Psychological Trauma Symptom Improvement in Veterans Using Emotional Freedom Techniques: A Randomized Controlled Trial
Abstract
This study examined the effect of Emotional Freedom Techniques (EFT), a brief exposure therapy combining cognitive and somatic elements, on posttraumatic stress disorder (PTSD) and psychological distress symptoms in veterans receiving mental health services. Veterans meeting the clinical criteria for PTSD were randomized to EFT (n = 30) or standard of care wait list (SOC/WL; n = 29). The EFT intervention consisted of 6-hour-long EFT coaching sessions concurrent with standard care. The SOC/WL and EFT groups were compared before and after the intervention (at 1 month for the SOC/WL group and after six sessions for the EFT group). The EFT subjects had significantly reduced psychological distress (p < 0.0012) and PTSD symptom levels (p < 0.0001) after the test. In addition, 90% of the EFT group no longer met PTSD clinical criteria, compared with 4% in the SOC/WL group. After the wait period, the SOC/WL subjects received EFT. In a within-subjects longitudinal analysis, 60% no longer met the PTSD clinical criteria after three sessions. This increased to 86% after six sessions for the 49 subjects who ultimately received EFT and remained at 86% at 3 months and at 80% at 6 months. The results are consistent with that of other published reports showing EFT's efficacy in treating PTSD and comorbid symptoms and its long-term effects.
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Voluntary regular exercise lowers arousal, apparently by modulating amygdala reactivity.
“Voluntary regular exercise is another means of lowering arousal, apparently by modulating amygdala reactivity155,156”
From Fear and the Defense Cascade (2015) · cites this paper as [155]
Overall, the results of five studies showed that the interventions EFT, exposure-based CBT, EMDR, MBSR, CBT-PD, and the Trauma Therapy Program were successful in reducing psychological distress and/or subclinical symptoms.
“Overall, the results of five studies showed that the interventions EFT, exposure-based CBT, EMDR, MBSR, CBT-PD, and the Trauma Therapy Program were successful in reducing psychological distress and/or subclinical symptoms [49,52,56,57,60].”
In an RCT of N = 55 US veterans from the Iraq or Afghanistan war, EFT plus TAU produced significant reductions in PTSD, anxiety, depression, hostility, obsessive-compulsive behavior, paranoia, phobic anxiety, psychoticism, and somatization compared to TAU at post-intervention.
“The results showed significant reductions in PTSD, anxiety, depression, hostility, obsessive–compulsive behavior, paranoia, phobic anxiety, psychoticism, and somatization in the EFT group compared to the TAU group at post-intervention.”
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- Authors
- Church, D., Hawk, C., Brooks, A. J., Toukolehto, O., Wren, M., Dinter, & Stein, P.
- Affiliations
- University of Arizona (US)
- Uniformed Services University of the Health Sciences (US)
- United States Department of Veterans Affairs (US)
- Corresponding author
- Church, Dawson
- Venue
- Journal of Nervous & Mental Disease
- Published
- 2013-02
- Volume
- 201
- Issue
- 2
- Pages
- 153-160
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2053519596
- Cited by
- 131
- References
- 42
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 9 · 2022: 6 · 2021: 29 · 2020: 7 · 2019: 5 · 2018: 7 · 2017: 8 · 2016: 9 · 2015: 11 · 2014: 15 · 2013: 5 · 2012: 4
- FWCI
- 14.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- Emotional Freedom Technique, post-traumatic stress disorder, veterans, psychological distress, somatic therapy, PTSD symptom reduction, comorbid symptoms, waitlist control
- MeSH terms
- Adult, Aged, Aged, 80 and over, Anxiety, Depression, Emotions, Female, Follow-Up Studies, Freedom, Humans, Sleep Initiation and Maintenance Disorders, Male, Middle Aged, Phobic Disorders, Research Design, Smoking, Social Support, Stress Disorders, Post-Traumatic, Time Factors, Veterans, Comorbidity, Cognitive Behavioral Therapy, Confounding Factors, Epidemiologic, Treatment Outcome
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