Significant Difference In Anxiety Levels Research Articles

PERBEDAAN DERAJAT KECEMASAN WANITA PERIMENOPAUSE YANG MENGIKUTI YOGA DAN TIDAK MENGIKUTI YOGA

Anxiety is one of clinical manifestations of perimenopausal phase. Managing anxiety is important because excessive anxiety can lower the quality of life of perimenopausal woman. Beside pharmacological treatment, there are some non-pharmacological treatment options which can be used to manage excessive anxiety, one of them is by don yoga. The purpose of this research is to know the difference of anxiety level between perimenopausal women with and without yoga. This research is an analytical observation using cross-sectional method. Research subjects were selected randomly, consisted of 103 perimenopausal women between the ages of 39 – 51 which divided into 2 groups, namely perimenopausal women with and without yoga. Data was collected using a self-completion questionnaire and consist of general identity, information about participation in yoga, and Zung’s Self-Rating Anxiety Scale to measure the anxiety level. Result shows that on the group of perimenopausal women with yoga, 5 respondents (9,8%) are anxious and 46 respondents (90.2%) are not anxious. On the group of perimenopausal women without yoga, 16 respondents (30.8%) are anxious and 36 respondents (69.2%) are not anxious. Data analysis shows that there is significant difference in anxiety level between perimenopausal women with and without yoga (p=0.008). Conclusion of the study is the anxiety level of perimenopausal women with yoga is lower than the anxiety level of perimenopausal women without yoga.

The Role of Hippocampal Neurogenesis in ANT-DBS for LiCl-Pilocarpine-Induced Epileptic Rats

Purpose: Abnormal neurogenesis in the hippocampus after status epilepticus (SE) has been suggested as a key pathogeny of temporal lobe epilepsy. This study aimed to investigate the effect of deep brain stimulation of the anterior thalamic nucleus (ANT-DBS) on hippocampal neurogenesis in LiCl-pilocarpine-induced epileptic rats and to analyze its relationship with postoperative spontaneous recurrent seizures (SRS) and anxiety. Method: SE was induced by a systemic LiCl-pilocarpine injection in adult male rats. Rats in the DBS group underwent ANT-DBS immediately after successful SE induction. SRS was only recorded during the chronic stage. An elevated plus maze was used to evaluate the level of anxiety in rats 7, 28, and 60 days after SE onset. After the elevated plus-maze experiment, rats were sacrificed under anesthesia in order to evaluate hippocampal neurogenesis. Doublecortin (DCX) was used as a marker for neurogenesis. Results: During the chronic stage, SRS in rats in the DBS group were significantly decreased. The level of anxiety was increased significantly in rats in the DBS group 28 days after SE, while no significant differences in anxiety levels were found 7 and 60 days after SE. The number of DCX-positive cells in the hippocampus was significantly increased 7 days after SE and was significantly decreased 60 days after SE in all rats in which SE was induced. However, the number of DCX-positive cells in the DBS group was significantly lower than that in the other groups 28 days after SE. Conclusions: ANT-DBS may suppress SRS and increase the postoperative anxiety of epileptic rats by influencing hippocampal neurogenesis.

Coronavirus (Covid- 19) Anxiety level among General Education Diploma students in Asharqia South Governorate in Oman: مستوى قلق فيروس كورونا (كوفيد- 19) لدى عينة من طلبة دبلوم التعليم العام بمحافظة جنوب الشرقية في سلطنة عمان

The present study aimed to investigate Coronavirus (Covid- 19) anxiety level among General Education Diploma students in South Governorate in Oman, based on a sample of 848 students (250 male students, 598 female students) during the second semester 2020. Descriptive method was used. Findings show that there is an increase in anxiety level of among the sample, where it reached (4.24). Also, Findings show that there is a significant difference in anxiety level according to gender (male-female). The study also showed significant differences in Anxiety level according to the variable of the educational path (scientific (pure)- literary (applied)) in the dimension (personal anxiety) & (media anxiety) in favor of students of the literary path (applied), & in the dimension (personal anxiety) in favor of low academic students. The study recommends intensifying psychological counseling and vocational guidance programs with the available means to alleviate students' anxiety, and conducting studies that include the study variable on other groups of students.

