[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100054107":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":24,"centralContacts":35,"locations":18,"responsibleParty":45,"collaborators":48,"id":51,"slug":52,"hasResults":53,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":18,"eligibilityCriteria":57,"healthyVolunteers":53,"sex":58,"minAge":59,"maxAge":60,"enrollmentInfo":61,"targetDuration":18,"studyType":64,"phases":65,"briefSummary":67,"conditions":68,"keywords":70,"overallStatus":74,"whyStopped":18,"lastUpdateSubmitDate":75,"lastUpdatePostDateStruct":76,"startDateStruct":79,"completionDateStruct":81,"leadSponsor":83,"locationsCount":18},{"fullName":5,"class":6},"Inonu University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Mandala Art Therapy Group","EXPERIMENTAL","Participants allocated to the intervention group will receive mandala art therapy in addition to standard preoperative care before cesarean section. The intervention will consist of a single structured mandala coloring session lasting approximately 30-45 minutes and will be administered prior to surgery. The intervention is intended to reduce preoperative surgical fear and psychological stress.",[13],"Behavioral: Mandala Art Therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Control Group","NO_INTERVENTION","Pregnant women in this group will receive routine preoperative care without mandala art therapy.",null,[20],{"type":21,"name":22,"description":11,"armGroupLabels":23,"otherNames":18},"BEHAVIORAL","Mandala Art Therapy",[9],[25,29,33],{"name":26,"affiliation":27,"role":28},"Ercan Yılmaz, Professor","Inonu University Turgut Ozal Medical Center","STUDY_DIRECTOR",{"name":30,"affiliation":31,"role":32},"Esra GÜNEY, Associate Professor","İnönü University Faculty of Health Sciences","PRINCIPAL_INVESTIGATOR",{"name":34,"affiliation":31,"role":28},"Melike Tan, Midwife",[36,41],{"name":37,"role":38,"phone":39,"phoneExt":18,"email":40},"ESRA GÜNEY, Associate Professor","CONTACT","+90 5432064063","esra.guney@inonu.edu.tr",{"name":42,"role":38,"phone":43,"phoneExt":18,"email":44},"Melike TAN ÇELİK, midwife","+90 5452259635","melike9635@gmail.com",{"type":32,"investigatorFullName":46,"investigatorTitle":47,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"Melike TAN ÇELİK","midwife",[49],{"name":50,"class":6},"The Scientific and Technological Research Council of Turkey","100054107","the-effect-of-mandala-art-therapy-on-surgical-fear-and-the-stress-hormone-cortisol-in-high-risk-pregnant-women-before-cesarean-section-100054107",false,"NCT07691320","The Effect of Mandala Art Therapy on Surgical Fear and the Stress Hormone (Cortisol) in High-risk Pregnant Women Before Cesarean Section.","The Effect of Mandala Art Therapy Applied Before Cesarean Section on Surgical Fear and Cortisol Levels in High-Risk Nulliparous Women: A Randomized Controlled Trial","Inclusion Criteria:\n\n* The study sample will consist of high-risk nulliparous women scheduled for elective cesarean section on the same day. Participants will be included if they are 18 years of age or older, diagnosed with high-risk pregnancy conditions (e.g., preeclampsia, gestational diabetes, placenta previa, oligohydramnios, etc.), at term pregnancy (37-42 weeks gestation), with a singleton pregnancy, and able to understand and complete the data collection forms.\n\nExclusion Criteria:\n\n* Women with a diagnosed psychiatric disorder, any condition that impairs communication (such as hearing, visual, or language impairments), those receiving systemic corticosteroid therapy, those with endocrine disorders that may affect cortisol levels, and those with active oral lesions such as aphthous ulcers or other oral mucosal lesions will be excluded from the study.","FEMALE","18 Years","40 Years",{"count":62,"type":63},142,"ESTIMATED","INTERVENTIONAL",[66],"NA","This randomized controlled study aims to evaluate the effect of mandala art therapy applied before cesarean section on surgical fear and cortisol levels in high-risk pregnant women. Participants will be randomly assigned to intervention and control groups. The intervention group will receive mandala art therapy prior to surgery, while the control group will receive standard care. Surgical fear levels and salivary cortisol levels will be measured to assess the outcomes.",[69],"High-risk Nulliparous Pregnancy, Patients Scheduled for Cesarean Section, Surgical Fear, Preoperative Anxiety, and Cortisol Level",[71,72,73],"Cortisol","Surgical Fear","Cesarean","NOT_YET_RECRUITING","2026-07-09",{"date":77,"type":78},"2026-07-13","ACTUAL",{"date":80,"type":63},"2026-08-01",{"date":82,"type":63},"2027-08-01",{"name":5,"class":6}]