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IRCT20210604051491N1 IRCT 2021-08-29 Artesh University of Medical Sciences The effect of mandala coloring on the mental state of war veterans The effect of mandala coloring on mindfulness, happiness, fear of sleep, and symptoms of post-traumatic stress disorder in war veterans 2021-09-06 anticipated 84 Complete https://irct.ir/trial/56911 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Due to the existence of two separate wards in Milad Psychiatric Center to control data dissemination between control and intervention groups, one ward will be randomly assigned to the control group and the other to the intervention group. To do so, wards numbers will be written on two separate balls and will be placed inside a bag. The control group is assigned to the first picked ball and while the remaining ball represents the intervention group. It should be noted that these two wards are not distinguished in terms of hospitalizing physicians, physical space, and type of patients. patients will be randomly allocated to the control or intervention group with the help of 4 block randomization created with SPSS during the admission. To do so, the hospital admission will contact the researcher during patient reception to determine the patient ward based on the prepared SPSS list. To prepare the SPSS list, first in the "variable" section, a variable named ID is created, then the "compute variable" is chosen in the "transform" toolbar. In the "Compute variable" window, "ALL" is chosen for the "function group" and "Casenum" for the "function and special variables". Next, the "A" variable is created based on the 0.1+(casenum/4)-0.49 formula. The "A" parameter is Rounded by choosing the "Rnd(1)" option in the "function and special variables" sub-window to create the "B" parameter. In the next step, a "random number" with a "uniform" distribution between 0-1 is created. After that, "the Rank case" is chosen in the "transform" toolbar, and the "uniform" variable is ranked based on the "B" variable. As a result, in the created variable, numbers 1.0 and 2.0 represent the control group, and 3.0 and 4.0 represent the intervention. N/A Post-traumatic stress disorder. Intervention 1: Intervention group: In the intervention group, before starting the group therapy, a training session will be held by the researcher to get acquainted with the mandala designs and how to color them. At the end of each group therapy session, participants will be required to paint a structured mandala design of their choice within 15 minutes. For this purpose, after completing the group therapy, the researcher will provide the 10 sets of mandala designs to each of the participants and will ask them to choose a design according to their interests and paint in the same place. Mandala designs in dimensions of 20 by 20 cm will be provided to the participants by the researcher on A4 paper along with 12 soft colored crayons. The intervention will take 5 weeks and patients will be required to paint 2 mandalas designs per week. The first week will be allocated to pre-test, the second, third, fourth week will be allocated to mandala coloring (2 sessions per week and a total of 6 sessions) and the fifth week will be allocated to post-test. Intervention 2: Control group: Due to the chronicity of patients admitted to Milad Center, according to the policies of the center, mindfulness group therapy sessions include exercises such as slow breathing, body scan, etc. on a weekly basis for patients in each ward separately under supervision of the psychologist of the center is held and in the present study, these sessions were considered as a routine intervention. In the control group, 12 soft colored pencils will be provided to patients along with an A4 paper with a blank square measuring 20 by 20 cm and they will be asked to do free staining for 15 minutes. No - There is not a plan to make this available Justification or reason for not sharing IPD is Due to the hospitalization of patients in a medical center under the supervision of the Armed Forces, it is not possible to publish data
public Mohammad amin nasiri
Qom/Zeindodin/ zolfaghar 1 / block 18
Qom Iran (Islamic Republic of) 3713117773 +98 25 3270 7520 ma.nasiri74@yahoo.com Artesh University of Medical Sciences scientific Mohammadamin Nasiri
Zeindoin . zolfaghar 1 . block 18
Qom Iran (Islamic Republic of) 3713117773 +98 25 3270 7520 ma.nasiri74@yahoo.com Kashan University of Medical Sciences Iran (Islamic Republic of) Identification of post-traumatic stress disorder based on the medical records. age : up to 65 years old no limit 65 years Both Existence of visual impairment (such as color blindness, presbyopia, etc.) that disrupt patient coloring based on medical records Existence of movement defects in fingers and hands Existence of suicidal and homicide based on medical records Crisis experience in the last 6 months base on medical records Suffering from psychotic disorders and schizophrenia Drug abuse F43.1 Post-traumatic stress disorder (PTSD) Treatment - Other Treatment - Other Intervention group: In the intervention group, before starting the group therapy, a training session will be held by the researcher to get acquainted with the mandala designs and how to color them. At the end of each group therapy session, participants will be required to paint a structured mandala design of their choice within 15 minutes. For this purpose, after completing the group therapy, the researcher will provide the 10 sets of mandala designs to each of the participants and will ask them to choose a design according to their interests and paint in the same place. Mandala designs in dimensions of 20 by 20 cm will be provided to the participants by the researcher on A4 paper along with 12 soft colored crayons. The intervention will take 5 weeks and patients will be required to paint 2 mandalas designs per week. The first week will be allocated to pre-test, the second, third, fourth week will be allocated to mandala coloring (2 sessions per week and a total of 6 sessions) and the fifth week will be allocated to post-test. Control group: Due to the chronicity of patients admitted to Milad Center, according to the policies of the center, mindfulness group therapy sessions include exercises such as slow breathing, body scan, etc. on a weekly basis for patients in each ward separately under supervision of the psychologist of the center is held and in the present study, these sessions were considered as a routine intervention. In the control group, 12 soft colored pencils will be provided to patients along with an A4 paper with a blank square measuring 20 by 20 cm and they will be asked to do free staining for 15 minutes. Post-traumatic stress disorder. Timepoint: Beginning (before the intervention) and after the intervention (coloring). Method of measurement: Post-traumatic stress disorder questionnaire. Mindfulness. Timepoint: Beginning (before the intervention) and after the intervention (coloring). Method of measurement: Mindful attention awareness scale. Happiness. Timepoint: Beginning (before the intervention) and after the intervention (coloring). Method of measurement: Oxford happiness questionnaire. Fear of sleep. Timepoint: Beginning (before the intervention) and after the intervention (coloring). Method of measurement: Fear of sleep inventory-short questionnaire. Artesh University of Medical Sciences Approved 2021-06-01 Ethics Committee of AJA University of Medical Sciences AJA University of Medical Sciences, etemadzade avenue, Fatemi avenue, Tehran Tehran Iran (Islamic Republic of)