The Tapping Evidence Base
Anxiety · How It Works (Biology)

Spiritual Emotional Freedom Technique (SEFT) improved autonomic nervous activity in primipara

Hidayat, A., Emila, O., Dewi, F., Sumarni, S. · Bali Medical Journal · 2021

Controlled trial👥 62 participants⚖️ vs. non-equivalent control groupModerate rigor✓ Source-checked📍 Indonesia
In plain English. Sixty-two first-time pregnant women near their due dates either practiced SEFT (a spiritually-flavored version of tapping) or didn't, while researchers measured their heart-rate variability - a physical marker of stress-system balance. The women who did SEFT showed improved autonomic balance compared to the control group, suggesting a real physiological effect, not just a felt one. The two groups differed slightly at baseline, a limitation the authors themselves flagged.

What they found

62
people took part

SEFT significantly lowered the LF/HF ratio in the intervention group compared to the control group, indicating improved autonomic nervous system balance.

How the study worked

Who took partfirst-time pregnant women (primipara) in Bantul District, Yogyakarta (n=62)
What they didIn a controlled trial, a tapping group was compared against a separate comparison group.
Compared withnon-equivalent control group
Measured withLF/HF ratio (heart rate variability / autonomic nervous activity)

⭐ Why this study matters

The LF/HF ratio comes straight from a heart-rate monitor's math, not from how someone describes her own nerves — it's a direct readout of the autonomic nervous system's balance between fight-or-flight and rest-and-digest signaling. Seeing that ratio shift after SEFT in women approaching childbirth is a concrete sign that a self-administered technique nudged the nervous system itself, not just their mood.

💡 Where this could help

If borne out in larger studies, this points to a real possibility for expecting mothers everywhere: a technique that takes minutes to learn and nothing to buy, that a first-time mom nervous about labor could use on her own between appointments to help settle her nervous system as delivery approaches.

🔬 What to study next

Given that LF/HF reflects autonomic balance, it would be valuable to pair it with a modern wearable tracking HRV continuously, rather than just at single clinic visits, across the weeks leading up to delivery, and to see whether the same women show calmer autonomic readings during labor itself. Adding a salivary cortisol sample at the same timepoints would help confirm whether the nervous-system shift travels together with the hormonal stress response, mapping the fuller physiological picture of tapping's effect on late pregnancy.

The full record

DesignControlled trial
Participants62 people
Populationfirst-time pregnant women (primipara) in Bantul District, Yogyakarta
Comparison groupnon-equivalent control group
Outcome measuresLF/HF ratio (heart rate variability / autonomic nervous activity)
JournalBali Medical Journal
Year2021
CountryIndonesia
LanguageEnglish
MethodEFT / tapping
Publication typeStudy / trial
Verification✓ Confirmed against the primary source

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Cite this study

APA

Hidayat, A., Emila, O., Dewi, F., & Sumarni, S. (2021). Spiritual Emotional Freedom Technique (SEFT) improved autonomic nervous activity in primipara. Bali Medical Journal. https://doi.org/10.15562/bmj.v10i1.2178

This record is part of the Tapping Evidence Base — an openly-sourced, fully-referenced directory of the research on EFT/tapping. Explore more studies on Anxiety · How It Works (Biology)

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THE TAPPING EVIDENCE BASE Anxiety 62 participants WHAT THEY FOUND SEFT significantly lowered the LF/HF ratioin the intervention group compared to thecontrol group, indicating… Controlled trial · 62 participants Hidayat · 2021 · evidence.thetappingsolution.com