compliance to the EFT sessions, and 86.7% completed the entire study process. The mean PCL-5 total score decreased significantly after the intervention, with a large effect size (change from baseline: –14.33 [95% CI: –19.79, –8.86], p < 0.0001, d = 1.06). Conclusion: The study suggests that EFT is a feasible treatment for PTSD, with high session compliance and low dropout rates. The effect size observed in this study supports the need for a larger trial in the future to further investigate EFT as a treatment for PTSD. However, the lack of a control group and the use of a self-rated questionnaire for PTSD symptoms are limi
참고문헌 (40)
- Shalev A, "Post-traumatic stress disorder", N Engl J Med, 376(25), pp.2459~2469 (2017)
- Cénat JM, "Prevalence of symptoms of depression, anxiety, insomnia, posttraumatic stress disorder, and psychological distress among populations affected by the COVID-19 pandemic : a systematic review and meta-analysis", Psychiatry Res, 295, pp.113599~ (2021)
- Lang AJ, "A clinician’s guide to the 2023 VA", DoD clinical practice guideline for management of posttraumatic stress disorder and acute stress disorder, 2024, pp.37(1), 19~34
- Baek J, "Neural circuits underlying a psychotherapeutic regimen for fear disorders", Nature, 566(7744), pp.339~343 (2019)
- Lewis C, "Dropout from psychological therapies for post-traumatic stress disorder(PTSD)in adults : systematic review and meta-analysis", Eur J Psychotraumatol, 11(1), pp.1709709~ (2020)
- Varker T, "Dropout from guideline-recommended psychological treatments for posttraumatic stress disorder : a systematic review and meta-analysis", J Affect Disord Rep, 4, pp.100093~ (2021)
- Sarkar I, "Individual behavioral profiling as a translational approach to assess treatment efficacy in an animal model of post-traumatic stress disorder", Front Neurosci, 16, pp.1071482~ (2022)
- Cronin C, "Using the NADA protocol to treat combat stress-induced insomnia : a pilot study", J Chin Med, 103, pp.50~56 (2013)
- Grant S, "Acupuncture for the treatment of adults with posttraumatic stress disorder : a systematic review and meta-analysis", J Trauma Dissociation, 19(1), pp.39~58 (2018)
- Kwon CY, "Efficacy and underlying mechanism of acupuncture in the treatment of posttraumatic stress disorder : a systematic review of animal studies", J Clin Med, 10(8), pp.1575~ (2021)
- Assouline A, "Memory-directed acupuncture as a neuromodulatory treatment for PTSD : theory, clinical model and case studies", Transl Psychiatry, 12(1), pp.110~ (2022)
- Church D, "Guidelines for the treatment of PTSD using clinical EFT(Emotional Freedom Techniques)", Healthcare, 6(4), pp.146~ (2018)
- Church D, "EFT(Emotional Freedom Techniques)and resiliency in veterans at risk for PTSD : a randomized controlled trial", Explore, 12(5), pp.355~365 (2016)
- Church D, "The manual stimulation of acupuncture points in the treatment of post-traumatic stress disorder : a review of clinical emotional freedom techniques", Med Acupunct, 29(4), pp.194~205 (2017)
- Feinstein D, "Uses of energy psychology following catastrophic events", Front Psychol, 13, pp.856209~ (2022)
- Kwon CY, "Development of a manual for disaster medical support using Korean medicine for disaster survivors", J Integr Complement Med, 29(6-7), pp.395~407 (2023)
- Stapleton P, "Emotional freedom techniques for treating post traumatic stress disorder : an updated systematic review and meta-analysis", Front Psychol, 14, pp.1195286~ (2023)
- Prins A, "The primary care PTSD screen(PCPTSD) : development and operating characteristics", Prim Care Psychiatry, 9(1), pp.9~14 (2003)
- Jung YE, "A brief screening tool for PTSD : validation of the Korean version of the primary care PTSD screen for DSM-5(K-PC-PTSD-5)", J Korean Med Sci, 33(52), pp.e338~ (2018)
- "The PTSD Checklist for DSM-5 (PCL-5)" (2023)[URL]
- Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16(9), pp.606~613 (2001)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder : the GAD-7", Arch Intern Med, 166(10), pp.1092~1097 (2006)
- Kroenke K, "The PHQ-15 : validity of a new measure for evaluating the severity of somatic symptoms", Psychosom Med, 64(2), pp.258~266 (2002)
- Bastien CH, "Validation of the insomnia severity index as an outcome measure for insomnia research", Sleep Med, 2(4), pp.297~307 (2001)
- Cann A, "A short form of the posttraumatic growth inventory", Anxiety Stress Coping, 23(2), pp.127~137 (2010)
- Cheong MJ, "Validation of the core seven-emotions inventory-short form", Integr Med Res, 8(2), pp.116~119 (2019)
- Dube P, "The p4screener: evaluation of a brief measure for assessing potential suicide risk in 2 randomized effectiveness trials of primary care and oncology patients", Prim Care Companion J Clin Psychiatry, 12(6), pp.PCC.10m00978~ (2010)
- Vogel A, "Challenges in recruiting and retaining adolescents with abuse-related posttraumatic stress disorder : lessons learned from a randomized controlled trial", Child Adolesc Psychiatry Ment Health, 14, pp.14~ (2020)
- Roberge EM, "Analysis of recruitment strategies : enrolling veterans with PTSD into a clinical trial", Mil Psychol, 29(5), pp.407~417 (2017)
- Huang GD, "Clinical trials recruitment planning : a proposed framework from the clinical trials transformation initiative", Contemp Clin Trials, 66, pp.74~79 (2018)
- Karatzias T, "A controlled comparison of the effectiveness and efficiency of two psychological therapies for posttraumatic stress disorder : eye movement desensitization and reprocessing vs. emotional freedom techniques", J Nerv Ment Dis, 199(6), pp.372~378 (2011)
- Church D, "The effect of emotional freedom techniques on stress biochemistry : a randomized controlled trial", J Nerv Ment Dis, 200(10), pp.891~896 (2012)
- Stapleton P, "Neural changes after Emotional Freedom Techniques treatment for chronic pain sufferers", Complement Ther Clin Pract, 49, pp.101653~ (2022)
- Church D, "Is tapping on acupuncture points an active ingredient in emotional freedom techniques? A systematic review and meta-analysis of comparative studies", J Nerv Ment Dis, 206(10), pp.783~793 (2018)
- Church D, "Psychological trauma symptom improvement in veterans using emotional freedom techniques : a randomized controlled trial", J Nerv Ment Dis, 201(2), pp.153~160 (2013)
- Kessler RC, "Trauma and PTSD in the WHO world mental health surveys", Eur J Psychotraumatol, 8(Suppl 5), pp.1353383~ (2017)
- Smith HL, "Is worst-event trauma type related to PTSD symptom presentation and associated features?", J Anxiety Disord, 38, pp.55~61 (2016)
- "The Clinician-administered PTSD Scale for DSM-5(CAPS-5)" (2022)[URL]
- Roth AD, "Therapist training and supervision in clinical trials : implications for clinical practice", Behav Cogn Psychother, 38(3), pp.291~302 (2010)
- Sloan DM, "Written exposure therapy vs prolonged exposure therapy in the treatment of posttraumatic stress disorder : a randomized clinical trial", JAMA Psychiatry, 80(11), pp.1093~1100 (2023)
