The Tapping Evidence Base

Tapping for Test Anxiety & Students

The complete published evidence on Tapping for test anxiety & students — every study we could find, in plain English, with the results laid out in full.

24studies
11randomized trials
2 meta-analyses / reviews
1,035people studied
Strong evidenceBacked by multiple randomized controlled trials and at least one meta-analysis or systematic review — among the most thoroughly researched uses of Tapping.

🖨️ Print the one-page summary for your doctor →

The short version. Randomized trials in students consistently report lower test anxiety after Tapping, including against active comparisons: one trial found a large advantage over progressive muscle relaxation (d = 1.81, Sezgin & Ozcan 2009), and another found Tapping matched music therapy, with both beating no treatment (Inangil 2020). No pooled meta-analysis exists for test anxiety specifically, so we don't headline a single number.

Evidence at a glance

The whole test anxiety & students picture in one row, and every study's effect size on one scale.

24studies total
11randomized trials
2meta-analyses
1,035people studied
d≈0.8typical effect
Meets criteria APA efficacy criteria*

*Whether the evidence pattern (multiple RCTs plus independent replication) approaches the American Psychological Association's threshold for an "empirically supported" treatment. Descriptive, not an official APA designation. Shown only for clinical psychological conditions, where that framework applies.

0 0.8 (large) 2.5 d
Sezgin 2009 1.81
Azzizadeh Forouzi 2024 1.15
Gaesser 2017 0.74
Fox 2013 0.47
Jain 2012 0.45

Each dot is one study's between-group effect size (tapping vs. a control or comparison group), drawn straight from the dataset. Only controlled between-group comparisons are plotted; within-group pre-post figures are excluded by design. Dashed line at 0.8 marks a "large" effect.

The studies

24 studies, strongest evidence first. Search and filter to find what you need — each card explains what the researchers did and found before giving the technical detail.

Systematic review Moderate rigor

A narrative systematic review of the effectiveness of Emotional Freedom Techniques (EFT)

Boath, E., Stewart, A., Carryer, A. · 2012

This systematic review sifted through 42 published EFT studies down to 7 qualifying randomized trials, and found tapping outperformed comparison approaches like diaphragmatic breathing, progressive muscle relaxation, an inspirational lecture, and a support group across conditions including PTSD, fibromyalgia, phobias, test anxiety, and athletic performance. The one method that beat EFT in these trials was EMDR. With only 7 RCTs reviewed and methodological flaws noted in the source studies, the reviewers still called for further quality research even while endorsing EFT's promise.

A search identified 42 published EFT studies, of which 7 RCTs met inclusion criteria; EFT was shown effective for PTSD, fibromyalgia, phobias, test anxiety, and athletic performance, and was superior to diaphragmatic breathing, progressive muscular relaxation, an inspirational lecture, and a support group, while only EMDR outperformed EFT.

👥 7 studies 📍 United Kingdom Staffordshire University, CPSI Monograph · 2012 ✓ Source-checked View study → Details & cite →
Systematic review Preliminary

Emotional Freedom Techniques (EFT) for Students Mental Health: A Systematic Review

Lee, S.H., Jeong, B.E., Chae, H. et al. · 2017

This is an earlier (2017) publication of essentially the same systematic review methodology and findings later republished by overlapping authors in 2021 (Lee et al.), pooling 14 clinical trials of EFT for student mental health and finding consistent benefit but noting generally poor study quality and small samples in the underlying literature.

Of 14 extracted clinical trials (8 RCTs, 2 non-randomized controlled trials, 4 before-after studies), EFT showed significant clinical usefulness for public speaking anxiety, test anxiety, stress, depression, learning-related emotions, adolescent anxiety, and eating issues, though risk of selection bias was high or uncertain in most studies.

