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Research & Studies

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

Citation (APA style): Ghaderi, Z., Nazari, F., & Shaygannejad, V. (2021). The effect of Emotional Freedom Technique on fatigue among women with multiple sclerosis: A randomized controlled trial. Iranian Journal of Nursing and Midwifery Research, 26(6), 531–536. doi:10.4103/ijnmr.IJNMR_188_19


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, two sessions per week for a four-week period. In the sham group, with the same psychological part of the EFT-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 four 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), with 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.


acupuncture points, complementary therapies, Emotional Freedom Technique, EFT, fatigue, multiple sclerosis