Mandala Therapy in Nurses: Effects on Psychological Well-Being and Organizational Cynicism

NCT07416071 | Completed

• 1 other identifier: 2023/135
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This study aimed to examine the effect of mandala therapy on psychological well-being and organizational cynicism levels among nurses. The study was conducted with nurses working in a public training and research hospital using an experimental intervention design. Participants were allocated to an intervention group receiving mandala therapy and a control group receiving routine working conditions. Psychological well-being and organizational cynicism were assessed before and after the intervention using validated measurement tools.

Conditions

Mental Health; Occupational Stress

Keywords

Mandala Therapy; Nurses; Psychological Well-Being; Organizational Cynicism

Outcome Measures

Primary Outcomes (1)

• Psychological Well-Being

  Psychological well-being will be assessed using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), a validated 14-item scale ranging from 14 to 70, with higher scores indicating better psychological well-being.

  Baseline, 4 weeks after intervention initiation, and 8 weeks post-intervention

Secondary Outcomes (1)

• Organizational Cynicism

  Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation

Other Outcomes (1)

• Stress Level

  Baseline, 4 weeks after intervention initiation, and 8 weeks after intervention initiation

Study Arms (2)

Mandala

EXPERIMENTAL

Participants receiving unstructured mandala therapy sessions.

Behavioral: Unstructured Mandala Therapy

Control

NO INTERVENTION

Participants continuing routine working conditions without any intervention.

Interventions

Unstructured Mandala Therapy BEHAVIORAL

Unstructured mandala drawing and coloring activities were conducted as a behavioral intervention, allowing participants to freely express their emotions without predefined guidelines or themes.

Mandala

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Having at least 6 months of professional nursing experience at the hospital where the study is conducted
• Willingness to participate voluntarily in the study

You may not qualify if:

• Being on leave or on medical report during the data collection period
• Participation in individual psychotherapy or group-based intervention programs
• Receiving psychiatric medication treatment
• Having visual impairments or visual disorders
• Having prior experience with meditation practices

Sponsors & Collaborators

• Karadeniz Technical University: lead

Study Sites (1)

Public Training and Research Hospital

Rize, Turkey (Türkiye)

Location

Related Publications (1)

• Sarı Öztürk E, Kılıçarslan Törüner E. Effects of mandala-based interventions on psychological outcomes in nurses. Journal of Nursing Management. 2023.Wang TQ. Mandala therapy: What it is and what it offers. The Asian Educational Therapist. 2024;2(2):13-22.

  BACKGROUND

Related Links

• Related Info

MeSH Terms

Conditions

Psychological Well-Being; Occupational Stress

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Occupational Diseases; Stress, Psychological; Behavioral Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctoral Researcher

Model Details: Participants were assigned to one of two parallel groups. The intervention group received unstructured mandala therapy sessions, while the control group continued routine working conditions without any intervention. Both groups were followed concurrently, and outcome measures were assessed before and after the intervention period.

Study Record Dates

• First Submitted: December 29, 2025
• First Posted: February 17, 2026
• Study Start: January 25, 2024
• Primary Completion: December 30, 2024
• Study Completion: December 30, 2024
• Last Updated: February 17, 2026

Record last verified: 2026-02

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)