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Trauma (other) · Anxiety · 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 control Moderate 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.

What they found

159
159 pregnant women in Turkey who had previously lost a pregnancy were split into three groups: tapping, listening to music, or no special support.

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.

How the study worked

Who took part Pregnant women with a prior prenatal loss, recruited from gynecology outpatient clinics in Turkey (53 EFT, 53 music, 53 control) (n=159)
What they did In a randomized controlled trial, participants were randomly assigned to receive tapping or a comparison condition, then measured and compared.
Compared with music intervention; no-treatment control
Measured with Subjective 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

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) · Anxiety · 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