The Effect of a Brief EFT (Emotional Freedome Techniques) Self-Intervention on Anxiety, Depression, Pain and Cravings in Healthcare Workers
Dawson Church, PhD & Audrey J. Brooks, PhD.
Integrative Medicine: A Clinician's Journal, (2010), Oct/Nov.
This study examined whether self-intervention with Emotional Freedom Techniques (EFT), a brief exposure therapy that combines a cognitive and a somatic element, had an effect on healthcare workers’ psychological distress symptoms. Participants were 216 attendees at 5 professional conferences. Psychological distress, as measured by the SA-45, and self-rated pain, emotional distress, and craving were assessed before and after 2-hours of self-applied EFT, utilizing a within-subjects design. A 90-day follow-up was completed by 53% of the sample with 61% reporting using EFT subsequent to the workshop. Significant improvements were found on all distress subscales and ratings of pain, emotional distress, and cravings at posttest (all p<.001). Gains were maintained at follow-up for most SA-45 scales. The severity of psychological symptoms was reduced (-45%, p<.001) as well as the breadth (-40%, p<.001), with significant gains maintained at follow-up. Greater subsequent EFT use correlated with a greater decrease in symptom severity at follow-up (p<.034, r=.199), but not in breadth of symptoms (p<.0117, r=.148). EFT provided an immediate effect on psychological distress, pain, and cravings that was replicated across multiple conferences and healthcare provider samples.
Keywords: Healthcare professionals, burnout, depression, anxiety, pain, craving, EFT (Emotional Freedom Techniques)
The Treatment of Combat Trauma in Veterans Using EFT: A Pilot Protocol
Dawson Church, PhDTraumatology, (2010), 15(1), 45-55.
With a large number of US military service personnel coming back from Iraq and Afghanistan with posttraumatic stress disorder (PTSD) and co- morbid psychological conditions, a need exists to find protocols and treatments that are effective in brief treatment timeframes. In this study, a sample of 11 veterans and family members were assessed for PTSD and other conditions. Evaluations were made using the SA-45 (Symptom Assessment 45) and the PCL-M (Posttraumatic Stress Disorder Checklist - Military) using a time-series, within-subjects, repeated measures design. A baseline measurement was obtained thirty days prior to treatment, and immediately before treatment. Subjects were then treated with a brief and novel exposure therapy, EFT (Emotional Freedom Techniques), for five days. Statistically significant improvements in the SA-45 and PCL-M scores were found at posttest. These gains were maintained at both the 30- and 90-day follow-ups on the general symptom index, positive symptom total and the anxiety, somatization, phobic anxiety, and interpersonal sensitivity subscales of the SA-45, and on PTSD. The remaining SA-45 scales improved posttest but were not consistently maintained at the 30- and 90-day follow-ups. One-year follow-up data was obtained for 7 of the participants and the same improvements were observed. In summary, after EFT treatment, the group no longer scored positive for PTSD, the severity and breadth of their psychological distress decreased significantly, and most of their gains held over time. This suggests that EFT can be an effective post-deployment intervention.
Brief Group Intervention Using EFT (Emotional Freedom Techniques) for Depression in College Students: A Randomized Controlled Trial
Dawson Church, PhD, Midanelle De Asis, Audrey Books, PhD
These data were presented at a poster session at the 12th International Energy Psychology Conference, San Diego, June 3-9, 2010. They have been submitted for publication and are in peer review.
238 first year college students were assessed using the Beck Depression Inventory (BDI). Thirty students meeting the BDI criteria for moderate to severe depression were randomly assigned to either a treatment or control group. The treatment group received four 90-minute group sessions of EFT (Emotional Freedom Techniques), a novel treatment that combines exposure, cognitive restructuring, and somatic stimulation. The control group received no treatment. Posttests were conducted three weeks later on those that completed all requirements (N = 18). The EFT group (n = 9) had significantly more depression at baseline than the control group (n = 9) (EFT BDI Mean: 23.44 SD ±2.1 vs. control BDI Mean: 20.33 SD ±2.1). After controlling for baseline BDI score, the EFT group had significantly less depression than the control group at posttest, scoring in the "non-depressed” range (p = 0.001; EFT BDI Mean: 6.08 SE ±1.8 vs. control BDI Mean: 18.04 SE ±1.8). These results are consistent with those noted in other studies of EFT that included an assessment for depression, and indicate the clinical usefulness of EFT as a brief, cost-effective, and efficacious treatment.
Keywords: students, depression, group therapy, EFT (Emotional Freedom Techniques), energy psychology
Psychological Trauma in Veterans using EFT (Emotional Freedom Techniques): A Randomized Controlled Trial
Dawson Church, PhD, Crystal Hawk, MEd, Audrey Books, PhD, Oliver Toukolehto, Maria Wren, LCSW, Ingrid Dinter, Phyllis Stein, PhD. These data were presented at the Society of Behavioral Medicine, Seattle, Washington, April 7-10, 2010. In peer review.
