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Clinical Trials/NCT07097558
NCT07097558CompletedNot Applicable

The Effect of Mandala Coloring and Music Listening on Premenstrual Syndrome Symptoms and Quality of Life: A Randomized Controlled Trial

Rukiye Duman1 site in 1 country108 target enrollmentStarted: August 13, 2025Last updated:
Conditions
Interventions

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Enrollment
108
Locations
1
Primary Endpoint
The Effect of Mandala Coloring on Premenstrual Syndrome Symptoms

Study Overview

Brief Summary

Purpose: The aim of this project is to examine the effects of mandala painting and music performance interventions on premenstrual syndrome symptoms and quality of life.

The hypotheses of the study are as follows:

Coloring mandalas has a positive effect on premenstrual syndrome symptoms. Listening to music has a positive effect on premenstrual syndrome symptoms. Listening to music has a positive effect on quality of life. Coloring mandalas has a positive effect on quality of life.

Detailed Description

Objective

The aim of this project is to examine the effects of mandala coloring and music performance interventions on premenstrual syndrome symptoms and quality of life.

The study aims to reach all students experiencing premenstrual syndrome symptoms without resorting to sample size calculations. Therefore, since a high effect size is expected in the study, Cohen's standard effect size of 0.25, which is between moderate and large, was accepted. Therefore (α = 0.05, effect size = 0.25, 1-β = 0.80), the minimum sample size was calculated as 108 participants (n = 36 for each group).

The study includes a mandala coloring group, a music performance group, and a control group. The mandala coloring intervention will be applied twice a week for 8 weeks, and the music performance will be applied twice a day for 30 minutes for 8 weeks. Participants in the music performance group will listen to classical music. The control group will not receive any intervention. The Demographic Information Form, the Premenstrual Syndrome Scale (PMSS), and the WHOQOL-BREF-TR Quality of Life Scale will be used as data collection tools. The first measurement will be administered before the interventions. The second measurement will be collected in the fourth week after the intervention, and the third measurement in the eighth week. The data obtained in the study will be entered into a database using IBM SPSS 25.0 (Statistical Package for Social Sciences), and all necessary statistical analyses will be performed in the same program.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
Single (Participant)

Masking Description

To determine the groups for university students who meet the sampling criteria for the study's randomization, participants will be assigned to the experimental and control groups using the "Randomizer.org" program. Numbers 1 to 120 will be randomized into three groups using a computer-assisted randomization program (https://www.randomizer.org). Students in the experimental and control groups will be prevented from interacting with each other to avoid being affected by the interventions. Inclusion and exclusion criteria, as well as exclusion from the study during the study, are specified below.

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • •Must be an undergraduate student studying midwifery at Istanbul University-Cerrahpaşa Faculty of Health Sciences.
  • •Must have a score of 110 or higher on the PMSS.
  • •Must have an internet connection.

Exclusion Criteria

  • •Must be under 18 years of age.
  • •Must have a change in menstrual cycle characteristics after being diagnosed with PMS.

Arms & Interventions

Mandala coloring group

Experimental

The mandala painting intervention will be administered twice a week for 8 weeks for the mandala painting group.

Intervention: Mandala coloring group (Other)

Control group

Experimental

The control group will not receive any intervention.

Intervention: control group (Other)

Music listening group

Experimental

The music listening group will listen to classical music twice a week for 8 weeks for 30 minutes, twice a day.

Intervention: Music listening group (Other)

Outcomes

Primary Outcomes

The Effect of Mandala Coloring on Premenstrual Syndrome Symptoms

Time Frame: eight weeks

Premenstrual Syndrome Scale (PMSS): Developed by Gençdoğan in 2006, this five-point Likert-type scale measures the severity of premenstrual problems, consisting of 44 items and nine subscales. The lowest possible score is 44, and the highest is 220. A higher score indicates a greater severity of PMS problems.

The Effect of MMusic Listening on Premenstrual Syndrome Symptoms

Time Frame: eight weeks

Premenstrual Syndrome Scale (PMSS): Developed by Gençdoğan in 2006, this five-point Likert-type scale measures the severity of premenstrual problems, consisting of 44 items and nine subscales. The lowest possible score is 44, and the highest is 220. A higher score indicates a greater severity of PMS problems.

The Effect of Mandala Coloring on Premenstrual Syndrome Symptoms

Time Frame: eight weeks

Premenstrual Syndrome Scale (PMSS): Developed by Gençdoğan in 2006, this five-point Likert-type scale measures the severity of premenstrual problems, consisting of 44 items and nine subscales. The lowest possible score is 44, and the highest is 220. A higher score indicates a greater severity of PMS problems.

The Effect of MMusic Listening on Premenstrual Syndrome Symptoms

Time Frame: eight weeks

Premenstrual Syndrome Scale (PMSS): Developed by Gençdoğan in 2006, this five-point Likert-type scale measures the severity of premenstrual problems, consisting of 44 items and nine subscales. The lowest possible score is 44, and the highest is 220. A higher score indicates a greater severity of PMS problems.

Secondary Outcomes

  • The Effect of Mandala Coloring Quality of Life(eight weeks)
  • The Effect of Music Listening on Quality of Life(eight weeks)
  • The Effect of Music Listening on Quality of Life(eight weeks)
  • The Effect of Mandala Coloring Quality of Life(eight weeks)

Investigators

Sponsor
Rukiye Duman
Sponsor Class
Other
Responsible Party
Sponsor Investigator
Principal Investigator

Rukiye Duman

RESEARCH ASSISTANT

Istanbul University - Cerrahpasa

Study Sites (1)

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