Mental HealthNCT07416071
Mandala Therapy in Nurses: Effects on Psychological Well-Being and Organizational Cynicism
A study testing Unstructured Mandala Therapy in people with Mental Health and Occupational Stress, run by Karadeniz Technical University at 1 site in Turkey (Türkiye).
Trial summary
This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Mental Health, Occupational Stress
- What is being tested?
- Unstructured Mandala Therapy
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 25 Jan 2024to 30 Dec 2024
- 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 Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Who may be able to join
- Having at least 6 months of professional nursing experience at the hospital where the study is conducted
- Willingness to participate voluntarily in the study
Who cannot join
- Being on leave or on medical report during the data collection period
- Participation in individual psychotherapy or group-based intervention programs
- Receiving psychiatric medication treatment
- Having visual impairments or visual disorders
- Having prior experience with meditation practices
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Evaluation of the Effect of Mandala Therapy on Nurses' Psychological Well-Being and Organizational Cynicism Level
This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Participants were allocated to an intervention group receiving mandala therapy and a control group receiving routine working conditions. Psychological well-being and organizational cynicism were assessed before and after the intervention using validated measurement tools.
Read the detailed description
Nursing is a profession characterized by high emotional labor, intensive workload, and continuous occupational stress, which may negatively affect psychological well-being and contribute to negative organizational attitudes such as organizational cynicism. Supporting nurses' psychological well-being is therefore essential for sustaining professional functioning and quality of care.
Mandala therapy is an art-based behavioral intervention that provides individuals with a space for free expression through unstructured drawing and coloring activities. Unstructured mandala practices allow participants to express their inner experiences without predetermined guidance, supporting emotional awareness and self-regulation.
This experimental study was conducted to evaluate the effect of unstructured mandala therapy on nurses' psychological well-being and organizational cynicism levels. The study was carried out with nurses working in a public training and research hospital. Participants were allocated to an intervention group receiving unstructured mandala therapy and a control group receiving routine working conditions.
Mandala therapy sessions were conducted in small groups over a defined period, based on a free-expression approach. Psychological well-being and organizational cynicism levels were assessed at baseline and after the intervention using standardized and validated measurement tools. Ethical approval was obtained prior to data collection, and written informed consent was obtained from all participants. The study was retrospectively registered.
- Conditions
- Mental Health, Occupational Stress
- Being tested
- Unstructured Mandala Therapy
- Keywords
- Mandala Therapy, Nurses, Psychological Well-Being, Organizational Cynicism
- Medical subject headings
- Psychological Well-Being, Occupational Stress
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Unstructured Mandala TherapyBehavioural
Unstructured mandala drawing and coloring activities were conducted as a behavioral intervention, allowing participants to freely express their emotions without predefined guidelines or themes.
| Study group | Role | What they receive |
|---|---|---|
| Mandala | Experimental | Participants receiving unstructured mandala therapy sessions. Receives: Behavioral: Unstructured Mandala Therapy |
| Control | No intervention | Participants continuing routine working conditions without any intervention. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Psychological Well-Being
Psychological well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), a validated 14-item scale ranging from 14 to 70, with higher scores indicating better psychological well-being.
Measured: Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention
Secondary outcomes (1)
Organizational Cynicism
Organizational cynicism was assessed using the Organizational Cynicism Scale, a 13-item instrument rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Total scores range from 13 to 65, with higher scores indicating higher levels of organizational cynicism.
Measured: Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Feb 2026
- Study start25 Jan 2024
- Primary completion30 Dec 2024
- Study completion30 Dec 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Mental HealthStudies 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were assigned to one of two parallel groups. The intervention group received unstructured mandala therapy sessions, while the control group continued routine working conditions without any intervention. Both groups were followed concurrently, and outcome measures were assessed before and after the intervention period.
- Masking
- None (open label)
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Karadeniz Technical University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, TUĞBA ÖZNUR YILMAZ, Karadeniz Technical University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07416071
- Sponsor's protocol ID
- 2023/135
- Status last verified
- Feb 2026
- First submitted
- 29 Dec 2025
- Last updated
- 17 Feb 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared due to ethical approval limitations and confidentiality considerations.