COMPARATIVE STUDY OF PRE-COMPETITIVE ANXIETY IN PHYSICAL EDUCATION STUDENTS OF HIGHER AND SENIOR SECONDARY SCHOOLS

Anxiety is a normal and often healthy emotion. However, when a person regularly feels disproportionate levels of anxiety, it might become a medical disorder. Competitive anxiety is the fear of studying including not having good study habits, fear of failure among others and Fear to compete with others. In the present study there was state trait anxiety test (STAT) used to measure anxiety level of selected subjects. The present study was conducted in Higher and Senior Secondary students. Study will find out significant level of anxiety and its effect on Academic performance. In the present study, 120 questionnaires about different anxiety levels were filled and discussed with the students and it was concluded that there is a significant difference in Anxiety level and have a positive effect on Academic performance of students of the proposed University. The study was concluded with proper recommendations and Suggestions.

Orally Administered Cinnamon Extract Attenuates Cognitive and Neuronal Deficits Following Traumatic Brain Injury.

The present paper shows how cinnamon extract (CE) consumption mitigates neuronal loss and memory impairment following traumatic brain injury (TBI), one of the world's most common neurodegenerative diseases. TBI patients suffer short- and long-term behavioral, cognitive, and emotional impairments, including difficulties in concentration, memory loss, and depression. Research shows that CE application can mitigate cognitive and behavioral impairments in animal models for Alzheimer's and Parkinson's disease, whose pathophysiology is similar to that of TBI. This study builds on prior research by showing similar results in TBI mice models. After drinking CE for a week, mice were injured using our 70-g weight drop TBI device. For 2weeks thereafter, the mice continued drinking CE alongside standard lab nutrition. Subsequently, the mice underwent behavioral tests to assess their memory, motor activity, and anxiety. The mice brains were harvested for immunohistochemistry staining to evaluate overall neuronal survival. Our results show that CE consumption almost completely mitigates memory impairment and decreases neuronal loss after TBI. Mice that did not consume CE demonstrated impaired memory. Our results also show that CE consumption attenuated neuronal loss in the temporal cortex and the dentate gyrus. Mice that did not consume CE suffered a significant neuronal loss. There were no significant differences in anxiety levels and motor activity between all groups. These findings show a new therapeutic approach to improve cognitive function and decrease memory loss after TBI.

Immediate Interpretation and Results Communication Decreases Patient Anxiety: Experience in a Private Practice Community Hospital.

OBJECTIVE. The study objectives were to evaluate the percentage of patients interested in immediate radiologic results and to measure patient anxiety and hospital loyalty with this program in a private practice community hospital setting. SUBJECTS AND METHODS. Between December 2018 and May 2019, 100 patients 18-89 years old with a primary diagnosis of abdominal pain had imaging orders for CT, ultrasound, or nuclear medicine-hepatobiliary iminodiacetic acid scans and subsequently were asked if they wanted immediate results. Those who opted for immediate results were given a two-question survey before and after results delivery that asked about their anxiety level and imaging center loyalty. Data were entered using SurveyMonkey (SVMK) and analyzed using SAS software (version 9.4, SAS Institute). RESULTS. The majority (78%) of patients wanted immediate results. There were statistically significant differences in anxiety level before and after results delivery; 37% (p < 0.001) reported decreased anxiety after receiving imaging results, whereas 57% reported no change in anxiety (p < 0.001). The decision whether to come back to this imaging center (hospital loyalty) did not change before and after test results; 85% of participants strongly agreed that they would return. CONCLUSION. It is feasible for private practice radiologists to discuss CT, ultrasound, or nuclear medicine imaging results with patients in a community hospital setting. The majority of patients preferred immediate results over traditional methods of notification. Most patients reported anxiety about their imaging results, and a statistically significant number had decreased anxiety after discussing results with radiologists.

