The Tapping Evidence Base
PTSD & Trauma

EFT vs CBT for female refugee survivors of sexual/gender-based violence (as tabulated in Sebastian & Nelms 2017 / Stapleton 2023)

Nemiro, A., Papworth, S., Palmer-Hoffman, J. ยท Energy Psychology: Theory, Research, & Treatment ยท 2015

Randomized trial๐Ÿ‘ฅ 50 participantsโš–๏ธ vs. CBT (active comparator)Higher rigorโœ“ Source-checked๐Ÿ“ Democratic Republic of Congo
In plain English. In this trial, 50 female refugees who had survived sexual violence in the Democratic Republic of Congo received either tapping or CBT, an established trauma therapy, in a series of extended group sessions. Both groups improved substantially, and tapping performed about the same as CBT head-to-head โ€” a meaningful comparison because it's one of the few trials testing tapping against an established active treatment rather than a waitlist.

What they found

50
people took part

Eight 2.5-hour EFT sessions (n=25) vs CBT (n=25); HTQ trauma-symptom pre-post d=2.29 (95% CI 1.51โ€“2.99); HSCL d=1.26 (95% CI 0.61โ€“1.87). Head-to-head EFT-vs-CBT comparison on PTSD: d=0.14 (95% CI โˆ’0.42โ€“0.69), not statistically significant โ€” i.e. the two treatments performed similarly. Also appears in Stapleton 2023's active-comparator table as Hedges' g=0.13 (95% CI โˆ’0.42โ€“0.67, p=0.65).

How the study worked

Who took partfemale refugees from the Democratic Republic of Congo, survivors of sexual/gender-based violence (n=50)
What they didIn a randomized controlled trial, participants were randomly assigned to receive tapping or a comparison condition, then measured and compared.
Compared withCBT (active comparator)
Measured withHTQ, HSCL, PCL-M

๐Ÿ’ก Where this could help

Think of a refugee woman who survived sexual violence, now in a camp or resettlement system where trained trauma therapists are almost impossible to find. If tapping continues to perform comparably to CBT as it did here, it suggests something that could be taught relatively quickly to lay community health workers โ€” or even directly to the women themselves โ€” extending trauma care, self-taught and free to keep using, into humanitarian settings that formal therapy rarely reaches.

๐Ÿ”ฌ What to study next

Since EFT performed comparably to CBT in a population carrying some of the most severe trauma imaginable, the next step is testing whether that parity holds when EFT is taught to lay community health workers rather than trained clinicians, tracking symptom scores alongside simple field-usable biomarkers like heart rate variability via wearables, to see if calm is measurably restored, not just reported, in a resource-constrained humanitarian setting.

The full record

DesignRandomized trial
Participants50 people
Populationfemale refugees from the Democratic Republic of Congo, survivors of sexual/gender-based violence
Comparison groupCBT (active comparator)
Effect sizeCohen's d (HTQ, pre-post) = 2.29 (95% CI 1.51โ€“2.99) โ€” on PTSD symptoms โ€” this is a WITHIN-GROUP pre-post effect size for the EFT arm, not a between-group EFT-vs-CBT treatment effect
Outcome measuresHTQ, HSCL, PCL-M
JournalEnergy Psychology: Theory, Research, & Treatment
Year2015
CountryDemocratic Republic of Congo
LanguageEnglish
MethodEFT / tapping
Publication typeStudy / trial
Verificationโœ“ Confirmed against the primary source
Verification note. effect_size.on updated to explicitly flag that d=2.29 is a within-group pre-post change for the EFT arm, not the EFT-vs-CBT treatment effect (which is the separately-confirmed g=0.13, already given correctly in the key_finding text). No numeric value was changed, only the caveat/label, since storing a within-group effect size in the primary effect_size field without this label risked it being read as the treatment effect.

Read the original study โ†’

Cite this study

APA

Nemiro, A., Papworth, S., & Palmer-Hoffman, J. (2015). EFT vs CBT for female refugee survivors of sexual/gender-based violence (as tabulated in Sebastian & Nelms 2017 / Stapleton 2023). Energy Psychology: Theory, Research, & Treatment.

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

Share this study

A ready-made graphic โ€” right-click or long-press to save the image.

Show shareable card
THE TAPPING EVIDENCE BASE PTSD & Trauma 50 participants WHAT THEY FOUND Eight 2.5-hour EFT sessions (n=25) vs CBT(n=25); HTQ trauma-symptom pre-post d=2.29(95% CI 1.51โ€“2.99); HSCL d=1.26โ€ฆ Randomized trial ยท 50 participants Nemiro ยท 2015 ยท evidence.thetappingsolution.com