Comparing the Effects of Art Therapy and Mandala Application on State Anxiety Levels in Chemotherapy Patients

NCT07435597 | Recruiting

• 1 other identifier: Atlas University
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The research is planned as a randomized controlled trial with a two-group (art-based flow drawing and mandala), pre-test, post-test design.

Conditions

Oncologic Disease; Chemotherapy

Keywords

mandala; art therapy; oncology; chemotherapy

Outcome Measures

Primary Outcomes (1)

• State anxiety scale

  The State Anxiety Scale will be administered prior to the intervention, followed by randomly assigned art therapy or mandala practice. The State Anxiety Scale and distress thermometer will be administered again after the intervention is completed. A high score on the State Anxiety Scale indicates high anxiety levels.

  6 months

Study Arms (3)

Mandala

EXPERIMENTAL

Patients will be given a file containing mandala designs, and they will be asked to color the design of their choice with their preferred colored pencils (pastel, crayon, marker) throughout the treatment.

Other: Mandala therapy

Art therapy

EXPERIMENTAL

During chemotherapy, the patient will be given a pen and will be played music. Following instructions, they will be asked to draw on the paper with their eyes closed and then interpret the drawing.

Other: Art therapy

Control group

NO INTERVENTION

Participants will only receive the clinical procedure. The clinical procedure will be an information session about the treatment.

Interventions

Art therapy OTHER

During chemotherapy, the patient will be given a pen to hold with their eyes closed and asked to draw on a blank piece of paper according to the instructions. Afterwards, their drawing will be analyzed and interpreted.

Art therapy

Mandala therapy OTHER

Patients will be given a file containing mandala designs, and they will be asked to color the design of their choice with their preferred colored pencils (pastel, crayon, marker) throughout the treatment.

Mandala

Eligibility Criteria

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

You may qualify if:

• Must be 18 years of age or older
• Must be receiving chemotherapy treatment
• Must be willing to participate in the research
• Must be literate
• Must be able to speak and understand Turkish

You may not qualify if:

• Having any speech or comprehension impairment
• Being treated with other forms of treatment
• Having any accompanying psychiatric diagnosis
• Using any psychiatric medication
• Being enrolled in another program using a similar method could affect the study's outcome

Sponsors & Collaborators

• Atlas University: lead

Study Sites (1)

Basaksehir Cam Sakura Hospital

Istanbul, 34000, Turkey (Türkiye)

RECRUITING

MeSH Terms

Conditions

Neoplasms

Interventions

Art Therapy

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Central Study Contacts

Dilek Baykal, Associate Professor

CONTACT

+902124443439; dilek.baykal@atlas.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Study Record Dates

• First Submitted: February 18, 2026
• First Posted: February 27, 2026
• Study Start: February 18, 2026
• Primary Completion: May 30, 2026
• Study Completion: May 30, 2026
• Last Updated: May 19, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)