{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:44:29Z","timestamp":1782960269150,"version":"3.54.5"},"reference-count":59,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":54,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Complement Med Ther"],"DOI":"10.1186\/s12906-026-05404-4","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T02:04:14Z","timestamp":1778292254000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The effectiveness of mandala coloring on the psychological and physiological symptoms in adult hospitalized patients: a meta-analysis"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1670-0672","authenticated-orcid":false,"given":"Seda","family":"Pehli\u0307van","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2282-0846","authenticated-orcid":false,"given":"\u00d6znur Erbay","family":"Dalli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"issue":"4","key":"5404_CR1","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/j.sleh.2023.03.004","volume":"9","author":"KV Jespersen","year":"2023","unstructured":"Jespersen KV, Hansen MH, Vuust P. The effect of music on sleep in hospitalized patients: A systematic review and meta-analysis. Sleep Health. 2023;9(4):441\u20138.","journal-title":"Sleep Health"},{"key":"5404_CR2","doi-asserted-by":"publisher","first-page":"101246","DOI":"10.1016\/j.ctcp.2020.101246","volume":"41","author":"P Newland","year":"2020","unstructured":"Newland P, Bettencourt BA. Effectiveness of mindfulness-based art therapy for symptoms of anxiety, depression, and fatigue: A systematic review and meta-analysis. Complement Ther Clin Pract. 2020;41:101246.","journal-title":"Complement Ther Clin Pract"},{"issue":"6","key":"5404_CR3","first-page":"62","volume":"51","author":"CR Miller","year":"2021","unstructured":"Miller CR, Patmon FL, Knapp H. Music to reduce stress in hospitalized patients. Nurs. 2021;51(6):62\u20136.","journal-title":"Nurs"},{"issue":"1","key":"5404_CR4","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1089\/jicm.2022.0780","volume":"30","author":"MQ Zhang","year":"2024","unstructured":"Zhang MQ, Liu X, Huang Y. Does Mandala Art Improve Psychological Well-Being in Patients? A Systematic Review. J Integr Complement Med. 2024;30(1):25\u201336.","journal-title":"J Integr Complement Med"},{"issue":"7","key":"5404_CR5","doi-asserted-by":"publisher","first-page":"1197","DOI":"10.1111\/jpm.70003","volume":"32","author":"W Huang","year":"2025","unstructured":"Huang W, Luan T, Li L, Zhang A, Mu Y, Sun Y, Huang K, Qin R, Liu W, Guo H. The effects of visual art therapy on improving anxiety symptoms in adults: A systematic review and meta-analysis. J Psychiatr Ment Health Nurs. 2025;32(7):1197\u2013210.","journal-title":"J Psychiatr Ment Health Nurs"},{"issue":"3","key":"5404_CR6","doi-asserted-by":"publisher","first-page":"237","DOI":"10.1080\/17533015.2021.2009529","volume":"14","author":"L Morison","year":"2022","unstructured":"Morison L, Simonds L, Stewart SF. Effectiveness of creative arts-based interventions for treating children and adolescents exposed to traumatic events: a systematic review of the quantitative evidence and meta-analysis. Arts Health. 2022;14(3):237\u201362.","journal-title":"Arts Health"},{"key":"5404_CR7","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1186\/s40359-025-02361-4","volume":"13","author":"J Wang","year":"2025","unstructured":"Wang J, Zhang B, Yahaya R, Abdullah AB. Colors of the mind: a meta-analysis of creative arts therapy as an approach for post-traumatic stress disorder intervention. BMC Psychol. 2025;13:32.","journal-title":"BMC Psychol"},{"key":"5404_CR8","doi-asserted-by":"publisher","first-page":"100419","DOI":"10.1016\/j.ssmmh.2025.100419","volume":"7","author":"E Frasco","year":"2025","unstructured":"Frasco E, Sherr L, Dedios Sanguineti MC, Vera San Juan N, Burgess R. The impact of creative arts-based interventions for mental health in conflict-affected contexts: a systematic narrative review. SSM Ment Health. 