Treatment for anxiety using spiritual emotional freedom technique

This study aims to describe SEFT and treatment in the treatment of anxiety. This study used rapport cases on three clients. The research instrument used is rapport Client Case, observation and depression, Anxiety, and Stress Scale. The data obtained were analyzed by T-Test Statistic Nonparametric Wilcoxon Signed-Rank Test. The findings from the study showed that before treatment, the level of anxiety at very heavy levels and after the treatment became mild and normal. Based on T-test results found that there is a significant difference in anxiety level of clients before and after treatment. This means SEFT is effective for reducing client anxiety.

EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS

Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p &lt;0.005) and fluid diet compliance (p &lt;0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.

Utilizing an SBAR Workshop With Baccalaureate Nursing Students to Improve Communication Skills.

This study evaluated the effectiveness of the Situation-Background-Assessment-Recommendation (SBAR) technique to reduce anxiety and increase self-confidence levels regarding health care communication among undergraduate nursing students. Baccalaureate nursing students (n = 35) completed anxiety and self-confidence questionnaires before and after an SBAR communication workshop and subsequent simulation. A statistically significant increase in postintervention self-confidence scores was noted with no significant difference in anxiety levels. The findings support the use of SBAR as an organizing tool to promote nursing students' self-confidence during communication; however, further efforts are needed to qualitatively examine how this tool promotes these changes.

Comparison of the Effects of Hand Reflexology versus Acupressure on Anxiety and Vital Signs in Female Patients with Coronary Artery Diseases.

Hospitalization in the cardiac care unit can increase anxiety in patients. This study aimed to compare hand reflexology versus acupressure on anxiety and vital signs in female patients with coronary artery diseases. This double-blinded randomized placebo-controlled trial with a pre- and post-intervention design was conducted on 135 female patients with coronary artery diseases. Female patients hospitalized in a cardiac care unit were randomly divided into three groups of hand reflexology, acupressure and placebo (n = 45 patients in each group) using blocking and a table of random numbers. Data was collected using the Spielberger anxiety inventory. Also, their vital signs were measured before, immediately after and half an hour after the intervention. Data analysis was performed using descriptive and analytical statistics. Before the intervention, there was no statistically significant difference in anxiety levels between the groups (p > 0.05). Also, the effects of hand reflexology and acupressure immediately and half an hour later on the reduction of anxiety and vital signs were equal (p < 0.05). Implementation of hand reflexology and acupressure can have positive effects on anxiety and vital signs in patients with coronary artery diseases. They can reduce patients’ anxiety with an equal effectiveness.

A pilot of acceptance and commitment therapy for public speaking anxiety delivered with group videoconferencing and virtual reality exposure

Two pilot studies (N = 11; N = 15) assessed the feasibility and efficacy of a weekly 6-session ACT group videoconferencing intervention for public speaking anxiety with participants in separate physical locations. Both studies found significant improvements in self-reported social anxiety symptoms from pre-treatment to follow-up, with high levels of patient satisfaction. Results provide support for group videoconferencing as a viable format for delivering behavioral treatments including acceptance-based interventions. The second study also found significant improvements in behavioral performance and supported the feasibility and utility of videotaped virtual audiences for homework exposure exercises. No significant differences in anxiety levels were experienced during in vivo homework exposures compared to virtual homework exposures. Practically, clinicians are encouraged to pay particular attention to optimizing physiological arousal during exposures and to consider technological and ethical factors of these formats.

Assessment of Baseline anxiety and Effect of Nursing Intervention on Post-Operative Anxiety among Surgical Patients of Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria

Surgical patients perceived the day of surgery as highly terrifying in their lives. Patients manifest different levels of anxiety states in relation to what is expected in future and these are associated with many factors which may be type and extent of the proposed surgery, gender, age, previous surgical experiences, and personal tendency for unpleasant events. The study aimed to assess baseline anxiety and effect of nursing intervention on post-operative anxiety states among surgical patients. Two-group pre-test, post-test quasi-experimental study was adopted and thirty surgical patients were included. Sample size was determined using Leslie Kish formula and purposive sampling technique was adopted to select 15 surgical patients in to the experimental and control groups respectively. The intervention group had structured nursing information but control group did not. Data was processed using statistical package for social science version 21. Two research questions were answered using descriptive statistics of percentages and one hypothesis was tested using inferential statistics of student t-test at 0.05 level of significance. This study shows that anxiety states are common to all surgical patients. The surgical patients (in both experimental and control groups) (33%) experienced high anxiety state preoperatively. The percentage reduction in the number of respondents that expressed high level of anxiety state in the experimental group (40% reduced to 26.7%) as they move from preoperative to postoperative periods as compared with the control group (26.7% increased to 33.3%). This shows the relative impart of the nursing intervention, but the mean differences of anxiety of the experimental group was 0.08; while that of the control group was 0.15 respectively. Result reveals no significant difference in anxiety level among participants in the experimental and control groups (p=0.514). Surgical patients should be assessed of anxiety states in the perioperative environment. The information needed and provided to each surgical patient should be assessed and patient-centered to prevent failure of preoperative information.

Comparison of the effect of video education and guided imagery on patient anxiety before endoscopy.

Background: Anxiety reduces the patient's tolerance and cooperation and increases the likelihood of complications during endoscopy. Including anxiety reduction strategies are patient education and guided imagery techniques. Considering the different results of studies on the effectiveness of education before endoscopy, the aim of this study was to compare the effect of video education and guided imagery on patients' anxiety before the endoscopy. Materials and methods: This single-blinded clinical trial was conducted at endoscopy unit of Vasei Hospital in Sabzevar, Iran. Patients as selected by convenience sampling randomized to three groups of video education, guided imagery and control. The data collection tools were demographic and state-trait anxiety inventory (STAI). Video-education group received a video clip and for the guided imagery group provided a guided imagery audio file. The control group received routine care. In the day of their endoscopy, their anxiety was reassessed both two to three hours before the procedure. Data were analysed using SPSS version 21 and one-way analysis of variance, chi-square test, Fisher exact test, independent and paired t-test. The significance level in the statistical tests was 0.05. Results: There were statistically significant differences in mean pre- and post-intervention anxiety scores between the three groups (P-value<0.05). However, there was no significant difference in anxiety level in terms of the type of intervention used. Conclusion: According to the findings of this study, two methods of video education and guided imagery were equally effective in reducing anxiety levels in patients before endoscopy.

Tingkat Kecemasan Matematika Siswa SMA Negeri 2 Kerinci Kelas X MIA Sebelum Menghadapi Tes Matematika Berdasarkan Gender dan Hubungannya dengan Hasil Belajar

Abstract: This research aims to determine differences in student anxiety levels based on gender and the relationship between students' anxiety levels before facing a mathematical test with achievement and then dig deeper information about the causes of anxiety in students. This research uses a mixed method with a sequential explanatory approach. The subjects of this study were students of class X MIA Kerinci Senior High School 2 totaling 100 students. The results of the research showed that students experiencing anxiety before taking a math test as the cause of anxiety is experience, intelligence, preparation, and family. Differences in levels of anxiety based on gender indicate that there is no significant difference between the level of anxiety experienced by male and female students but male students are more anxious than female students the cause is that there have been similar thoughts and goals in terms of achievement so as to make male students neither men nor women experience significant differences in anxiety levels. There is a relationship between the level of anxiety with learning outcomes of 0.43 which is in the category enough and has a positive relationship, namely the higher the level of anxiety, the higher the student learning outcomes. Descriptions of quantitative data indicate that there is no certainty for someone who has an anxiety level will get a definite value.&#x0D; Keywords: Mathematical Anxiety Level, Gender, Achievement

Niveles de ansiedad en judokas participantes en el 41º Campeonato Militar de Judo Interejércitos 2017

