Effect of Mandala Coloring on Menopausal Attitude, Perceived Stress and Mindfulness

Menopause is a natural life stage associated with hormonal changes that may affect women physically and psychologically. During this period, women may experience increased stress levels, negative attitudes toward menopause, and decreased mindfulness. Mandala coloring is a structured art-based intervention that may promote relaxation and improve psychological well-being. This randomized controlled trial aims to evaluate the effect of mandala coloring on attitudes toward menopause, perceived stress, and mindfulness levels among menopausal women.

* Inclusion Criteria: * Women aged 45-55 years * Being in the menopausal period (absence of menstruation for at least 12 months) * Ability to read and understand Turkish * Voluntary agreement to participate in the study * Exclusion Criteria: * Diagnosed psychiatric or cognitive disorders * Communication problems preventing participation * Visual impairment or fine motor limitations preventing mandala coloring * Use of hormone replacement therapy * Regular participation in mandala coloring, mindfulness, or similar mind-body practices