2025;7:100419.","journal-title":"SSM Ment Health"},{"key":"5404_CR9","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1186\/s12906-023-04177-4","volume":"23","author":"T Van Lith","year":"2023","unstructured":"Van Lith T, Ettenberger M. Arts-based therapies, practices, and interventions in health. BMC Complement Med Ther. 2023;23:351.","journal-title":"BMC Complement Med Ther"},{"issue":"2","key":"5404_CR10","first-page":"134","volume":"17","author":"L Ramos Salazar","year":"2019","unstructured":"Ramos Salazar L. Exploring the effect of coloring mandalas on students\u2019 math anxiety in business statistics courses. Bus Manag Econ Eng. 2019;17(2):134\u201351.","journal-title":"Bus Manag Econ Eng"},{"key":"5404_CR11","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1186\/s12888-024-05886-x","volume":"24","author":"MA Nasiri","year":"2024","unstructured":"Nasiri MA, Sajadi SA, Farsi Z, Heidarieh M. The effect of mandala coloring and free coloring on the happiness in veterans with post-traumatic stress disorder in the Covid-19 pandemic: a randomized clinical trial. BMC Psychiatry. 2024;24:467.","journal-title":"BMC Psychiatry"},{"issue":"7","key":"5404_CR12","doi-asserted-by":"publisher","first-page":"1032","DOI":"10.1111\/cch.13110","volume":"49","author":"M \u00d6zsavran","year":"2023","unstructured":"\u00d6zsavran M, Ayy\u0131ld\u0131z TK. The effect of mandala art therapy on the comfort and resilience levels of mothers who have children with special needs: a randomized controlled study. Child Care Health Dev. 2023;49(7):1032\u201345.","journal-title":"Child Care Health Dev"},{"issue":"6","key":"5404_CR13","first-page":"642","volume":"9","author":"H Choi","year":"2021","unstructured":"Choi H, Hahm SC, Jeon YH, Han JW, Kim SY, Woo JM. The effects of mindfulness-based mandala coloring, made in nature, on chronic widespread musculoskeletal pain: randomized trial. Healthc (Basel). 2021;9(6):642.","journal-title":"Healthc (Basel)"},{"key":"5404_CR14","doi-asserted-by":"publisher","first-page":"1301531","DOI":"10.3389\/fpsyg.2023.1301531","volume":"14","author":"H Chen","year":"2024","unstructured":"Chen H, Liu C, Zhang A, Lu WQ, Wu K, Chiou WK. How flow and mindfulness interact with each other in mindfulness-based augmented reality mandala coloring activities. Front Psychol. 2024;14:1301531.","journal-title":"Front Psychol"},{"key":"5404_CR15","doi-asserted-by":"publisher","first-page":"e175","DOI":"10.1016\/j.pedn.2025.04.010","volume":"82","author":"Z Ghorbani","year":"2025","unstructured":"Ghorbani Z, Farahani AS, Khabazkhoob M, Hosseini A, Rassouli M. Evaluating the effectiveness of mandala coloring on post-operative anxiety in mothers of children undergoing congenital anomaly surgery: a randomized controlled clinical trial. J Pediatr Nurs. 2025;82:e175\u201383.","journal-title":"J Pediatr Nurs"},{"issue":"3","key":"5404_CR16","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1080\/07421656.2021.2003144","volume":"39","author":"SJ St\u00f8re","year":"2022","unstructured":"St\u00f8re SJ, Jakobsson N. The effect of mandala coloring on state anxiety: a systematic review and meta-analysis. Art Ther. 2022;39(3):173\u201381.","journal-title":"Art Ther"},{"key":"5404_CR17","doi-asserted-by":"publisher","first-page":"100404","DOI":"10.1016\/j.clinsp.2024.100404","volume":"79","author":"B Zhang","year":"2024","unstructured":"Zhang B, Wang J, Abdullah AB. The effects of art therapy interventions on anxiety in children and adolescents: a meta-analysis. Clin (Sao Paulo). 2024;79:100404.","journal-title":"Clin (Sao Paulo)"},{"issue":"5","key":"5404_CR18","doi-asserted-by":"publisher","first-page":"e3041","DOI":"10.1002\/cpp.3041","volume":"31","author":"GA Maddox","year":"2024","unstructured":"Maddox GA, Bodner GE, Christian MW, Williamson P. On the effectiveness of visual arts therapy for traumatic experiences: a systematic review and meta-analysis. Clin Psychol Psychother. 