The Tapping Evidence Base
PTSD & Trauma

Emotional freedom technique versus written exposure therapy versus waiting list for post-traumatic stress disorder: protocol for a randomised clinical MRI study

Choi, Y., Kim, Y., Choi, S., Choi, Y.E., Kwon, O., Kwon, D.H. et al. Β· BMJ Open Β· 2023

Randomized trialπŸ‘₯ 120 participantsβš–οΈ vs. written exposure therapy (WET) and waiting list (WL) vs EFTModerate rigorβœ“ Source-checkedπŸ“ South Korea
In plain English. This is a published research plan (protocol), not a completed study, describing how researchers intend to compare EFT to another PTSD treatment and a waiting list, using brain scans as part of the analysis. Since no results are reported yet, it can't be used to judge whether EFT works, only that a well-designed trial is underway.

What they found

120
people took part

This is a study protocol (not yet reporting results) for a randomized, assessor-blinded, three-arm clinical MRI trial comparing EFT, written exposure therapy, and waiting list for PTSD.

How the study worked

Who took partpatients with PTSD (planned n=120) plus 60 healthy controls without lifetime trauma (n=120)
What they didIn a randomized controlled trial, participants were randomly assigned to receive tapping or a comparison condition, then measured and compared.
Compared withwritten exposure therapy (WET) and waiting list (WL) vs EFT
Measured withClinician-Administered PTSD Scale, depression, anxiety, somatic symptoms, quality of life, structural/functional MRI, facial expression recordings

πŸ’‘ Where this could help

If this trial eventually shows tapping working as well as written exposure therapy for PTSD, brain-imaging evidence could give skeptical clinicians and health systems the kind of hard neurological data that makes them willing to refer patients to tapping alongside more established trauma treatments. That referral would carry extra weight precisely because tapping is self-administered β€” a system endorsing it isn't just adding a service, it's handing patients a tool they can keep using long after the study ends.

πŸ”¬ What to study next

The real prize is what the completed trial could show: if EFT performs comparably to written exposure therapy, the structural and functional MRI data could reveal whether tapping calms amygdala reactivity to trauma cues through the same pathway as exposure-based therapies, or a distinct one. Worth also checking whether facial-expression-coded distress during recall tracks with the MRI signal, and whether the healthy-control scans help calibrate what neurological 'recovery' actually looks like, not just symptomatic improvement.

The full record

DesignRandomized trial
Participants120 people
Populationpatients with PTSD (planned n=120) plus 60 healthy controls without lifetime trauma
Comparison groupwritten exposure therapy (WET) and waiting list (WL) vs EFT
Outcome measuresClinician-Administered PTSD Scale, depression, anxiety, somatic symptoms, quality of life, structural/functional MRI, facial expression recordings
JournalBMJ Open
Year2023
CountrySouth Korea
LanguageEnglish
MethodEFT / tapping
Publication typeStudy / trial
Verificationβœ“ Confirmed against the primary source

Read the original study β†’

Cite this study

APA

Choi, Y., Kim, Y., Choi, S., Choi, Y.E., Kwon, O., Kwon, D.H., et al., & Kim, H. (2023). Emotional freedom technique versus written exposure therapy versus waiting list for post-traumatic stress disorder: protocol for a randomised clinical MRI study. BMJ Open. https://doi.org/10.1136/bmjopen-2022-070389

This record is part of the Tapping Evidence Base β€” an openly-sourced, fully-referenced directory of the research on EFT/tapping. Explore more studies on PTSD & Trauma

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THE TAPPING EVIDENCE BASE PTSD & Trauma 120 participants WHAT THEY FOUND This is a study protocol (not yet reportingresults) for a randomized, assessor-blinded,three-arm clinical MRI trial… Randomized trial Β· 120 participants Choi Β· 2023 Β· evidence.thetappingsolution.com