The Effect of Art-Based Mandala Intervention on Death Anxiety and Anger Levels in Elderly Adults Living in Nursing Homes: A Randomized Controlled Study

Abstract

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.