2024;31(5):e3041.","journal-title":"Clin Psychol Psychother"},{"issue":"4","key":"5404_CR19","doi-asserted-by":"publisher","first-page":"e2428709","DOI":"10.1001\/jamanetworkopen.2024.28709","volume":"7","author":"R Joschko","year":"2024","unstructured":"Joschko R, Klatte C, Grabowska WA, Roll S, Bergh\u00f6fer A, Willich SN. Active visual art therapy and health outcomes: a systematic review and meta-analysis. JAMA Netw Open. 2024;7(4):e2428709.","journal-title":"JAMA Netw Open"},{"issue":"7","key":"5404_CR20","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1136\/emermed-2020-209567","volume":"37","author":"M Amir-Behghadami","year":"2020","unstructured":"Amir-Behghadami M, Janati A. Population, intervention, comparison, outcomes and study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews. Emerg Med J. 2020;37(7):387.","journal-title":"Emerg Med J"},{"key":"5404_CR21","unstructured":"Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions. Wiley; 2011."},{"key":"5404_CR22","doi-asserted-by":"publisher","first-page":"d5928","DOI":"10.1136\/bmj.d5928","volume":"343","author":"JP Higgins","year":"2011","unstructured":"Higgins JP, Altman DG, G\u00f8tzsche PC, J\u00fcni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA, Cochrane Bias Methods Group; Cochrane Statistical Methods Group. The Cochrane Collaboration\u2019s tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928.","journal-title":"BMJ"},{"key":"5404_CR23","doi-asserted-by":"publisher","first-page":"101484","DOI":"10.1016\/j.cegh.2023.101484","volume":"25","author":"M Prasad","year":"2024","unstructured":"Prasad M. Introduction to the GRADE tool for rating certainty in evidence and recommendations. Clin Epidemiol Glob Health. 2024;25:101484.","journal-title":"Clin Epidemiol Glob Health"},{"issue":"1","key":"5404_CR24","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","volume":"112","author":"J Cohen","year":"1992","unstructured":"Cohen J. A power primer. Psychol Bull. 1992;112(1):155\u20139.","journal-title":"Psychol Bull"},{"issue":"2","key":"5404_CR25","doi-asserted-by":"publisher","first-page":"167","DOI":"10.1016\/j.apnu.2017.08.008","volume":"32","author":"H Kim","year":"2018","unstructured":"Kim H, Kim S, Choe K, Kim JS. Effects of mandala art therapy on subjective well-being, resilience, and hope in psychiatric inpatients. Arch Psychiatr Nurs. 2018;32(2):167\u201373.","journal-title":"Arch Psychiatr Nurs"},{"issue":"4","key":"5404_CR26","doi-asserted-by":"publisher","first-page":"262","DOI":"10.37897\/RJN.2020.4.7","volume":"19","author":"F Barati","year":"2020","unstructured":"Barati F, Sarchahi Z, Hajebi Khaniki S, Baradaran Sirjani E, Taghiabadi M. Effect of software-based therapeutic coloring on stress and anxiety in patients with multiple sclerosis: a quasi-experimental study. Ro J Neurol. 2020;19(4):262\u20137.","journal-title":"Ro J Neurol"},{"issue":"5","key":"5404_CR27","doi-asserted-by":"publisher","first-page":"1437","DOI":"10.1111\/inm.12901","volume":"30","author":"F Khademi","year":"2021","unstructured":"Khademi F, Rassouli M, Rafiei F, et al. The effect of mandala colouring on anxiety in hospitalized COVID-19 patients: a randomized controlled clinical trial. Int J Ment Health Nurs. 2021;30(5):1437\u201344.","journal-title":"Int J Ment Health Nurs"},{"issue":"3","key":"5404_CR28","first-page":"293","volume":"46","author":"S Zhou","year":"2021","unstructured":"Zhou S, Wei L, Wang Z, et al. Effect of painting intervention based on Mandala-self theory on mood and physiological state in patients in preoperative waiting room. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021;46(3):293\u20139.","journal-title":"Zhong Nan Da Xue Xue Bao Yi Xue Ban"},{"issue":"1","key":"5404_CR29","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.explore.2022.04.007","volume":"19","author":"F Akbulak","year":"2023","unstructured":"Akbulak F, Can G. Effectiveness of mandala coloring in reducing anxiety in women with early-stage breast cancer receiving chemotherapy for the first time. Explore (NY). 