Los objetivos del estudio fueron: describir los niveles de ansiedad en judokas de competición participantes en el 41º Campeonato Militar de Judo Interjércitos del año 2017; establecer posibles diferencias en los niveles de ansiedad hallados en función del sexo y el peso; y establecer posibles relaciones entre los niveles de ansiedad hallados y el puesto ocupado en campeonato individual. La muestra final estuvo compuesta por 28 judokas (18 hombres y 10 mujeres) pertenecientes a dos equipos participantes en el Campeonato (Ejército de Tierra y Guardia Civil), siendo la edad media de la muestra de 34.29 años (DT=5.12). De forma previa a la competición se administró el cuestionario de ansiedad ISRA-B versión Respuestas. Los resultados mostraron que los judokas evaluados presentaron menores niveles de ansiedad cognitiva (p&lt;.05), ansiedad fisiológica (p&lt;.001) y ansiedad motora (p&lt;.001) al compararlos con otras muestras de deportistas. Asimismo, se hallaron diferencias significativas en los niveles ansiedad en función del sexo, obteniendo mayores niveles de ansiedad motora el grupo de mujeres (p&lt;.05). En función del peso sólo se mostraron resultados significativos en judokas masculinos (p&lt;.05), donde los más pesados presentaron mayores niveles de ansiedad cognitiva (p&lt;.05). Sólo se hallaron correlaciones significativas entre los niveles de ansiedad motora y el puesto obtenido en competición en el grupo masculino (rho= -.635; p&lt;.05). Los resultados confirman la necesidad de realizar intervenciones psicológicas diferenciales considerando las variables sexo y categoría de peso.

Effects of Peer-Facilitated, Video-Based and Combined Peer-and-Video Education on Anxiety Among Patients Undergoing Coronary Angiography: Randomised controlled trial.

Coronary angiography can be stressful for patients and anxiety-caused physiological responses during the procedure increase the risk of dysrhythmia, coronary artery spasms and rupture. This study therefore aimed to investigate the effects of peer, video and combined peer-and-video training on anxiety among patients undergoing coronary angiography. This single-blinded randomised controlled clinical trial was conducted at two large educational hospitals in Iran between April and July 2016. A total of 120 adult patients undergoing coronary angiography were recruited. Using a block randomisation method, participants were assigned to one of four groups, with those in the control group receiving no training and those in the three intervention groups receiving either peer-facilitated training, video-based training or a combination of both. A Persian-language validated version of the State-Trait Anxiety Inventory was used to measure pre- and post-intervention anxiety. There were no statistically significant differences in mean pre-intervention anxiety scores between the four groups (F = 0.31; P = 0.81). In contrast, there was a significant reduction in post-intervention anxiety among all three intervention groups compared to the control group (F = 27.71; P <0.01); however, there was no significant difference in anxiety level in terms of the type of intervention used. Peer, video and combined peer-and-video education were equally effective in reducing angiography-related patient anxiety. Such techniques are recommended to reduce anxiety amongst patients undergoing coronary angiography in hospitals in Iran.

Effect of platelet-rich fibrin palatal bandage on pain scores and wound healing after free gingival graft: a randomized controlled clinical trial.

This prospective randomized clinical trial was conducted to determine whether the application of a platelet-rich fibrin (PRF) palatal bandage after harvesting free gingival grafts (FGG) would improve healing of donor sites and decrease pain scores and patient discomfort. Twenty-four patients received FGG to augment keratinized tissue dimensions. The application of a PRF bandage was decided randomly (n = 12 in each group). Patients reported their pain levels for the first 7days of healing using the visual analog scale (VAS), 101-point numerical rating scale (NRS-101), and 4-point verbal rating scale (VRS-4). The patients' pre-operative anxiety levels were measured using three anxiety scales. The healing of the donor sites was evaluated and compared to preoperative records. Data were assessed and recorded before surgery and at 1, 2, 3, 4, and 8weeks postoperatively. Dental anxiety and state-trait anxiety were evaluated at baseline and correlated to the postoperative pain scores. There were no significant differences in anxiety levels between the two groups; yet, they could potentially influence the outcome of any surgery and were included as covariates. The patients in the PRF group reported significantly lower pain scores and their pain levels returned to baseline levels earlier, compared to the control group. PRF palatal bandages significantly reduced postoperative pain and discomfort and facilitated wound healing after harvesting FGG. The study provided evaluation of patient-centered outcomes, which is timely, significant, and could benefit both periodontists and patients.

