Effects of Mandala Coloring on Anxiety in Pregnant Women

NCT ID: NCT05534867

Last Updated: 2023-03-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 77 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-11
• Study Completion Date: 2023-03-01

Brief Summary

This research was planned as a randomized controlled experimental study in order to reduce the anxiety felt by expectant mothers in relation to pregnancy during pregnancy.

Detailed Description

Pregnancy is an important period in a woman's life in which she experiences different spiritual, physical and emotional experiences. While experiencing this process, women may face many factors that may affect their mental health, such as stress, anxiety and depression. When the literature is examined, it is stated that approximately 10% to 24.2% of pregnant women experience anxiety or stress during their pregnancy.It is very important to diagnose it in the early stages of pregnancy, as anxiety in pregnancy can have negative effects on maternal and newborn health, especially in the birth and postpartum period.

A number of alternatives have been found to reduce anxiety, one of which is using it in the form of art therapy.In the opinion of art psychotherapists, mandala painting is one of the main tools of other art psychotherapy techniques that focus on healing.A number of studies have been conducted to determine the effect of drawing or coloring a mandala on anxiety.

Amelia et al conducted research that proved that drawing and coloring mandalas effectively reduces students' anxiety levels. In Turkey, a study was conducted by Sezen and Ünsalver on the fear of childbirth in pregnant women, including art therapy. In the study, 7 types of art therapy were applied to the women, including listening to music and singing, making masks, drawing, making mandalas, making dolls, taking photographs and making collages. As a result of the research, it was determined that art therapy was effective in reducing anxiety.

When the studies are examined, there are studies on the application of mandala to reduce the anxiety felt by children in cancer patients, but there are no studies on reducing pregnancy-related anxiety of women during pregnancy. This research was planned as a randomized controlled experimental study in order to reduce the anxiety felt by expectant mothers in relation to pregnancy during pregnancy.

Conditions

Anxiety; Pregnancy Related

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: DOUBLE

Study Groups

Mandala coloring group

Mandala painting will be applied to pregnant women who have anxiety related to pregnancy.

Group Type: EXPERIMENTAL

Mandala coloring

Intervention Type: OTHER

Participants will be asked to choose the pages they want from 12 colored felt-tip pen paint sets and 16 mandala coloring pages given to each participant by the researcher for 1 month, 2 days a week, at any time of the day and for an average of 20-30 minutes each time, and paint them in the colors they want.

Control group

Participants in this group will consist of people who do not routinely do any practice on their own to reduce anxiety symptoms.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Mandala coloring

Participants will be asked to choose the pages they want from 12 colored felt-tip pen paint sets and 16 mandala coloring pages given to each participant by the researcher for 1 month, 2 days a week, at any time of the day and for an average of 20-30 minutes each time, and paint them in the colors they want.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Ability to read and understand Turkish
• Being between the ages of 20-35,
• Single pregnancy
• Don't be primiparous
• Having 40 or more from STAI
• Volunteering to participate in the research
• Fully answering survey and scale forms.
• Being in the first, 2nd or 3rd trimester

Exclusion Criteria

• Having been diagnosed with a risky pregnancy
• Unwilling to continue working
• Having a chronic disease (Diabetes, Hypertension, Thyroid etc.),
• Having any problem that prevents communication (such as hearing, speaking, and understanding abilities),
• Using one of the pharmacological or non-pharmacological methods to reduce anxiety and receiving psychiatric treatment (Pharmacotherapy or psychotherapy).
• Lack of a smart phone and internet

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cukurova University

OTHER

Sponsor Role: collaborator

Kırklareli University

OTHER

Sponsor Role: lead

Responsible Party

Ayca Solt Kirca

Asssistant professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Elif Dağlı, Phd

Role: PRINCIPAL_INVESTIGATOR

Cukurova University

AYÇA ŞOLT KIRCA, Phd

Role: STUDY_DIRECTOR

Kırklareli University

Locations

Cukurova University

Adana, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Solt Kirca A, Dagli E. The effect of mandala coloring on pregnancy-related anxiety. Eur J Obstet Gynecol Reprod Biol. 2024 Jan;292:251-258. doi: 10.1016/j.ejogrb.2023.11.035. Epub 2023 Dec 1.

Reference Type: DERIVED

PMID: 38056411 (View on PubMed)

Other Identifiers

KırklareliAS-6

Identifier Type: -

Identifier Source: org_study_id