2023;19(1):42\u20137.","journal-title":"Explore (NY)"},{"issue":"2","key":"5404_CR30","first-page":"71","volume":"10","author":"AF Mohamed","year":"2023","unstructured":"Mohamed AF, Mohamed KA, Abou-Abdo SE. Effect of mandala coloring nurse-led intervention program on anxiety among hemodialysis patients. Int J Novel Res Healthc Nurs. 2023;10(2):71\u201383.","journal-title":"Int J Novel Res Healthc Nurs"},{"issue":"3","key":"5404_CR31","first-page":"209","volume":"7","author":"AF Mohamed","year":"2023","unstructured":"Mohamed AF, AbouAbdou SE, Mohammed KA. Effect of mandala coloring nurse-led intervention program on resilience among hemodialysis patients. Trends Nurs Health Care J. 2023;7(3):209\u201321.","journal-title":"Trends Nurs Health Care J"},{"key":"5404_CR32","unstructured":"Karag\u00f6z F. The effect of mandala coloring on fatigue and sleep quality in hematology patients receiving chemotherapy [master\u2019s thesis]. Bursa: Bursa Uluda\u011f University, Institute of Health Sciences; 2023."},{"key":"5404_CR33","unstructured":"Akyol S. The effect of mandala activity on postoperative pain and anxiety levels in gynecological oncology patients [master\u2019s thesis]. Istanbul: \u00dcsk\u00fcdar University, Institute of Health Sciences; 2024."},{"issue":"2","key":"5404_CR34","first-page":"13","volume":"30","author":"A \u00c7elik","year":"2024","unstructured":"\u00c7elik A, Kin \u00d6K. Clinical trial of mandala coloring for management of chemotherapy-induced nausea and vomiting. Altern Ther Health Med. 2024;30(2):13\u20137.","journal-title":"Altern Ther Health Med"},{"key":"5404_CR35","unstructured":"K\u0131r\u0131c\u0131 G. The effect of mandala art therapy on comfort level in patients receiving hemodialysis treatment [master\u2019s thesis]. Gaziantep: Sanko University, Institute of Graduate Education; 2024."},{"key":"5404_CR36","doi-asserted-by":"publisher","first-page":"153473542412591","DOI":"10.1177\/15347354241259180","volume":"23","author":"Z Mengqin","year":"2024","unstructured":"Mengqin Z, Xing L, Yan H, Jianhua R. Does mandala art therapy improve psychological well-being of gynecological cancer patients during the perioperative period? a quasi-experimental study. Integr Cancer Ther. 2024;23:15347354241259180.","journal-title":"Integr Cancer Ther"},{"issue":"3","key":"5404_CR37","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1111\/hdi.13163","volume":"28","author":"Z \u00d6zer","year":"2024","unstructured":"\u00d6zer Z, Bah\u00e7ecio\u011flu Turan G, Uyman M, Mollao\u011flu M. The effects of mandala coloring on fatigue, psychological well-being, and coping with stress in patients receiving hemodialysis treatment. Hemodial Int. 2024;28(3):367\u201376.","journal-title":"Hemodial Int"},{"key":"5404_CR38","doi-asserted-by":"publisher","first-page":"205951312312180","DOI":"10.1177\/20595131231218062","volume":"10","author":"H Sadeqi","year":"2024","unstructured":"Sadeqi H, Rahzani K, Hekmatpou D, Rakei Isfahani S. The effect of adult coloring (mandala pattern) on pain and anxiety associated with dressing changes in burn patients: a randomized controlled trial. Scars Burn Heal. 2024;10:20595131231218062.","journal-title":"Scars Burn Heal"},{"issue":"2","key":"5404_CR39","doi-asserted-by":"publisher","first-page":"102","DOI":"10.4274\/MNM.2024.24248","volume":"5","author":"A\u00c7 \u00dc\u00e7eriz","year":"2025","unstructured":"\u00dc\u00e7eriz A\u00c7, B\u00f6l\u00fckta\u015f RP. The effect of art-based mandala on mental health among patients transplanting bone marrow: a randomized controlled study. Mediterr Nurs Midwifery. 2025;5(2):102\u201313.","journal-title":"Mediterr Nurs Midwifery"},{"issue":"7","key":"5404_CR40","doi-asserted-by":"publisher","first-page":"2533","DOI":"10.31557\/APJCP.2025.26.7.2533","volume":"26","author":"N Dadashi","year":"2025","unstructured":"Dadashi N, Khanali Mojen L, Ilkhani M, Nasirie M, Mirzaee HR, Boozaripour M. Effect of mandala art therapy on quality of life in breast cancer patients. Asian Pac J Cancer Prev. 2025;26(7):2533\u201340.","journal-title":"Asian Pac J Cancer Prev"},{"key":"5404_CR41","unstructured":"O\u011ful S. The effect of mandala coloring on anxiety and depression in patients undergoing hemodialysis treatment [master\u2019s thesis]. Kars: Kafkas University, Institute of Health Sciences; 2025."