👥 14 studies 📍 South Korea Journal of Oriental Neuropsychiatry · 2017 ✓ Source-checked View study → Details & cite →
Randomized trial Higher rigor

Effectiveness of music therapy and Emotional Freedom Technique on test anxiety in Turkish nursing students: A randomised controlled trial

Inangil, D., Vural, P., Dogan, S. et al. · 2020

Ninety Turkish nursing students facing a nerve-wracking hands-on clinical exam were split into music therapy, EFT, or no intervention. Both music and tapping brought down students' pre-exam anxiety significantly more than doing nothing. This is a clean three-arm randomized trial with a decent sample size.

Mean anxiety scores in both the music and EFT groups were significantly lower than control after the interventions (p < .05).

👥 90 people 📍 Turkey European Journal of Integrative Medicine · 2020 ✓ Source-checked View study → Details & cite →
Randomized trial Higher rigor

A Randomized Controlled Comparison of Emotional Freedom Technique and Cognitive-Behavioral Therapy to Reduce Adolescent Anxiety: A Pilot Study

Gaesser, A.H., Karan, O.C. · 2017

Sixty-three students between 10 and 18 years old with anxiety were split into three groups: tapping, standard cognitive behavioral therapy, or no help at all, with three sessions spread over five months. Tapping significantly beat doing nothing; CBT improved but did not statistically separate from the no-treatment group in this small pilot, and tapping and CBT did not differ significantly from each other. This study is notable for its unusually careful, low-bias design - independent blinded assessments and low dropout - which makes its comparable-to-CBT finding more trustworthy than most.

63 students were randomized to EFT (n=20), CBT (n=21), or no intervention (n=21) over 3 sessions across 5 months; the no-intervention group had significantly higher anxiety than EFT (p<0.01) at follow-up, but EFT did not significantly differ from CBT (p=0.18), and this was the only study in a 2025 systematic review rated as low risk of bias across all domains.

👥 63 people 📍 United States Journal of Alternative and Complementary Medicine · 2017 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor Critical finding Spanish

Energy Psychology: The Emotional Freedom Technique (EFT) in Managing Anxiety Before the University Entrance Selection Exam

Perellón Mancebo, J. · 2015

This Mexican university thesis tested tapping on students preparing for a competitive entrance exam, replicating the experiment across three separate groups. Students who tapped consistently reported much lower anxiety than those who didn't, but that didn't translate into actually getting into university more often — admission rates were about the same either way, and an early hint that tapping also boosted practice-exam scores didn't hold up when repeated with new groups. This is an unpublished student thesis rather than a peer-reviewed journal article, so it carries less weight, but its honest reporting of a real-world outcome not improving is a useful, non-cherry-picked data point.

Across three sub-samples, the EFT group showed large, significant reductions in anxiety versus control (Hamilton Scale: 8.565 vs 2.652, t=12.63, p<.00001 in Sample 1), but EFT did not improve actual university admission rates (65% control vs 61% EFT group admitted in Sample 1), and a diagnostic-exam-score advantage seen in Sample 1 did not replicate in Samples 2 or 3.

👥 104 people 📍 Mexico UNAM Facultad de Psicología (bachelor's thesis) · 2015 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor

Breathing therapy and emotional freedom techniques on public speaking anxiety in Turkish nursing students: A randomized controlled study

Dincer, B., Kumral Özçelik, S., Özer, Z. et al. · 2020

76 nursing students in Turkey who got nervous about public speaking were split into a tapping group and a breathing-exercise group. Both lowered their anxiety before a speaking task, with the tapping group showing the larger within-group improvement on the anxiety measures.

Both breathing therapy and EFT groups had comparable pre-intervention anxiety; SUDS, STAI, and speech-anxiety scores decreased significantly in both groups after the intervention, with the EFT group showing larger within-group reductions (speech-anxiety d approximately 3.18 vs 1.46).

👥 76 people 📍 Turkey Explore · 2020 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor

The effect of emotional freedom techniques on test anxiety in Iranian Paramedical students: a randomized controlled trial study

Azzizadeh Forouzi, M., Taebi, M., Samarehfekri, A. et al. · 2024

Sixty nursing and paramedical students in Iran were split into a group that took six weekly online tapping sessions and a group that got no special help before exams. The tapping group's test-anxiety scores came down substantially more than the untreated group's by the end. It's a modest-sized study in one country's student population, but the online, low-cost delivery format is notable for how easily it could scale to other students.

