Can coloring mandalas help reduce overthinking and loneliness in junior high school students?

ISRCTN ISRCTN17656735
DOI https://doi.org/10.1186/ISRCTN17656735
Sponsor Jilin Normal University
Funder Investigator initiated and funded
Submission date
13/01/2026
Registration date
19/01/2026
Last edited
14/01/2026
Recruitment status
No longer recruiting
Overall study status
Ongoing
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Plain English summary of protocol not provided at time of registration.

Contact information

Dr Jun Zhao
Scientific, Public, Principal investigator

College of Education Science, Jilin Normal University
Siping
136000
China

Phone +86 17684330450
Email zhaojun0450@163.com

Study information

Primary study designInterventional
AllocationNon-randomized controlled trial
MaskingOpen (masking not used)
ControlPlacebo
AssignmentParallel
PurposePrevention
Participant information sheet 48818_Consent to Participate.pdf
Scientific titleStructured Mandala Drawing Therapy to reduce rumination and loneliness in junior high school students: a randomized controlled trial
Study acronymMDRL
Study objectivesThis study wants to find out if an 8-week group colouring activity using simple circle-pattern pictures (mandalas) can help junior-high-school students worry less and feel less lonely.
Ethics approval(s)

Approved 21/04/2025, Jilin Normal University Science and Technology Ethics Committee (College of Education Science, Jilin Normal University, 1301 Haifeng Street, Tiexi District, Siping, 136000, China; +86-434-329-1234; 1399428957@qq.com), ref: LJLL20250407

Health condition(s) or problem(s) studiedAdolescent rumination and loneliness
InterventionParticipants in the intervention group will receive eight weekly 40-minute Mandala Drawing Therapy sessions delivered in groups of 8–10 students. Each session follows a structured theme (Protection, Differentiation, Cohesion, Integration, Guidance, Transcendence, Enlightenment, Review) and includes choosing pre-printed mandala patterns, colouring with provided pens while calming background music is played, and sharing reflections. No additional homework or materials are required.
Intervention typeBehavioural
Primary outcome measure(s)
  1. Rumination measured using the Chinese version of the Ruminative Responses Scale (RRS) at baseline (week 0), post-intervention (week 8), 3-month follow-up
  2. Subjective feelings of loneliness and social isolation measured using the UCLA Loneliness Scale (UCLA-LS) at baseline (week 0), post-intervention (week 8), 3-month follow-up
Key secondary outcome measure(s)
Completion date30/07/2026

Eligibility

Participant type(s)
Age groupChild
Lower age limit12 Years
Upper age limit15 Years
SexAll
Target sample size at registration60
Total final enrolment60
Key inclusion criteria1. Grades 7–9 junior high school students
2. Age 12–15 years
3. Signed informed consent by student and parent
4. Not receiving other formal psychological intervention
5. No developmental disability or severe mental illness
Key exclusion criteria1. Diagnosed developmental disability
2. Severe mental illness precluding group activities
3. Concurrent participation in other formal psychological interventions
4. Refusal to provide informed consent by student or guardian
Date of first enrolment01/06/2025
Date of final enrolment02/08/2025

Locations

Countries of recruitment

  • China

Study participating centres

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Chinese 14/01/2026 No Yes
Protocol file 14/01/2026 No No

Additional files

48818_Consent to Participate.pdf
Chinese
48818_Protocol.pdf
Protocol file

Editorial Notes

14/01/2026: Study’s existence confirmed by the Jilin Normal University Science and Technology Ethics Committee, China.