},{"key":"5404_CR42","first-page":"430","volume":"32","author":"H Abu-Odah","year":"2024","unstructured":"Abu-Odah H, Sheffield D, Hogan S, Yorke J, Molassiotis A. Effectiveness of creative arts therapy for adult patients with cancer: a systematic review and meta-analysis. Support Care Cancer. 2024;32:430.","journal-title":"Support Care Cancer"},{"key":"5404_CR43","first-page":"186","volume":"32","author":"J Lin","year":"2024","unstructured":"Lin J, Lin X, Chen Q, Li Y, Chen WT, Huang F. The effects of art-making intervention on mind-body and quality of life in adults with cancer: a systematic review and meta-analysis. Support Care Cancer. 2024;32:186.","journal-title":"Support Care Cancer"},{"key":"5404_CR44","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1038\/s44220-024-00368-1","volume":"3","author":"EA Quinn","year":"2025","unstructured":"Quinn EA, Millard E, Jones JM. Group arts interventions for depression and anxiety among older adults: a systematic review and meta-analysis. Nat Ment Health. 2025;3:374\u201386.","journal-title":"Nat Ment Health"},{"key":"5404_CR45","doi-asserted-by":"publisher","first-page":"564430","DOI":"10.3389\/fpsyg.2020.564430","volume":"11","author":"C Liu","year":"2020","unstructured":"Liu C, Chen H, Liu CY, Lin RT, Chiou WK. Cooperative and individual mandala drawing have different effects on mindfulness, spirituality, and subjective well-being. Front Psychol. 2020;11:564430.","journal-title":"Front Psychol"},{"issue":"5","key":"5404_CR46","first-page":"7639","volume":"30","author":"P Shukla","year":"2024","unstructured":"Shukla P, Jain J. Review paper on mandala as a mindfulness tool and its consequent implications on stress management and improved focus. Educ Adm Theory Pract. 2024;30(5):7639\u201345.","journal-title":"Educ Adm Theory Pract"},{"issue":"3","key":"5404_CR47","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1080\/15401383.2018.1437001","volume":"13","author":"K Duong","year":"2018","unstructured":"Duong K, Stargell NA, Mauk GW. Effectiveness of coloring mandala designs to reduce anxiety in graduate counseling students. J Creat Ment Health. 2018;13(3):318\u201330.","journal-title":"J Creat Ment Health"},{"issue":"1","key":"5404_CR48","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/j.aimed.2023.02.002","volume":"10","author":"M Moharamkhani","year":"2023","unstructured":"Moharamkhani M, Rassouli M, Khanali Mojen L, Respini D, Aghebati A, Ashrafizadeh H. Assessing effects of mandala painting on anxiety of 9\u201314-year-old children with cancer. Adv Integr Med. 2023;10(1):8\u201314.","journal-title":"Adv Integr Med"},{"issue":"4","key":"5404_CR49","doi-asserted-by":"publisher","first-page":"421","DOI":"10.4103\/ijnmr.ijnmr_23_24","volume":"30","author":"RM Shahrbabaki","year":"2025","unstructured":"Shahrbabaki RM, Omidi A, Shaterian N, Makarem Z. Effectiveness of mandala coloring intervention on children\u2019s preoperative anxiety: a randomized clinical trial study in Iran. Iran J Nurs Midwifery Res. 2025;30(4):421\u20135.","journal-title":"Iran J Nurs Midwifery Res"},{"issue":"4","key":"5404_CR50","doi-asserted-by":"publisher","first-page":"439","DOI":"10.3390\/bs15040439","volume":"15","author":"X Fan","year":"2025","unstructured":"Fan X, Hui ANN. Academic stress and burnout reduction through mandala-coloring and grit-enhancing: school-based interventions for adolescents. Behav Sci (Basel). 2025;15(4):439.","journal-title":"Behav Sci (Basel)"},{"key":"5404_CR51","doi-asserted-by":"crossref","unstructured":"Emanuela C, Satiadarma MP, Roswiyani R. The effectiveness of coloring in reducing anxiety and improving PWB in adolescents. IAFOR J Arts Humanit. 2021;8(1):35-48.","DOI":"10.22492\/ijah.8.1.03"},{"issue":"1\u20132","key":"5404_CR52","doi-asserted-by":"publisher","first-page":"1361","DOI":"10.1177\/00302228231181936","volume":"87","author":"H Karabuga Yakar","year":"2023","unstructured":"Karabuga Yakar H, Y\u0131lmaz B, \u00c7elik E, \u00d6zkol O, Gevher F, Oruc \u00d6, \u015een H. The effect of the meditation based mandala programme on distress, anxiety and depression in the caregivers of cancer patients in palliative care unit. Omega (Westport). 