This study examined the effect of Emotional Freedom Techniques (EFT), a brief exposure therapy combining cognitive and somatic elements, on post-traumatic stress disorder (PTSD) and psychological distress symptoms in military veterans receiving mental health services. Veterans meeting the clinical criteria for PTSD were randomized to EFT (n = 30) or wait-list (n = 29; WL). The EFT intervention consisted of six hour-long EFT coaching sessions concurrent with standard care. PTSD was assessed using the PTSD Checklist-Military (PCL-M). Psychological distress was measured using the Symptom Assessment 45 (SA-45), which has 2 global scales and 9 subscales for conditions such as anxiety and depression. The WL and EFT groups were compared pre- and posttest (at 1 month for the WL group, after 6 sessions for EFT group). EFT participants had significantly less psychological distress on the global and on all but one of subscales on the SA-45 (p<0.0002) and the PTSD total score (p<0.0001) at posttest. 90% of the EFT group no longer met PTSD clinical criteria vs. 4% in the WL. Following the wait-period, WL participants received the EFT intervention. In a within-subjects longitudinal analysis, 60% no longer met PTSD clinical criteria after 3 sessions. This increased to 86% after 6 sessions, and remained at 86% on 3-month follow-up. Statistically significant decreases in psychological distress and PTSD total scores were present after 6 sessions (p<0.0001), and remained stable at follow-up. The results are consistent with other published reports showing EFTs efficacy at treating PTSD and co-morbid symptoms, and its long-term effects.
Keywords: veterans, PTSD, exposure therapy, trauma, EFT (Emotional Freedom Techniques)
Psychological Symtom Change in Veterans After Six Sessions of Emotional Freedom Techniques (EFT); An Observational Study
Dawson Church, PhD, Linda Geronilla, PhD, & Ingrid DinterInternational Journal of Healing and Caring, (2009, January), 9(1).
Protocols to treat veterans with brief courses of therapy are required, in light of the large numbers returning from Iraq and Afghanistan with depression, anxiety, PTSD and other psychological problems. This observational study examined the effects of six sessions of EFT on seven veterans, using a within-subjects, time-series, repeated measures design. Participants were assessed using a well-validated instrument, the SA-45, which has general scales measuring the depth and severity of psychological symptoms. It also contains subscales for anxiety, depression, obsessive-compulsive behavior, phobic anxiety, hostility, interpersonal sensitivity, paranoia, psychosis, and somatization. Participants were assessed before and after treatment, and again after 90 days. Interventions were done by two different practitioners using a standardized form of EFT to address traumatic combat memories. Symptom severity decreased significantly by 40% (p<.001), anxiety decreased 46% (p<.001), depression 49% (p<.001), and PTSD 50% (p<.016). These gains were maintained at the 90-day follow-up.
Self-administered EFT (Emotional Freedom Techniques) in Individuals with Fibromyalgia: A Randomized Trial
Integrative Medicine: A Clinician's Journal, (2008), Aug/Sep, 30-35.
Gunilla Brattberg, MD, School of Medicine, Lund University, Sweden.
The aim of this study was to examine if self-administered EFT (Emotional Freedom Techniques) leads to reduced pain perception, increased acceptance, coping ability and health-related quality of life in individuals with fibromyalgia. 86 women, diagnosed with fibromyalgia and on sick leave for at least 3 months, were randomly assigned to a treatment group or a waiting list group. An eight-week EFT treatment program was administered via the Internet.
Upon completion of the program, statistically significant improvements were observed in the intervention group (n=26) in comparison with the waiting list group (n=36) for variables such as pain, anxiety, depression, vitality, social function, mental health, performance problems involving work or other activities due to physical as well as emotional reasons, and stress symptoms. Pain catastrophizing measures, such as rumination, magnification and helplessness, were significantly reduced, and the activity level was significantly increased. The number needed to treat (NNT) regarding recovering from anxiety was 3. NNT for depression was 4.
Self-administered EFT seems to be a good complement to other treatments and rehabilitation programs. The sample size was small and the dropout rate was high. Therefore the surprisingly good results have to be interpreted with caution. However, it would be of interest to further study this simple and easily accessible self-administered treatment method, which can even be taught over the Internet.
The Effects of EFT on Long-term Psychological Symptoms
Rowe, J. (2005). The effects of EFT on long-term psychological symptoms.
Counseling and Clinical Psychology Journal, 2(3):104.
Previous research (Salas, 2000; Wells, et al., 2003), theoretical writings (Arenson, 2001, Callahan, 1985, Durlacher, 1994, Flint, 1999, Gallo, 2002, Hover-Kramer, 2002, Lake & Wells, 2003, Lambrou & Pratt, 2000, and Rowe, 2003), and many case reports (www.emofree.com) have suggested that energy psychology is an effective psychotherapy treatment that improves psychological functioning. The purpose of the present study was to measure any changes in psychological functioning that might result from participation in an experiential Emotional Freedom Techniques (EFT) workshop and to examine the long-term effects. Using a time-series, within-subjects repeated measures design, 102 participants were tested with a short-form of the SCL-90-R (SA-45) 1 month before, at the beginning of the workshop, at the end of the workshop, 1 month after the workshop, and 6 months after the workshop. There was a statistically significant decrease (p < .0005) in all measures of psychological distress as measured by the SA-45 from pre-workshop to post-workshop which held up at the 6 month follow-up.
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