The Effect of Mandala Coloring on Premenstrual Syndrome: A Randomized Controlled Experimental Study

Mandala coloring is used as a complementary therapy in the management of certain illnesses and symptoms. The symptoms of premenstrual syndrome (PMS) have a negative impact on women's daily activities. Investigating how mandala coloring affects PMS symptoms is the goal of this study. This study was conducted using a single-blind, randomized controlled design. The research was conducted on 80 university students between November 2023 and March 2024. The participants included women aged 19 years and older who were experiencing PMS. They were split into the control group and the intervention group at random. The experimental group's women's PMS total and subscale scores significantly decreased after the intervention. The control and intervention groups were evaluated using the Premenstrual Syndrome Scale (PMSS). The intergroup comparisons showed that the severity of PMS decreased significantly following the mandala coloring intervention (PMSS pretest 155.22 ± 26.14 vs. 161.51 ± 25.75, respectively, PMSS posttest 112.68 ± 30.65 vs. 162.14 ± 25.05) (p < .05). The intervention group experienced a significant reduction in premenstrual symptoms in comparison to the control group.