The effects of self-talk on free throw performance and the level of anxiety among male novice basketball players

The present study has been conducted to investigate the effects of self-talk on free throw performance and the level of anxiety among male novice basketball players. Forty-eight (48) male novice basketball players (22.27 ± 1.47 years) was selected. The participants were assigned into four matched groups of twelve (12) participants: instructional self-talk (IST), motivational self-talk (MST) and the combination of instructional and motivational self-talk (CIMST) and control. Throw accuracy and anxiety’s level were measured on a 5-point scale and State-Trait Anxiety Inventory for Adults (STAI). Training protocol contains a pre-test and post-test to indicate the intervention effect on anxiety level and free throw performance. The participants compete against each other to get the highest score in post free throw performance. The data were analyzed by using mixed between-within subjects analysis of variance (ANOVA). The finding showed that state and trait anxiety level of post-intervention was significantly lower than pre-intervention in all groups (p&lt;.05). The results of free throw performance showed the instructional self-talk intervention group was significantly improved from pre-intervention to post-intervention followed by the combination of instructional and motivational self-talk intervention group, motivational self-talk intervention group and control group (p&lt;.05). However, there was no significant differences in anxiety level and free throw performance among all groups (p&gt;.05). Therefore, it is recommended that self-talk can be used to enhance the free throw performance and reduce the anxiety’s level for the novice athletes.

A Comparative Study of Anxiety Level of Enuretic and Non-Enuretic Children

Enuresis is more commonly known as bed-wetting. Enuresis is diagnosed when children repeatedly urinate in inappropriate places, such as clothing (during the day) or the bed (during the night). In most cases, the child’s urination problem is involuntary in nature, and is perceived by the child as an unavoidable loss of urinary control. This condition is most likely a symptom of psychological stress, although physiological causes, such as bladder infection, should not be ruled out. In general, the causes of bedwetting are related to anxiety, life stress, and possibly trauma, both inside and outside the home. Psychological factors such as a stressful life situation (death of a parent) or birth of a new sibling, disturbed family patterns, and delay toilet training, personality characteristics, parenting style, anxiety or presence of other emotional problems may predispose factors of enuresis. Many Children with enuresis experience significant distress or impairment in their social, academic, or everyday lives and the disorder can also drastically affect their families. The aim of the study is to find out the Anxiety level of Enuretic and Non-Enuretic Children.Test Anxiety Scale for Children (TASC) questionnaire made by A. kumar to determine anxiety level administered over 80 (Boys and girls) children of enuretic and non-enuretic. Result showed that there is significant difference in anxiety level of enuretic and non-enuretic children (p&lt;.01).

THE EFFECT OF MANDALA PATTERN COLORING ACTIVITY ON THE ANXIETY LEVEL OF STUDENTS IN DIRGAHAYU NURSING ACADEMY SAMARINDA

Nursing education system in Indonesia based on the competency-based curriculum is learning experiences that require nursing students to study both in campus and in health services areas. It can cause anxiety to the students. If a student experiences an ongoing increase in anxiety, it can cause negative effects so that students' learning motivation becomes decreased. The purpose of this study was to determine the effect of mandala pattern coloring activity on the level of anxiety among nursing students in Dirgahayu Nursing Academy, Samarinda. This study was pre-experiment research with one group pre-test and post-test design. The population of this study was students in Dirgahayu Nursing Academy, Samarinda and the sample was students in 4th semester. The sampling technique used in this study was purposive sampling. Hamilton Rating Scale for Anxiety (HARS) was applied to measure anxiety level. Data were analyzed by using paired-samples t-test. The results of data analysis using Microsoft Excel 2010 with t-test formula showed p value: 0.004, indicating a significant difference in anxiety level before and after the mandala pattern coloring activity. Mandala pattern coloring activities can be used as an appropriate activity to reduce anxiety..