Trial reportInternational journal of mental health nursing2021
The effect of mandala colouring on anxiety in hospitalized COVID-19 patients: A randomized controlled clinical trial.
Trial report in International journal of mental health nursing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Investigating the Effect of Mandala Coloring Activity on Test Anxiety: A Randomized Controlled Trial
Examination of the Effect of Mandala Coloring Activity Applied to Caregivers in the Palliative Care Clinic Along With Benson Relaxation Exercise on Stress, Anxiety and Mental Well-Being
Who cites it
17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- The effectiveness of mandala coloring on the psychological and physiological symptoms in adult hospitalized patients: a meta-analysis.BMC complementary medicine and therapies · 2026Pooled it
- Does Mandala Art Improve Psychological Well-Being in Patients? A Systematic Review.Journal of integrative and complementary medicine · 2024Pooled it
- Living through the psychological consequences of COVID-19 pandemic: a systematic review of effective mitigating interventions.BMJ open · 2022Pooled it
- The effect of mandala coloring on anxiety and quality of life of women in the climacteric period: a randomized controlled study.Revista da Associacao Medica Brasileira (1992) · 2024Trial
- Effects of Mandala Coloring on Alpha Brain Activity and Anxiety Symptoms among Students at Universiti Sains Malaysia: A Randomized Controlled Trial.Consortium psychiatricum · 2026Article
- Digital mandala coloring as a public mental health tool: psychophysiological benefits and the mediating role of flow in anxiety reduction among university students.Frontiers in public health · 2026Article
- Article
- Effect of Mandala Art Therapy on Quality of Life in Breast Cancer Patients.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- The success of community-based management in improving maintenance hemodialysis outcomes: a pilot study.Frontiers in nutrition · 2025Article
- Patient Anxiety and Communication Experience in the Emergency Department: A Mobile, Web-Based, Mixed-Methods Study on Patient Isolation During the COVID-19 Pandemic.Journal of Korean medical science · 2023Article
- Arts therapies for mental disorders in COVID-19 patients: a comprehensive review.Frontiers in public health · 2023Review
- A practical development protocol for evidence-based digital integrative arts therapy content in public mental health services: digital transformation of mandala art therapy.Frontiers in public health · 2023Article
- A Conceptual Framework for Blockchain Enhanced Information Modeling for Healing and Therapeutic Design.International journal of environmental research and public health · 2022Article
- The Impact of Mandala Coloring on Anxiety of Children with Cystic Fibrosis: A Randomized Trial.Iranian journal of nursing and midwifery researchArticle
- Effectiveness of Mandala Coloring Intervention on Children's Preoperative Anxiety: A Randomized Clinical Trial Study in Iran.Iranian journal of nursing and midwifery researchArticle
- The Effect of Color Therapy on Anxiety in Chemotherapy Patients Attending the Oncology Department: A Randomized Clinical Trial.SAGE open nursingArticle
- The effect of adult coloring (mandala pattern) on pain and anxiety associated with dressing changes in burn patients: A randomized controlled trial.Scars, burns & healingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 2 countries.
Funding
Abstract
COVID-19 significantly affects patients' mental health, triggering a wide range of psychological disorders, including anxiety. The aim of this study was to investigate the effect of mandala colouring on the anxiety of hospitalized COVID-19 patients. In this randomized controlled clinical trial, 70 hospitalized patients with COVID-19 were randomly divided between the intervention and control groups. Standard care was provided for both groups. The intervention group spent 30 min/day for six consecutive days performing mandala colouring. Patient anxiety was measured prior and subsequent to the intervention in both groups using the Spielberger State-Trait Anxiety Inventory. Data were analysed using SPSS software version 25. The mean anxiety score was not significantly different between the two groups before the intervention (P = 0.08). Subsequent to the intervention, the mean anxiety score in the intervention and control groups was 44.05 ± 4.67 and 67.85 ± 6.25, respectively, indicating a statistically significant (P = 0.0001) decrease in the anxiety measured among the intervention group as compared with that of the control group. The results of this study show that 30 min of mandala colouring daily is an effective strategy for reducing anxiety in hospitalized COVID-19 patients. Mandala colouring can complement routine treatment and provides a non-pharmaceutical option for decreasing patient anxiety.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.