The Effect of Mandala Art Therapy on Anxiety and Pain

January 14, 2025 updated by: Seval Ulubay

"The Effect of Mandala Art Therapy on Anxiety and Pain in Patients Undergoing Total Hip Replacement: A Randomized Controlled Study"

This study aims to evaluate the effects of mandala art therapy on anxiety and pain in patients undergoing total hip replacement. The data obtained from the research is expected to provide evidence regarding the impact of mandala art therapy, a non-pharmacological approach, on anxiety and pain levels in post-operative patients who have undergone total hip replacement.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Hip arthroplasty is recognized as an effective method for adults suffering from significant pain and limited mobility due to hip joint damage. The rapid advancements in total hip arthroplasty technology, alongside the increasing average life expectancy, highlight the importance of this procedure for patients who have undergone it. However, any surgical intervention can be traumatic for patients. Experiencing surgical trauma often leads to pain, and approximately 60-80% of individuals exhibit anxiety prior to such procedures. Factors contributing to anxiety and pain are frequently linked to a person's emotional, psychological, behavioral, and socio-cultural background. Previous studies have emphasized that anxiety and pain behaviors, which can adversely affect individuals during surgical processes, are related to the perception of pain. Effective and planned nursing care can significantly reduce pre-operative anxiety, resulting in lower levels of pain and anxiety post-surgery. In patients undergoing total hip arthroplasty, it is essential to manage post-operative acute pain effectively. Successful pain management allows patients to mobilize more quickly and reduces hospital stay durations. Severe post-operative pain can discourage patients from engaging in necessary exercises. To control this acute pain, it is often recommended to administer analgesics every 4-6 hours, based on medical advice. Regular pain assessment, establishing therapeutic communication with patients, and employing patient-controlled analgesia, along with oral analgesics, are among the most effective pain management strategies. Additionally, non-pharmacological methods are suggested as alternatives to pharmacological approaches. Mandala art therapy represents an inward journey for individuals, helping them feel empowered and extraordinary. The mandala, depicting the blossoming of a flower at its center, symbolizes the spiritual self. While representing unity, the mandala forms a pattern that transitions from the micro to the macro, symbolizing the moment of existence and life. Jung utilized mandala art as a therapeutic method and since then, it has been applied across various fields as mandala therapy. The mandala activity has been associated with positive psychological effects, such as enhancing individual awareness, boosting self-esteem, and reducing feelings of guilt . Literature suggests that engaging with mandalas fosters conscious awareness and positively contributes to individuals. This engagement helps focus attention and distances individuals from negative thoughts, thereby alleviating anxiety. While no significant differences have been observed between mandala coloring and drawing in terms of anxiety reduction, mandala coloring may be preferred in the future for its cost-effectiveness and ease of implementation for adults . One study found that engaging in mandala activities for at least 30 minutes daily significantly reduced anxiety levels in patients, offering an adjunctive treatment option. Another study emphasized that performing mandala activities with focus could positively impact psychological and emotional well-being, thereby reducing anxiety. A systematic meta-analysis indicated that mandala activities significantly and positively affect state anxiety. Reducing pain and anxiety in patients who have undergone total hip replacement will enhance patient comfort and satisfaction. Therefore, this study aims to evaluate the effects of mandala art therapy on anxiety and pain in patients undergoing total hip replacement.

Study Type

Interventional

Enrollment (Actual)

84

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
    • Atakum/Samsun
      • Samsun, Atakum/Samsun, Turkey, 55200
        • Seval Ulubay

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients undergoing total hip replacement in the orthopedic surgery clinic.
  • Patients aged 18 and over.

Exclusion Criteria:

  • Patients under the age of 18.
  • Patients undergoing total hip replacement surgery.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: The Effect of Mandala Art Therapy on Anxiety in Patients Undergoing Total Hip Replacement

Between May 22, 2024, and December 30, 2024, patients undergoing total hip replacement surgery at Samsun Gazi State Hospital's Orthopedic Surgery Clinic will be informed about the study. Between May 22, 2024, and December 30, 2024, patients undergoing total hip replacement surgery at Samsun Gazi State Hospital's Orthopedic Surgery Clinic will be informed about the study. Those who agree to participate will complete an Informed Consent Form, Patient Introduction Form, Pain Assessment Scale, and State-Trait Anxiety Inventory (STAI-I). One group will engage in mandala coloring activities using a coloring book on the second day post-surgery, while the other group will not receive this intervention. The same questionnaires will be administered again after the intervention.

Data Analysis Data evaluation will utilize frequency, percentage, mean, standard deviation, Student's t-test, analysis of variance, and Pearson correlation analysis.
Other: The Effect of Mandala Art Therapy on Anxiety and Pain in Patients
The Effect of Mandala Art Therapy on Anxiety and Pain in Patients
Other Names:
  • The Effect of Mandala Art Therapy
Experimental: The Effect of Mandala Art Therapy on Pain in Patients Undergoing Total Hip Replacement

Between May 22, 2024, and December 30, 2024, patients undergoing total hip replacement surgery at Samsun Gazi State Hospital's Orthopedic Surgery Clinic will be informed about the study. Between May 22, 2024, and December 30, 2024, patients undergoing total hip replacement surgery at Samsun Gazi State Hospital's Orthopedic Surgery Clinic will be informed about the study. Those who agree to participate will complete an Informed Consent Form, Patient Introduction Form, Pain Assessment Scale, and State-Trait Anxiety Inventory (STAI-I). One group will engage in mandala coloring activities using a coloring book on the second day post-surgery, while the other group will not receive this intervention. The same questionnaires will be administered again after the intervention.

Data Analysis Data evaluation will utilize frequency, percentage, mean, standard deviation, Student's t-test, analysis of variance, and Pearson correlation analysis.
Other: The Effect of Mandala Art Therapy on Anxiety and Pain in Patients
The Effect of Mandala Art Therapy on Anxiety and Pain in Patients
Other Names:
  • The Effect of Mandala Art Therapy

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Surgical Fear Scale
Time Frame: 8 weeks
A low score on the surgical fear scale indicates a low level of surgical anxiety.
8 weeks
Visual Analog Scale (VAS)
Time Frame: 8 weeks
It is displayed on a straight line between 0 and 10. As the numerical value increases, so does the stress level.
8 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Seval Ulubay

Investigators

  • Principal Investigator: SEVAL ULUBAY, PHD, Samsun Gazi State Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2024

Primary Completion (Actual)

August 30, 2024

Study Completion (Actual)

December 30, 2024

Study Registration Dates

First Submitted

September 30, 2024

First Submitted That Met QC Criteria

October 4, 2024

First Posted (Actual)

October 8, 2024

Study Record Updates

Last Update Posted (Actual)

March 25, 2025

Last Update Submitted That Met QC Criteria

January 14, 2025

Last Verified

January 1, 2025

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Mandala Art

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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