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Mandala Coloring for Pain, Fatigue, and Sleep in Patients With Fibromyalgia

Sponsor: Artvin Coruh University • ClinicalTrials.gov ID: NCT07733739

Registry updated: 2026-09-25

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Description

Fibromyalgia is a chronic condition commonly associated with widespread pain, fatigue, and poor sleep quality. This randomized controlled study aims to determine whether mandala coloring, when added to routine treatment, improves pain, fatigue, and sleep quality in adults with fibromyalgia. A total of 60 eligible participants will be randomly assigned in a 1:1 ratio to either a mandala coloring group or a control group. Participants in the mandala coloring group will complete eight 60-minute coloring sessions over four weeks, with two sessions per week, while continuing their routine treatment. Participants in the control group will continue their routine treatment without taking part in a structured coloring activity. Pain, fatigue, and sleep quality will be assessed at the beginning of the study and at the end of the fourth week. Changes in these outcomes will be compared between the two groups.

Interventions

Mandala Coloring (Behavioral)
Participants will complete eight supervised mandala coloring sessions over four weeks. Sessions will be conducted twice weekly, and each session will last 60 minutes. Participants will use colored pencils and a coloring booklet containing mandala patterns while continuing their routine treatment.

Eligibility criteria

Inclusion Criteria: * Aged 18 years or older * Diagnosed with fibromyalgia * Pain intensity score of 5 or higher on the Visual Analog Scale * Fatigue Severity Scale score of 4 or higher * Pittsburgh Sleep Quality Index global score of 5 or higher * Able to communicate and complete the study assessments * No physical limitation preventing mandala coloring * Willing to participate and provide written informed consent Exclusion Criteria: * Presence of a communication problem that prevents participation or completion of the assessments * Presence of a physical limitation that prevents mandala coloring * Refusal to participate or provide written informed consent

Conditions

Fibromyalgia

Locations

Artvin State Hospital — Artvin, Turkey (Türkiye)

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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

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