The Effect of Emotional Freedom Technique on Fatigue among Women with Multiple Sclerosis: A Randomized Controlled Trial

Zeinab Ghaderi, Fatemeh Nazari, Vahid Shaygannejad

Abstract


Background: This study aimed to investigate the effect of Emotional Freedom Technique (EFT) on the severity of fatigue among women with Multiple Sclerosis (MS).

Materials and Methods: This was a single‑blind, randomized controlled trial study conducted on 50 women with MS in Isfahan, Iran. Sampling was performed using simple sampling method, then the participants were randomly divided into two groups of case and sham using the minimization method. The EFT intervention was performed on the case group, 2 sessions per week for a 4‑weeks period. In the sham group, with the same psychological part of the EFT technique like case group, mild tapping was applied on false points for the same period of time. Fatigue severity score was obtained using the Fatigue Severity Scale (FSS) before and immediately and 4 weeks after the intervention in the two groups. Data analysis was conducted using descriptive and inferential statistical methods.

 Results: The results of the independent t‑test indicated that the mean (SD) score of fatigue severity before the intervention was not significantly different between the case and sham groups 5.48 (0.75) and (5.39 (0.71) with (p = 0.67). However, this difference was significant immediately [(3.05 (0.89) and 5.15 (0.94)] and 4 weeks after the intervention 3.10 (0.81) and 5.59 (0.57) (p < 0.001).

 Conclusions: It seems that EFT is effective in diminishing fatigue among patients with MS and is recommended as a convenient and safe non‑medicament strategy for self‑management of fatigue among these patients, and can be used at the bedside by nurses.


Keywords


Acupuncture points, complementary therapies, fatigue, multiple sclerosis

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References


Reynders T, D’haeseleer M, De Keyser J, Nagels G, D’hooghe MB. Definition, prevalence and predictive factors of benign multiple sclerosis. eNeurologicalSci 2017;7:37 43.

Strayer Andrea L. The Clinical practice of neurological & neurosurgical nursing. Editor in chief, Joanne Hickey. 8th edition .Philadelphia : Wolters kluwer; 2020

Newland PK, Lunsford V, Flach A. The interaction of fatigue, physical activity, and health related quality of life in adults with multiple sclerosis (MS) and cardiovascular disease (CVD). Appl Nurs Res 2017;33:49 53.

Mulligan H, Wilkinson A, Snowdon J. A fatigue management programme for persons with multiple sclerosis: Development, theory and practical considerations. Phys Ther Rev 2017;22:3 6.

Induruwa I, Constantinescu CS, Gran B. Fatigue in multiple sclerosis—A brief review. J Neurol Sci 2012;323:9 15.

Tur C. Fatigue management in multiple sclerosis. Curr Treat Options Neurol 2016;18:26.

Motaharinezhad F, Parvaneh S, Ghahari S. Fatigue in people with multiple sclerosis: Cause, evaluation and treatment. J Paramed Sci Rehabil 2016;5:73 80.

Claflin SB, van der Mei IA, Taylor BV. Complementary and alternative treatments of multiple sclerosis: A review of the evidence from 2001 to 2016. J Neurol Neurosurg Psychiatry 2018;89:34 41.

Dayapoglu N, Tan M. Use of complementary and alternative medicine among people with multiple sclerosis in Eastern Turkey. Neurol Asia 2016;21:63 71.

Church D. Reductions in pain, depression, and anxiety symptoms after PTSD remediation in veterans. Explore (NY) 2014;10:162 9.

Bougea AM, Spandideas N, Alexopoulos EC, Thomaides T, Chrousos GP, Darviri C. Effect of the emotional freedom technique on perceived stress, quality of life, and cortisol salivary levels in tension type headache sufferers: A randomized controlled trial. Explore (NY) 2013;9:91 9.

Hudson R. I tapped that: A study of the mechanisms and longevity effects of emotional freedom techniques. Southern Nazarene University. Master of science in counseling psychology. Pro Quest LLC; 2013.

Craig G. The EFT Manual. Elite Books. Energy Psychology Press; 2011.

Rancour P. The emotional freedom technique: Finally, a unifying theory for the practice of holistic nursing, or too good to be true? J Holist Nurs 2017;35:382 8.

Baker BS, Hoffman CJ. Emotional Freedom Techniques (EFT) to reduce the side effects associated with tamoxifen and aromatase inhibitor use in women with breast cancer: A service evaluation. Eur J Integr Med 2015;7:136 42.

Church D, Marohn S. Clinical EFT Handbook 1: A Definitive Resource for Practitioners, Scholars, Clinicians, and Researchers. Volume 1: Biomedical & Physics Principles, Psychological Trauma, and Fundamental .Second Edition, Energy Psychology Press; 2013.

Saghaei M. An overview of randomization and minimization programs for randomized clinical trials. J Med Signals Sens 2011;1:55 61.

Krupp LB, LaRocca NG, Muir Nash J, Steinberg AD. The Fatigue Severity Scale: Application to patients with multiple sclerosis and lupus erythematosus. Arch Neurol 1989;46:1121 3.

Shahvaraghi Farahani A, Azimian A, Falahpour M, Karimloo M. Check the reliability of the persian version of the Fatigue Severity Scale in patients with multiple sclerosis. Rehabil J 2009;10:46 51 [in Persian].

Nazari F, Shahreza MS, Shaygannejad V, Valiani M. Comparing the effects of reflexology and relaxation on fatigue in women with multiple sclerosis. Iran J Nurs Midwifery Res 2015;20:200 4.

Church D, Stapleton P, Yang A, Gallo F. Is tapping on acupuncture points an active ingredient in Emotional Freedom Techniques? A systematic review and meta analysis of comparative studies. J Nerv Ment Dis 2018;206:783 93.

Tajik A, Dabiran S, Soltanzadeh A, Taghavi P. Efficacy of Acupuncture in the Treatment of Chronic Pain and Fatigue in Patients with Multiple Sclerosis. Journal of Isfahan Medical School. 2012 Oct 22;30(202).

Foroughipour M, Taghanaki HR, Saeidi M, Khazaei M, Sasannezhad P, Shoeibi A. Amantadine and the place of acupuncture in the treatment of fatigue in patients with multiple sclerosis: An observational study. Acupunct Med 2013;31:27 30.

Bastani F, Sobhani M, Ghasemi HS. Effect of acupressure on fatigue in women with multiple sclerosis. Glob J Health Sci 2015;7:375 81.


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