The effect of mandala coloring on anxiety and quality of life of women in the climacteric period: a randomized controlled study

Kırca, Ayça Şolt; Dağlı, Elif; Derin, Efsun; Aka, Nurettin

doi:10.1590/1806-9282.20240059

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Original Article • Rev. Assoc. Med. Bras. 70 (6) • 2024 • https://doi.org/10.1590/1806-9282.20240059 copy

The effect of mandala coloring on anxiety and quality of life of women in the climacteric period: a randomized controlled study

Authorship SCIMAGO INSTITUTIONS RANKINGS

SUMMARY

OBJECTIVE:

This study was conducted to determine the effect of mandala coloring on anxiety and quality of life of women in the climacteric period.

METHODS:

This research was conducted as an experimental study based on a randomized controlled pre-test and post-test model (single-blind). The study was conducted with women in the climacteric period who presented to a training and research hospital in a western city of Turkey between November 1, 2022, and April 28, 2023. Participants were divided into mandala coloring (n=38) and control groups (n=38).

RESULTS:

According to the women's socio-demographic and descriptive characteristics, mean age, body mass index, and frequency of menopausal symptoms were similar in both groups. The mean post-test scores of the women in the mandala coloring group on the state-trait anxiety inventory and menopause-specific quality of life questionnaire vasomotor, psychosocial, physical, and sexual subscales (29.71±5.22, 0.86±0.97, 0.53±0.61, 0.79±0.84, and 0.92±1.24, respectively) were lower than the mean post-test scores of the women in the control group on the same scales (41.02±1.20, 1.79±1.76, 1.49±1.39, 1.72±1.38, and 1.95±1.82, respectively) (p=0.000).

CONCLUSION:

Mandala coloring reduces menopause-related anxiety levels and improves quality of life effectively.

KEYWORDS:
Climacteric; Women; Menopause; Painting; Anxiety; Quality of life

		Mandala coloring group (n=32)		Control group (n=35)
Age		54.31±5.78 (43–65)		53.08±3.92 (44–60)
		n	%	n	%
BMI
	Normal	8	25	10	28.6
	Overweight	9	28.1	10	28.6
	Obese	15	46.9	15	42.9
Education status
	Secondary education	15	46.9	20	57.1
	High school and above	17	53.1	15	42.8
Menopausal period
	Less than 5 years postmenopause	13	40.6	18	51.4
	5 years or more postmenopause	19	59.3	17	48.5
Frequency of experiencing menopause symptoms
	Weekly	17	53.1	24	68.5
	Monthly	15	46.9	11	31.4

		Mandala coloring group (n=32)	Control group (n=35)	^t* *t:** independent-samples t-test;	p₂
STAI-S
	Pre-test	42.90±4.29	41.22±1.47	t=2.174	p=0.33
	Post-test	29.71±5.22	41.02±1.20	t=-12.458	p=0.000
	^t t: dependent-samples t-test.	t=10.533	t=1.022
	p₁	p=0.000	p=0.314
MENQOL-vasomotor domain
	Pre-test	1.79±1.76	2.85±0.77	t=-3.242	p=0.002
	Post-test	0.86±0.97	2.92±0.74	t=-9.755	p=0.000
	^t t: dependent-samples t-test.	t=3.154	t=-1.022
	p₁	p=0.004	p=0.314
MENQOL-psychosocial domain
	Pre-test	1.49±1.39	2.28±0.54	t=-3.121	p=0.003
	Post-test	0.53±0.61	2.32±0.57	t=-12.306	p=0.000
	^t t: dependent-samples t-test.	t=3.727	t=-1.435
	p₁	p=0.001	p=0.160
MENQOL-physical domain
	Pre-test	1.72±1.38	2.47±0.50	t=-2.993	p=0.004
	Post-test	0.79±0.84	2.48±0.50	t=-10.068	p=0.000
	^t t: dependent-samples t-test.	t=3.797	t=-1.160
	p₁	p=0.001	p=0.254
MENQOL-sexual domain
	Pre-test	1.95±1.82	3.30±0.83	t=-3.933	p=0.000
	Post-test	0.92±1.24	3.26±0.79	t=-9.036	p=0.000
	^t t: dependent-samples t-test.	t=3.456	t=1.675
	p₁	p=0.002	p=0.103

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[1] * Corresponding author: elifarik90@gmail.com