60 students (30 per group) were randomized to 6 weekly 45-minute online EFT sessions or a no-intervention control; mean exam anxiety dropped to 50.88 in the intervention group versus 65.36 in the control group post-intervention (p<0.001).

👥 60 people 📍 Iran Annals of Medicine and Surgery · 2024 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor

Efficacy of EFT in Reducing Public Speaking Anxiety: A Randomized Controlled Trial

Jones, S., Thornton, J., Andrews, H. · 2011

People who dreaded public speaking were split into an EFT group and a wait-and-see group. The tapping group's fear of speaking up dropped significantly more than the group that just waited.

A randomized controlled trial found EFT produced significantly greater reductions in public speaking anxiety than a waitlist control.

👥 36 people 📍 United Kingdom Energy Psychology: Theory, Research, and Treatment · 2011 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor

Test anxiety trial of EFT vs progressive muscle relaxation (as tabulated in Clond 2016)

Sezgin, N., Ozcan, B. · 2009

In this small study, 32 test-anxious students tried either a single tapping session or progressive muscle relaxation, a well-established calming technique. Tapping came out clearly ahead, though the wide confidence interval (reflecting the small sample) means the true size of the advantage is uncertain.

One EFT session (n=16) vs progressive muscular relaxation (n=16); difference d=1.81 (95% CI 0.10–3.52, p=0.038), a large and statistically significant advantage for EFT over an active relaxation technique.

👥 32 people 📍 Turkey unspecified (per Clond 2016 Table 1/2) · 2009 ✓ Source-checked View study → Details & cite →
Randomized trial Moderate rigor

Utilization of Emotional Freedom Techniques (EFT) to reduce test anxiety in high stakes testing

Mohler, M. · 2014

Nursing students preparing for their licensing exam were randomly assigned to EFT or guided imagery to manage test anxiety. Both approaches lowered momentary distress, but EFT specifically improved students' sense that anxiety was interfering with memory and recall - guided imagery did not show that same specific benefit and even trended slightly worse on end-of-study anxiety perception. This dissertation offers a rare head-to-head comparison of EFT against another self-help relaxation technique for high-stakes testing.

SUDS ratings decreased significantly pre- to post-treatment in both groups, and the EFT group showed a statistically significant improvement on the Westside Test Anxiety incapacity (memory) subscale specifically.

📍 United States Dissertation Abstracts International Section A: Humanities and Social Sciences · 2014 ✓ Source-checked View study → Details & cite →
Randomized trial Preliminary Critical finding

College student trial of EFT vs waitlist and diaphragmatic breathing (as tabulated in Clond 2016)

Jain, S., Rubino, A. · 2012

Forty college students tried one tapping session versus waiting or doing breathing exercises. None of the differences were large enough, in this small sample, to be confident they weren't due to chance.

One EFT session (n=11) vs waitlist (n=23, d=0.45, p=0.275) and diaphragmatic breathing (n=6, d=−0.73, 95% CI −2.42–0.96, p=0.396); neither comparison statistically significant.

👥 40 people 📍 United States unspecified (per Clond 2016 Table 1/2) · 2012 View study → Details & cite →
Randomized trial Preliminary Critical finding

College student trial of EFT vs modified EFT (as tabulated in Clond 2016)

Fox, S. · 2013

Ten college students did standard tapping and ten did a modified version, to see if the specific tapping points matter. The two groups ended up about the same, but the study was too small to draw firm conclusions either way.

One session, EFT (n=10) vs a modified EFT protocol (n=10); difference d=0.47 (95% CI −0.55–1.49, p=0.366), not statistically significant.