Publications
Sarı Öztürk E, Kılıçarslan Törüner E. Effects of mandala-based interventions on psychological outcomes in nurses. Journal of Nursing Management. 2023.Wang TQ. Mandala therapy: What it is and what it offers. The Asian Educational Therapist. 2024;2(2):13-22.
Study at a glance
From the registry record, last updated by the sponsor on 17 Feb 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Effect of Mandala Therapy on Nurses' Psychological Well-Being and Organizational Cynicism Level
- ClinicalTrials.gov ID
- NCT07416071
- Acronym / sponsor ID
- 2023/135
- Conditions
- Mental Health, Occupational Stress
- Keywords
- Mandala Therapy, Nurses, Psychological Well-Being, Organizational Cynicism
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Karadeniz Technical UniversityUniversity, hospital or other
- Study start
- 25 Jan 2024 (actual)
- Primary completion
- 30 Dec 2024 (actual)
- Study completion
- 30 Dec 2024 (actual)
- First posted
- 17 Feb 2026 (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.
This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Participants were allocated to an intervention group receiving mandala therapy and a control group receiving routine working conditions. Psychological well-being and organizational cynicism were assessed before and after the intervention using validated measurement tools.
Detailed description
Nursing is a profession characterized by high emotional labor, intensive workload, and continuous occupational stress, which may negatively affect psychological well-being and contribute to negative organizational attitudes such as organizational cynicism. Supporting nurses' psychological well-being is therefore essential for sustaining professional functioning and quality of care.
Mandala therapy is an art-based behavioral intervention that provides individuals with a space for free expression through unstructured drawing and coloring activities. Unstructured mandala practices allow participants to express their inner experiences without predetermined guidance, supporting emotional awareness and self-regulation.
This experimental study was conducted to evaluate the effect of unstructured mandala therapy on nurses' psychological well-being and organizational cynicism levels. The study was carried out with nurses working in a public training and research hospital. Participants were allocated to an intervention group receiving unstructured mandala therapy and a control group receiving routine working conditions.
Mandala therapy sessions were conducted in small groups over a defined period, based on a free-expression approach. Psychological well-being and organizational cynicism levels were assessed at baseline and after the intervention using standardized and validated measurement tools. Ethical approval was obtained prior to data collection, and written informed consent was obtained from all participants. The study was retrospectively registered.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were assigned to one of two parallel groups. The intervention group received unstructured mandala therapy sessions, while the control group continued routine working conditions without any intervention. Both groups were followed concurrently, and outcome measures were assessed before and after the intervention period.
| Arm | Type | Receives |
|---|---|---|
| Mandala | Experimental | Behavioral: Unstructured Mandala TherapyParticipants receiving unstructured mandala therapy sessions. |
| Control | No intervention | –Participants continuing routine working conditions without any intervention. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Having at least 6 months of professional nursing experience at the hospital where the study is conducted
- Willingness to participate voluntarily in the study
Key exclusion criteria (5 listed)
- Being on leave or on medical report during the data collection period
- Participation in individual psychotherapy or group-based intervention programs
- Receiving psychiatric medication treatment
- Having visual impairments or visual disorders
- Having prior experience with meditation practices
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 |
|---|---|---|
| Unstructured Mandala TherapyUnstructured mandala drawing and coloring activities were conducted as a behavioral intervention, allowing participants to freely express their emotions without predefined guidelines or themes. | Behavioural | Mandala |
Primary outcome
Psychological Well-Being
Time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention
Psychological well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), a validated 14-item scale ranging from 14 to 70, with higher scores indicating better psychological well-being.
1 secondary outcome
Organizational Cynicism
Time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation
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 17 Feb 2026.
- BackgroundSarı Öztürk E, Kılıçarslan Törüner E. Effects of mandala-based interventions on psychological outcomes in nurses. Journal of Nursing Management. 2023.Wang TQ. Mandala therapy: What it is and what it offers. The Asian Educational Therapist. 2024;2(2):13-22.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: No. Individual participant data will not be shared due to ethical approval limitations and confidentiality considerations.
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Unstructured Mandala Therapy in people with Mental Health and Occupational Stress, run by Karadeniz Technical University 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 2 inclusion and 5 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 17 Feb 2026. 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?
Psychological Well-Being (time frame: Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07416071, which also lists 1 linked publication.
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 17 Feb 2026.