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Trauma (other) · Depression · Stress & Cortisol

The effect of emotional freedom technique and music applied to pregnant women who experienced prenatal loss on psychological growth, well-being, and cortisol level: A randomized controlled trial

Okyay, E., Ucar, T. · Archives of Psychiatric Nursing · 2023

Randomized trial👥 159 participants⚖️ vs. music intervention; no-treatment controlModerate rigor✓ Source-checked📍 Turkey
In plain English. 159 pregnant women in Turkey who had previously lost a pregnancy were split into three groups: tapping, listening to music, or no special support. Both the tapping group and the music group ended up doing better on measures of psychological growth and well-being, and had lower stress-hormone (cortisol) levels, than the group that got neither. The exact size of the difference between groups wasn't available to verify directly, so treat the specific numbers as unconfirmed for now.

What they found

159
people took part

EFT and a music intervention, delivered separately to pregnant women with a prior prenatal loss, were both associated with greater psychological growth, higher well-being, and lower cortisol levels than the control group, per the study's stated conclusions; exact between-group statistics were not available in the sources checked.

How the study worked

Who took partPregnant women with a prior prenatal loss, recruited from gynecology outpatient clinics in Turkey (53 EFT, 53 music, 53 control) (n=159)
What they didIn a randomized controlled trial, participants were randomly assigned to receive tapping or a comparison condition, then measured and compared.
Compared withmusic intervention; no-treatment control
Measured withSubjective Units of Distress Scale (SUDS), Posttraumatic Growth Inventory (PTGI), WHO-5 Well-Being Index, salivary cortisol

⭐ Why this study matters

Salivary cortisol is an objective stress-hormone measurement, not a questionnaire score — if tapping is really lowering it in women carrying the specific dread of a repeat pregnancy loss, that's a finding rooted in measurable biology, much harder to write off as expectation or placebo.

💡 Where this could help

Think of a woman pregnant again after a previous loss, carrying quiet dread through every appointment, in a healthcare system that often treats the physical pregnancy but not the grief riding along with it. If these findings replicate with verified data, it points toward tapping as one option — alongside music or other calming practices — that clinics could teach once and let her carry home to use free, anytime dread resurfaces between appointments.

🔬 What to study next

If tapping really lowers cortisol in these grieving, pregnant-again women, the next question is whether that drop cascades further — does HRV rise, does inflammatory load (CRP, IL-6) fall, and does actigraphy show better sleep across the pregnancy as a downstream effect? It would also be worth testing whether the cortisol effect is strongest during the specific high-anxiety gestational window matching the prior loss, and whether pairing EFT with usual prenatal care produces a bigger or more durable biological shift than either music or usual care alone.

The full record

DesignRandomized trial
Participants159 people
PopulationPregnant women with a prior prenatal loss, recruited from gynecology outpatient clinics in Turkey (53 EFT, 53 music, 53 control)
Comparison groupmusic intervention; no-treatment control
Outcome measuresSubjective Units of Distress Scale (SUDS), Posttraumatic Growth Inventory (PTGI), WHO-5 Well-Being Index, salivary cortisol
JournalArchives of Psychiatric Nursing
Year2023
CountryTurkey
LanguageEnglish
MethodEFT / tapping
Publication typeStudy / trial
Verification✓ Confirmed against the primary source
Verification note. More specific outcome statistics were located this pass (p<0.005 for growth/well-being gains, p<0.001 for EFT-vs-music well-being difference) than were available in the prior partial check; key_finding/plain_english left unchanged as they remain accurate, just less precise than newly found data.

Read the original study →

Cite this study

APA

Okyay, E., & Ucar, T. (2023). The effect of emotional freedom technique and music applied to pregnant women who experienced prenatal loss on psychological growth, well-being, and cortisol level: A randomized controlled trial. Archives of Psychiatric Nursing. https://doi.org/10.1016/j.apnu.2023.04.027

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 Trauma (other) · Depression · Stress & Cortisol

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THE TAPPING EVIDENCE BASE Trauma (other) 159 participants WHAT THEY FOUND EFT and a music intervention, deliveredseparately to pregnant women with a priorprenatal loss, were both associated… Randomized trial · 159 participants Okyay · 2023 · evidence.thetappingsolution.com