👥 20 people 📍 United States Energy Psychology: Theory, Research, and Treatment · 2013 ✓ Source-checked Details & cite →
Controlled trial Moderate rigor

Reducing mathematics anxiety among students with pseudo-dyscalculia in Ibadan through numerical cognition and emotional freedom techniques: Moderating effect of mathematics efficacy

Aremu, A. O., Taiwo, A. K. · 2014

Over 100 Nigerian secondary school students who struggled with severe math anxiety tried either a numerical-cognition training program or EFT. Tapping outperformed the numerical training at bringing down math anxiety, with a statistically strong effect. This is a solid-sized quasi-experimental study addressing an anxiety type rarely studied in the EFT literature.

There was a significant main effect of treatment on mathematics anxiety, F(2,109) = 173.020, p < 0.01, with the EFT (meridian-based) intervention more effective (mean = 33.78) than numerical cognition (mean = 45.35) in reducing mathematics anxiety.

👥 102 people 📍 Nigeria African Journal for the Psychological Studies of Social Issues · 2014 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

A Feasibility Study of Emotional Freedom Technique Taught in the Curriculum for Secondary School Students, to Reduce Stress and Test Anxiety and Enhance Coping Skills

Ledger, K. · 2019

A Canadian high school teacher built tapping into a stressful exam-prep unit for 138 students across grades 10 to 12, checking their stress, coping skills, and test anxiety over four weeks. A comparison against untaught classes was attempted, but methodological problems meant the quantitative results couldn't be trusted, so the study mainly shows the approach is workable in a real classroom rather than measuring how much it helped.

EFT was taught across four consecutive weekly classes to 138 secondary students during pre-exam season, with stress, coping, and test anxiety measured before, after the first class, and after the full training. A controlled comparison against no-treatment classes was attempted, but the quantitative data were judged not clearly valid due to methodological contamination, leaving primarily feasibility and qualitative findings.

👥 138 people 📍 Canada International Journal of Healing and Caring · 2019 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Emotional Freedom Techniques (EFT) to Reduce Exam Anxiety in Turkish Nursing Students

Vural, P., Korpe, G., Inangil, D. · 2019

Eighty Turkish nursing students did three short EFT sessions to help with exam anxiety before a big test. Their anxiety on multiple validated measures dropped significantly, and over half reported meaningful relief in how they felt about the exam. There was no comparison group, so it can't rule out that some students would have calmed down anyway as the exam approached.

State and trait anxiety, as well as exam anxiety, statistically significantly decreased after three EFT sessions, with more than half of students showing success in subjective exam anxiety reduction.

👥 80 people 📍 Turkey European Journal of Integrative Medicine · 2019 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Tapping for success: A pilot study to explore if Emotional Freedom Techniques (EFT) can reduce anxiety and enhance academic performance in university students

Boath, E., Stewart, A., Carryer, A. · 2013

University students learned tapping in a 15-minute workshop right before a presentation they were dreading, and their anxiety scores dropped right away. The four in ten students who kept tapping before the actual presentation ended up with better grades on it than those who skipped it. It's a small pilot with no control group and no random assignment to the tapping group, so treat the grade difference as a promising early signal rather than a settled result.

Immediately after a single 15-minute EFT round focused on public-speaking anxiety, students' HADS anxiety scores dropped significantly from baseline (p<.001); the 41% of students who went on to use the technique before their actual presentation scored higher on that presentation than students who didn't use it (p<.01).

👥 46 people 📍 United Kingdom Innovative Practice in Higher Education · 2013 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

The Efficacy of EFT on the Symptoms of Depression, Anxiety and Stress among College Students' during the COVID-19 Pandemic: Basis for the Development of Psychological Acupuncture Intervention

Bustamante-Paster, A. · 2022

Forty-five Filipino college students struggling with severe pandemic-era depression, anxiety, or stress went through 16 tapping sessions. Across all three groups, average scores moved from the severe range down to normal or mild by the end. There was no control group, so some of the improvement over 16 sessions could reflect time passing rather than EFT alone.

