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Clinical Trials/NCT07332065
NCT07332065
Not yet recruiting
Not Applicable

The Effect of Mandala Coloring on Menopausal Symptoms, Sexual Quality of Life, and Self-Esteem in Women During the Menopause Period

Kahramanmaras Sutcu Imam University0 sites70 target enrollmentStarted: January 20, 2026Last updated:
InterventionsMandala coloring

Overview

Phase
Not Applicable
Status
Not yet recruiting
Sponsor
Kahramanmaras Sutcu Imam University
Enrollment
70
Primary Endpoint
Menopausal Symptoms

Overview

Brief Summary

The aim of this clinical study is to determine the effect of mandala coloring on menopausal symptoms, sexual quality of life, and self-esteem in women during menopause period. The main questions the study aims to answer are as follows:

  1. Does mandala coloring reduce the severity of menopausal symptoms in women?
  2. Is there an increase in self-esteem levels among women who participate in mandala coloring after the intervention?
  3. Is there an increase in the quality of sexual life among women who participate in mandala coloring after the intervention? Researchers will compare the intervention group (those who participated in mandala coloring) with the control group (those who did not participate in any intervention) to evaluate the effectiveness of mandala coloring.

Participants

  • Participants in the intervention group will attend 30-minute mandala coloring sessions once a week for 4 weeks.
  • Participants in the control group will not receive any intervention during the same period.
  • Both groups will be assessed using a questionnaire at the beginning of the study and at the end of the 4th week (pre-test/post-test).

Detailed Description

Menopause is a natural, biological process that marks the end of a woman's fertile years. Every woman's menopause is unique. The experience, severity, duration, and physical and psychological effects of menopause are all unique. During this period, women must contend with both the processes of aging and the hormonal changes that occur during menopause. These changes can sometimes negatively impact an individual's life, reducing their quality of life. Menopausal symptoms can often appear one to two years before their last menstrual period and up to 15 years afterward. These symptoms, such as decreased sexual desire, decreased estrogen levels, mood disorders, illnesses associated with menstruation, decreased genital sensation, vaginal dryness, physical discomfort, and bone loss, can lead to a loss of sexual desire and alienate a person from their partner. This, in turn, leads to a decrease in self-esteem, a feeling of unease about one's own characteristics and ongoing physical and psychological changes. Consequently, individuals' anxiety levels increase, and their ability to cope with symptoms decreases. Studies have highlighted the benefits of alternative methods for coping with anxiety in women undergoing menopause. Music therapy and art therapy are examples. Studies have also demonstrated the therapeutic effects of mandala coloring, an art therapy activity. This study aims to examine the effects of mandala coloring on menopausal symptoms, quality of sexual life, and self-esteem in menopausal women.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Supportive Care
Masking
Single (Outcomes Assessor)

Eligibility Criteria

Ages
40 Years to 65 Years (Adult, Older Adult)
Sex
Female
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Being between the ages of 40 and 65,
  • Not having experienced menstruation for at least one year,
  • Having a score of 15 or higher on the MSDS (meaning having experienced at least moderate menopause),
  • Not having received hormone replacement therapy for menopausal symptoms,
  • Not having undergone surgical menopause,
  • Experiencing at least one vasomotor symptom of menopause (hot flashes, night sweats, sudden sweating attacks, palpitations, chills and shivering attacks, etc.).
  • Being able to read, write, speak, and understand Turkish,
  • Not having previously received mandala art therapy training or regularly practicing mandala coloring,
  • Not having an allergy to mandala coloring materials,
  • Not practicing spiritual practices such as yoga or meditation,

Exclusion Criteria

  • Having a physical symptom that may prevent mandala coloring,
  • Having communication and perception problems,
  • Having difficulty understanding or speaking Turkish,
  • Having a psychiatric illness or taking psychiatric medication,
  • Having experienced a loss in the last 6 months.

Arms & Interventions

Mandala coloring

Experimental

Participants will take part in 30-minute mandala painting sessions once a week for four weeks.

Intervention: Mandala coloring (Other)

Control group

No Intervention

No intervention will be applied to participants in the control group within 4 weeks.

Outcomes

Primary Outcomes

Menopausal Symptoms

Time Frame: Time Frame: Fromenrollmenttotheend of intervention at 4 weeks.

The primary outcome measure in this study is the severity of menopausal symptoms as assessed by the Menopause Rating Scale. This scale is an 11-item measure developed by Heineman et al. (1996) to assess the severity of menopausal symptoms. The minimum score that can be obtained on the scale is 0, while the maximum score is 44. An increase in the score obtained from the scale indicates an increase in the severity of the complaints experienced, while also showing that quality of life has been negatively affected. In this study, the validity and reliability of the scale in Turkish were conducted by Can Gürkan (2005). The Turkish version of the scale will be used. Within the scope of the current study, it is expected that women in menopause who engage in mandala coloring will show improvement in menopause symptoms. In other words, the Menopause Rating Scale scores of women in the experimental group will be lower than those of women who do not practice mandala coloring.

Secondary Outcomes

  • Sexual Quality Of Life(Time Frame: From enrollment to the end of intervention at 4 weeks.)
  • Self-Esteem(Time Frame: From enrollment to the end of intervention at 4 weeks.)

Investigators

Sponsor
Kahramanmaras Sutcu Imam University
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Kevser Katkaya

Principal Investigator

Kahramanmaras Sutcu Imam University

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