An interventional study of Mandala coloring in Menopause, Self Esteem and Sexual Activity, sponsored by Kahramanmaras Sutcu Imam University. Completed at 1 site in Turkey (Türkiye). Open to female participants aged 40 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-05-11.
Sponsored by Kahramanmaras Sutcu Imam University · Not applicable, Interventional, and Supportive care
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:
Participants
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.
224 studies on the registry are indexed under Sexual Behavior; 30 are open to participants now.
This study's enrollment of 70 is below the median of 264 across 179 interventional studies indexed under Sexual Behavior.
Browse Sexual Behavior studies →Kahramanmaras Sutcu Imam University is the lead sponsor of 198 studies on the registry; 40 are open to participants now.
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Exclusion Criteria:
Participants will take part in 30-minute mandala painting sessions once a week for four weeks.
Other: Mandala coloring
No intervention will be applied to participants in the control group within 4 weeks.
Mandala coloring is a structured creative art activity based on colouring mandala shapes, which consist of circular and symmetrical patterns, increasing focus and promoting relaxation. As one of the art therapies, mandala colouring can have a therapeutic effect on individuals.
Also known as: Mandala art activity
Menopausal Symptoms
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.
Time frame: Time Frame: Fromenrollmenttotheend of intervention at 4 weeks.
Sexual Quality Of Life
In this study, the secondary outcome measure is the level of sexual quality of life assessed using the Sexual Quality of Life Scale. The scale, developed by Symonds et al. (2005), consists of 18 items designed to measure women's sexual quality of life. Participants are expected to respond to the items based on their sexual life over the past four weeks. The lowest possible score on the scale is 18, and the highest possible score is 108. A higher score on the scale indicates a better quality of sexual life. The Sexual Quality of Life Scale - Female Turkish Form will be used in this study. Its validity and reliability in Turkish were conducted by Gölbaşı (2010). Within the scope of the current study, it is expected that women in menopause who practice mandala coloring will show an increase in their sexual life quality. In other words, the Sexual Life Quality Scale scores of the women in the experimental group are higher than those of women who do not practice mandala coloring.
Time frame: Time Frame: From enrollment to the end of intervention at 4 weeks.
Self-Esteem
Another secondary outcome measure in this study is the level of self-esteem, assessed using the Coopersmith Self-Esteem Inventory Scale. The scale was developed by Stanley Coopersmith (1967). It consists of 25 items with opposite responses such as "Like me" or "Not like me." The content includes the person's outlook on life, family relationships, social relationships, and resilience. The lowest possible score on the scale is 0, and the highest is 25. A low score on the scale indicates low self-esteem, while a high score indicates high self-esteem. Turkish reliability and validity studies were conducted by Aksoy (1992) and Pişkin (1997). Within the scope of the study, it is expected that women in menopause who practice mandala coloring will experience an increase in their self-esteem levels. In other words, the scores obtained by the women in the experimental group on the Coopersmith Self-Esteem Inventory Scale are higher than those of women who do not practice mandala coloring.
Time frame: Time Frame: From enrollment to the end of intervention at 4 weeks.
Plan to share: No
No publications or documents are linked to this record.
Ran from Jan 2026 to primary completion in Feb 2026, 1 month.
Of 106 non-industry interventional studies with no phase under Sexual Behavior, half reached primary completion within 27 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 47. This study's 1 month is below that.
Counting every sponsor, half of 107 studies reached it within 23 months; a quarter within 11 and three quarters within 47.
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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.
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