After 16 sessions of EFT, the anxiety group's mean DASS score fell from 16.69 (severe) to 4.84 (normal), the depression group's from 22.77 (severe) to 10.38 (mild), and the stress group's from 25.50 (severe) to 8.70 (normal).

👥 45 people 📍 Philippines International Journal of Multidisciplinary Research and Analysis · 2022 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Tapping your way to success: using Emotional Freedom Techniques (EFT) to reduce anxiety and improve communication skills in social work students

Boath, E., Good, R., Tsaroucha, A. et al. · 2017

Forty-five social work students, a group known for high placement-related anxiety, tried EFT after a stress-inducing mock lecture. They reported significantly less distress and anxiety afterward, and interviews found students experienced tapping as calming and useful beyond the classroom. This is a pilot study without a control group, so it establishes feasibility more than definitive efficacy.

Quantitative findings indicated participants reported significantly less subjective distress and anxiety after using EFT, following a 15-minute anxiety-inducing lecture.

👥 45 people 📍 United Kingdom Journal of Social Work Education · 2017 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Effects of Emotion Freedom Techniques on Academic Stress in Korean Medical Students: A Single-Group Pre-Post Study

Lee, S. H., Han, S. Y., Lee, S. J. et al. · 2022

Thirty-six first-year Korean medical students did a six-session after-school EFT program to manage the notorious stress of medical training. Test anxiety, negative mood, and trait anxiety all eased significantly, with some gains still visible two weeks later. There was no comparison group, so it can't rule out that some improvement came simply from time passing.

Significant reductions occurred at post-EFT and two-week follow-up on test anxiety, negative perspective stress, and negative affect subscales; trait anxiety was significantly reduced post-EFT and state anxiety at follow-up.

👥 36 people 📍 South Korea Journal of Oriental Neuropsychiatry · 2022 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Evaluating the efficacy of Emotional Freedom Technique (EFT) for anxiety reduction

Chong, E. · 2024

Fifteen university students with anxiety tried a four-week EFT program as part of a clinical scholarly project. Their anxiety scores on a standard screening tool dropped by 4.5 points, a meaningful shift on that scale. With no comparison group and a small sample, this is best treated as a preliminary finding.

GAD-7 scores decreased by 4.5 points following four weeks of EFT intervention.

👥 15 people 📍 United States Dissertation Abstracts International: Section B: The Sciences and Engineering · 2024 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Improving undergraduate nursing student stress: Tapping to success in academia with emotional freedom techniques

Cyr, J. · 2022

Seven stressed-out nursing students did four half-hour tapping sessions online, one a week for a month. Their stress scores fell by nearly ten points on a standard scale, and every one of them said they planned to keep using EFT on their own afterward. It's a tiny study with no comparison group, so treat it as an early signal rather than proof.

Mean Perceived Stress Scale scores dropped from 23.29 (SD 5.59) to 13.29 (SD 8.22) after four weekly 30-minute virtual EFT sessions; the author reported this within-group change did not reach statistical significance in this small sample.

👥 7 people 📍 United States Dissertation Abstracts International: Section B: The Sciences and Engineering · 2022 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Emotional Freedom Technique for Stress Reduction in Nursing Students: A Pilot Project

Hendricks-Patel, S., Harvey, K. · 2025

First-semester nursing students — a group known for high stress — attended EFT sessions across a 13-week pilot program, and the approach came through as both doable and effective at easing their distress and perceived stress. The abstract doesn't give exact participant numbers or a specific score change, so the size of the benefit isn't fully quantifiable from what's published, but it points to tapping as a practical, low-cost option for a famously stressed student population.

A 13-week quasi-experimental pilot of EFT sessions for first-semester nursing students found the technique was feasible and effective for reducing distress and perceived stress, though the abstract does not report a specific participant count or numeric effect size.

