The effect of art-based mandala intervention on death anxiety and anger levels in elderly adults living in nursing homes: A randomized controlled study


Dincer B., Demir S., Demir K., Özalp K., Ayaz E. Y., Bahçecik A. N., ...Daha Fazla

Geriatric Nursing, cilt.69, 2026 (SCI-Expanded, SSCI, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 69
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.gerinurse.2026.103956
  • Dergi Adı: Geriatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, AgeLine, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
  • Anahtar Kelimeler: Art therapy, Mandala art, Older, Elderly, Anger, Death anxiety
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objective This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. Methods A randomized controlled experimental study with 80 participants (experimental group n = 40; control group n = 40) was conducted. The experimental group participated in mandala coloring three times a week for 12 weeks. Data were collected using a descriptive form, a death anxiety scale, and the State-Trait Anger Expression Inventory. Results Post-mandala, the experimental group showed significantly lower anger scores compared to the control group ( p = 0.001). Statistically significant differences were found in State Anger, Anger-In, Anger-Out, and Anger Control ( p < 0.01). A significant decrease in death anxiety scores was observed in the experimental group ( p < 0.01). Anger levels explained 42.4% of the variance in death anxiety ( p = 0.001). Conclusion Mandala coloring is an effective intervention for reducing anger and death anxiety in elderly nursing home residents.