The Tapping Evidence Base
PTSD & Trauma

Research Review: Psychological and psychosocial treatments for children and young people with post-traumatic stress disorder: a network meta-analysis

Mavranezouli, I., Megnin-Viggars, O., Daly, C., Dias, S., Stockton, S., Meiser-Stedman, R. et al. · Journal of Child Psychology and Psychiatry · 2020

Meta-analysis👥 2260 participants⚖️ vs. waitlist and other active interventions in a network meta-analysisModerate rigor✓ Source-checked
In plain English. This large network meta-analysis of youth PTSD treatments found that individual trauma-focused CBT worked best overall, and while EFT showed a promisingly large effect, the review's own authors caution that very few trials of EFT were included, so that specific finding needs more research before it can be trusted.

What they found

32
studies pooled and re-analyzed

Individual trauma-focused CBT showed the largest, most consistent effects; results suggest a large positive effect for emotional freedom technique, but this is based on very limited evidence within the network and needs further confirmation.

How the study worked

Who took partchildren and young people with PTSD across 32 trials of 17 interventions (n=2260)
What they didThis meta-analysis statistically pooled the results of many earlier studies to estimate an overall effect.
Compared withwaitlist and other active interventions in a network meta-analysis
Measured withPTSD symptom change scores, remission

⭐ Why this study matters

This is one of the largest, most careful evidence syntheses in the child-trauma field — a network meta-analysis spanning 32 trials, over 2,260 children, and 17 different interventions, exactly the kind of rigorous, side-by-side comparison health systems use to decide what gets funded and recommended. That EFT shows a large signal even inside that crowded, carefully vetted field — while the reviewers themselves honestly flagged it as based on limited evidence — is a real foothold worth building on, not proof, but a meaningful one.

💡 Where this could help

Picture a child who has lived through violence, an accident, or abuse, waiting months for care because trauma therapists are scarce. Tapping is learnable in minutes and, unlike trauma-focused therapies that require a trained clinician each session, can be practiced by the child or a parent on their own, for free, once shown how. If it holds up as a genuine option for young people with PTSD, that self-administered quality could give stretched child mental health systems something families use at home between scarce specialist appointments, and give kids in under-resourced schools or rural clinics a bridge until formal trauma-focused therapy is available.

🔬 What to study next

EFT's signal here is exciting but thin compared to the deep evidence base behind trauma-focused CBT within this same network, so the clear next step is a dedicated, adequately powered pediatric EFT trial — ideally with an objective outcome measure like cortisol or heart-rate variability alongside symptom scales — to give it the same evidentiary weight. Testing EFT head-to-head against TF-CBT, and whether parents can deliver tapping at home to extend gains between scarce specialist visits, would also move this from a promising signal to a real answer.

The full record

DesignMeta-analysis
Participants2260 people
Populationchildren and young people with PTSD across 32 trials of 17 interventions
Comparison groupwaitlist and other active interventions in a network meta-analysis
Outcome measuresPTSD symptom change scores, remission
JournalJournal of Child Psychology and Psychiatry
Year2020
LanguageEnglish
MethodEFT / tapping
Publication typeReview or meta-analysis
Verification✓ Confirmed against the primary source

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Cite this study

APA

Mavranezouli, I., Megnin-Viggars, O., Daly, C., Dias, S., Stockton, S., Meiser-Stedman, R., Trickey, D., & Pilling, S. (2020). Research Review: Psychological and psychosocial treatments for children and young people with post-traumatic stress disorder: a network meta-analysis. Journal of Child Psychology and Psychiatry. https://doi.org/10.1111/jcpp.13094

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 PTSD & Trauma

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THE TAPPING EVIDENCE BASE PTSD & Trauma 32 studies pooled WHAT THEY FOUND Individual trauma-focused CBT showed thelargest, most consistent effects; resultssuggest a large positive effect… Meta-analysis · 2260 participants Mavranezouli · 2020 · evidence.thetappingsolution.com