📍 United States Journal of Nursing Education · 2025 ✓ Source-checked View study → Details & cite →
Outcome study Preliminary

Is Emotional Freedom Techniques Generalizable? Comparing Effects in Sport Science Students Vs. Complementary Therapy Students

Boath, E., Stewart, A., Carryer, A. · 2013

Researchers tested whether EFT for presentation anxiety works the same way across very different groups of students - younger sport science students, mostly male, and older complementary therapy students, all female. It did: both groups saw significant drops in anxiety, suggesting the effect isn't limited to any one type of student. This strengthens confidence that earlier positive EFT-for-presentation-anxiety findings weren't a fluke of one particular group.

The study found a statistically significant reduction in anxiety for both cohorts of students, as well as a clinically significant reduction in anxiety for the sports science students, regardless of age or gender.

📍 United Kingdom Energy Psychology Journal · 2013 ✓ Source-checked View study → Details & cite →
Review Preliminary

The effectiveness of Emotional Freedom Technique on public speaking anxiety in university students: An integrated review

Wati, N. L., Sansuwito, T. B., Riyanto, D. et al. · 2022

This review pulled together five studies from four countries testing EFT for the common fear of public speaking among university students. Most of them found tapping reduced that anxiety, and the authors conclude EFT is achievable to introduce even with limited resources on campus. It's a small review of five studies, so it summarizes rather than adds new trial evidence.

Five studies from the UK, Australia, Turkey, and Indonesia were reviewed; a majority of the EFT interventions were able to reduce public speaking anxiety.

👥 5 studies 📍 Indonesia Open Access Macedonian Journal of Medical Sciences · 2022 ✓ Source-checked View study → Details & cite →

What critics say — and what the research shows

A resource you can trust includes the criticisms too. Here they are, answered straight.

The fair criticisms

The most common critiques of the test anxiety & students research: some trials compare tapping to a waitlist rather than to an established treatment, and many outcomes are self-reported. Worth knowing — and the field has been steadily answering both, with a growing number of head-to-head and active-control trials.

The studies that didn't show a benefit

  • Energy Psychology: The Emotional Freedom Technique (EFT) in Managing Anxiety Before the Un — Across three sub-samples, the EFT group showed large, significant reductions in anxiety versus control (Hamilton Scale: 8.565 vs 2.652, t=12.63, p<.00001 in Sample 1), but EFT did not improve actual university admission rates (65% control vs 61% EFT group admitted in Sample 1), and a diagnostic-exam-score advantage seen in Sample 1 did not replicate in Samples 2 or 3.
  • College student trial of EFT vs modified EFT (as tabulated in Clond 2016) — One session, EFT (n=10) vs a modified EFT protocol (n=10); difference d=0.47 (95% CI −0.55–1.49, p=0.366), not statistically significant.
  • College student trial of EFT vs waitlist and diaphragmatic breathing (as tabulated in Clon — One EFT session (n=11) vs waitlist (n=23, d=0.45, p=0.275) and diaphragmatic breathing (n=6, d=−0.73, 95% CI −2.42–0.96, p=0.396); neither comparison statistically significant.

We list these right alongside the positive ones. A field confident in its evidence doesn't hide them.

Common questions

Does Tapping (EFT) work for test anxiety & students?

The published research is strong: 24 studies, including 11 randomized controlled trials and 2 meta-analyses or systematic reviews, have examined Tapping for test anxiety & students. Most report meaningful reductions in test anxiety. As with any technique, results vary by person and the strongest future studies will compare tapping directly with established treatments.

How many studies are there on Tapping for test anxiety & students?

This directory catalogues 24 studies of EFT/Tapping for test anxiety & students: 11 randomized controlled trials, 2 meta-analyses or systematic reviews, and the remainder pilot, outcome, and case studies — each listed with its design, sample size, and source on this page.

Is Tapping for test anxiety & students backed by science or is it pseudoscience?

Tapping for test anxiety & students is supported by peer-reviewed research published in indexed medical and psychology journals, including randomized controlled trials and meta-analyses. Critics fairly note that some trials use waitlist rather than active comparison groups and rely on self-report; the field has been steadily addressing both. The honest summary: a real and growing evidence base, not a settled one — every study, including critical findings, is listed openly on this page.