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Completed

NCT Number: NCT06840171

The Effect of Mandala Coloring on Depression, Anxiety and Quality of Life of Inpatients in a Psychiatric Clinic

The aim of this study is to examine the effects of mandala coloring activity applied to individuals hospitalized in a psychiatric clinic with a diagnosis of anxiety and depression disorder on quality of life, psychological resilience and depression, anxiety and stress levels.

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Key information

Conditions

Depression Anxiety Anxiety Disorders Behavior Behavioral Symptoms Mental Disorders

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ankara Yıldırım Beyazıt University

Ankara, 06010, Turkey (Türkiye)

About this study

Introduction: It is stated that healthcare professional-patient interaction and patient activity improve clinical outcomes for patients with mental illness. When compared to psychosocial interventions, the most commonly used method in 49% of clinics was found to be artistic practices. It is stated that mandala painting has a calming and healing effect on the individual, facilitating psychological integration and personal meaning in life.

Objective: The aim of this study is to examine the effects of mandala coloring activity applied to individuals hospitalized in a psychiatric clinic with a diagnosis of anxiety and depression disorder on quality of life, psychological resilience and depression, anxiety and stress levels.

Method: The research will be conducted using a randomized controlled experimental research design. The research sample will consist of 50 patients in a university hospital psychiatry clinic. Research data will be collected using the Introductory Information Form, Depression-Anxiety-Stress Scale Short Form, Quality of Life Scale (SF-12), and Brief Resilience Scale. Patients diagnosed with anxiety and depression will undergo 8 sessions of mandala application. Data will be collected in two time periods before starting the mandala application and at the end of the 8-session application.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Agreeing to participate in the study
  • Being 18 years of age or older
  • Diagnosed with anxiety and depression disorder

Exclusion criteria

  • Those who gave incomplete answers to the scales used in the study
  • Those with serious psychiatric symptoms (e.g. harming themselves or others, sedation)
  • Those who did not participate in the mandala coloring session
  • Those who did not agree to participate in the study

Treatment and study plan

Mandala coloring

Other

Mandala group will participate in 8 sessions of mandala application. Mandala Coloring Application will be applied to the Intervention group 2-3 times a week for 3 weeks. Mandala application will be done by the researcher and feedback about the mandala will be received from the patients at the end of each session. Data collection forms will be applied before the mandala painting application starts and after the mandala painting application ends (after the 8th session).

Primary outcomes

  1. Depression-Anxiety-Stress Scale

    Time frame: 3 week

    The scale, developed to determine the depression, anxiety and stress levels of individuals, consists of 21 items and 3 subscales. Depression-Anxiety-Stress Scale is a 4-point Likert-type measurement tool (0-not suitable for me and 3-completely suitable for me). The Turkish validity and reliability study of Depression-Anxiety-Stress Scale was conducted. High scores on the scale reveal which of the depression, anxiety and stress sub-dimensions the individual is experiencing problems with.

  2. Quality of Life Scale

    Time frame: 3 week

    Quality of life scale (The SF-12) has two summary scales: physical component and mental component. The physical component summary scale consists of physical function, physical role, body pain and general health subscales, and the mental component summary consists of vitality, social function, emotional role and mental health subscales. The score of each subscale varies between 0-100 and the score is directly proportional to the quality of life. The Turkish validity and reliability study of the scale was conducted. Minimum and maximum scores can range from 0-100 from the scale. High scores indicate high quality of life.

  3. Brief Psychological Resilience Scale

    Time frame: 3 week

    Brief Psychological Resilience Scale is a 5-point Likert-type, 6-item, self-report measurement tool. After the reverse-coded items in the scale are translated, high scores indicate high psychological resilience. The Turkish validity and reliability study of the scale.

Sponsors and collaborators

Lead sponsor

reyhan eskiyurt

Other

Registry information

Acronym: Mandala

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 21, 2025
Registry last updated
Sep 30, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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