DepressionMandalaNCT06840171
The Effect of Mandala Coloring on Depression, Anxiety and Quality of Life of Inpatients in a Psychiatric Clinic
A study testing Mandala coloring in people with Depression and Anxiety, run by reyhan eskiyurt at 1 site in Turkey (Türkiye).
Trial summary
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. Read more about this study
- Who is it for?
- Ages 18 to 75 yearsHealthy volunteers can take part
- Conditions the study is for
- Depression, Anxiety
- What is being tested?
- Mandala coloring
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 51 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 22 Feb 2025to 28 Sep 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 75 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Agreeing to participate in the study
- Being 18 years of age or older
- Diagnosed with anxiety and depression disorder
Who cannot join
- 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
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Ankara Yıldırım Beyazıt University
Ankara, 06010
About this study
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.
Read the detailed description
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.
- Conditions
- Depression, Anxiety
- Being tested
- Mandala coloring
- Medical subject headings
- Depression, Anxiety Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mandala coloringOther
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).
| Study group | Role | What they receive |
|---|---|---|
| Experimental (mandala coloring) | Experimental | 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). Receives: Other: Mandala coloring |
| Control | No intervention | No intervention will be applied to the patients in the control group during the follow-up period, only data collection forms will be applied. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Depression-Anxiety-Stress Scale
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.
Measured: 3 week
Quality of Life Scale
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.
Measured: 3 week
Brief Psychological Resilience Scale
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.
Measured: 3 week
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Feb 2025
- Study start22 Feb 2025
- Primary completion28 Sep 2025
- Study completion28 Sep 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for DepressionStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 51 participants (actual)
Sponsor and investigators
- Lead sponsor
- reyhan eskiyurt
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, reyhan eskiyurt, Ankara Yildirim Beyazıt University
- Investigators
- Reyhan Eskiyurt, Study director, Yıldırım Beyazıt U
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06840171
- Sponsor's protocol ID
- YBU-378
- Acronym
- Mandala
- Status last verified
- Sep 2025
- First submitted
- 18 Feb 2025
- Last updated
- 30 Sep 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Mandala Coloring on Depression, Anxiety and Quality of Life of Inpatients in a Psychiatric Clinic
- ClinicalTrials.gov ID
- NCT06840171
- Acronym / sponsor ID
- Mandala / YBU-378
- Conditions
- Depression, Anxiety
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 51 participants (actual)
- Lead sponsor
- reyhan eskiyurtUniversity, hospital or other
- Study start
- 22 Feb 2025 (actual)
- Primary completion
- 28 Sep 2025 (actual)
- Study completion
- 28 Sep 2025 (actual)
- First posted
- 21 Feb 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Detailed description
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.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental (mandala coloring) | Experimental | Other: Mandala coloringMandala 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). |
| Control | No intervention | –No intervention will be applied to the patients in the control group during the follow-up period, only data collection forms will be applied. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- Agreeing to participate in the study
- Being 18 years of age or older
- Diagnosed with anxiety and depression disorder
Key exclusion criteria (4 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mandala coloringMandala 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). | Other | Experimental (mandala coloring) |
Primary outcome
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.
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.
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.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Sep 2025.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Reyhan Eskiyurt study director
Yıldırım Beyazıt U
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Mandala coloring in people with Depression and Anxiety, run by reyhan eskiyurt at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 30 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Depression-Anxiety-Stress Scale (time frame: 3 week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Sep 2025.