2023;87(1\u20132):1361\u201374.","journal-title":"Omega (Westport)"},{"issue":"2","key":"5404_CR53","first-page":"111","volume":"50","author":"V Priya","year":"2024","unstructured":"Priya V, Gayatridevi S. Efficacy of mandala art in social anxiety, emotion regulation and mental well-being among working professionals. J Indian Acad Appl Psychol. 2024;50(2):111\u20137.","journal-title":"J Indian Acad Appl Psychol"},{"issue":"1","key":"5404_CR54","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1007\/s12671-020-01512-5","volume":"12","author":"S Strohmaier","year":"2021","unstructured":"Strohmaier S, Jones FW, Cane JE. Effects of length of mindfulness practice on mindfulness, depression, anxiety, and stress: a randomized controlled experiment. Mindfulness. 2021;12(1):198\u2013214.","journal-title":"Mindfulness"},{"issue":"3","key":"5404_CR55","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1007\/s40122-023-00542-w","volume":"12","author":"J Raudensk\u00e1","year":"2023","unstructured":"Raudensk\u00e1 J, \u0160teinerov\u00e1 V, Vodi\u010dkov\u00e1 \u0160, et al. Arts therapy and its implications in chronic pain management: a narrative review. Pain Ther. 2023;12(3):1309\u201337.","journal-title":"Pain Ther"},{"issue":"9","key":"5404_CR56","doi-asserted-by":"publisher","first-page":"1195","DOI":"10.1177\/1049909118760304","volume":"35","author":"SH Meghani","year":"2018","unstructured":"Meghani SH, Peterson C, Kaiser DH, et al. A pilot study of a mindfulness-based art therapy intervention in outpatients with cancer. Am J Hosp Palliat Care. 2018;35(9):1195\u2013200.","journal-title":"Am J Hosp Palliat Care"},{"issue":"1","key":"5404_CR57","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1177\/1756283X15618131","volume":"9","author":"P Singh","year":"2016","unstructured":"Singh P, Yoon SS, Kuo B. Nausea: a review of pathophysiology and therapeutics. Ther Adv Gastroenterol. 2016;9(1):98\u2013112.","journal-title":"Ther Adv Gastroenterol"},{"issue":"2","key":"5404_CR58","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1016\/j.jpainsymman.2005.07.006","volume":"31","author":"N Nainis","year":"2006","unstructured":"Nainis N, Paice JA, Ratner J, Wirth JH, Lai J, Shott S. Relieving symptoms in cancer: innovative use of art therapy. J Pain Symptom Manage. 2006;31(2):162\u20139.","journal-title":"J Pain Symptom Manage"},{"issue":"7","key":"5404_CR59","doi-asserted-by":"publisher","first-page":"1133","DOI":"10.1111\/jch.13304","volume":"20","author":"G Parati","year":"2018","unstructured":"Parati G, Stergiou GS, Dolan E, Bilo G. Blood pressure variability: clinical relevance and application. J Clin Hypertens (Greenwich). 2018;20(7):1133\u20137.","journal-title":"J Clin Hypertens (Greenwich)"}],"container-title":["BMC Complementary Medicine and Therapies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12906-026-05404-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12906-026-05404-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12906-026-05404-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:04:26Z","timestamp":1782957866000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12906-026-05404-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,9]]},"references-count":59,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["5404"],"URL":"https:\/\/doi.org\/10.1186\/s12906-026-05404-4","relation":{},"ISSN":["2662-7671"],"issn-type":[{"value":"2662-7671","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,9]]},"assertion":[{"value":"22 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"As this research synthesized data exclusively from previously published studies, no direct involvement of human participants occurred. Consequently, approval from an institutional ethics committee was not necessary for the conduct of this systematic review and meta-analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"220"}}