The Effect of Music and Mandala Activity on Stress and Stress-Coping Levels of Infertile Women Who Had an Embryo Transfer: A Randomized Clinical Trial

doi:10.1007/s43032-025-01891-x

. 2025 Aug 7.

doi: 10.1007/s43032-025-01891-x. Online ahead of print.

The Effect of Music and Mandala Activity on Stress and Stress-Coping Levels of Infertile Women Who Had an Embryo Transfer: A Randomized Clinical Trial

Banu Şişli¹, Kerime Derya Beydağ², Aysu Yıldız Karaahmet³

Affiliations

¹ Samsun Provincial Health Directorate, Samsun, Türkiye.
² Department of Nursing, Faculty of Health Sciences, Yalova University, Yalova, Türkiye.
³ Department of Midwifery, Faculty of Health Sciences, Biruni University, Istanbul, Türkiye. aysuy@biruni.edu.tr.

PMID: 40775596
DOI: 10.1007/s43032-025-01891-x

The Effect of Music and Mandala Activity on Stress and Stress-Coping Levels of Infertile Women Who Had an Embryo Transfer: A Randomized Clinical Trial

Banu Şişli et al. Reprod Sci. 2025.

. 2025 Aug 7.

doi: 10.1007/s43032-025-01891-x. Online ahead of print.

Authors

Banu Şişli¹, Kerime Derya Beydağ², Aysu Yıldız Karaahmet³

Affiliations

¹ Samsun Provincial Health Directorate, Samsun, Türkiye.
² Department of Nursing, Faculty of Health Sciences, Yalova University, Yalova, Türkiye.
³ Department of Midwifery, Faculty of Health Sciences, Biruni University, Istanbul, Türkiye. aysuy@biruni.edu.tr.

PMID: 40775596
DOI: 10.1007/s43032-025-01891-x

Abstract

This study aimed to evaluate the effects of mandala activity combined with two different types of music on the stress and stress-coping levels of infertile women who recently underwent an embryo transfer. The research was conducted as a single-blind randomized controlled trial between July 1, 2021, and July 31, 2022, with a total of 120 infertile women at an infertility clinic in Turkey. Data were collected using the Descriptive Information Form, the COMPI Fertility Problem Stress Scales (COMPI-FPSS), and the COMPI Coping Strategy Scales (COMPI-CSS). Participants in the two intervention groups performed a mandala activity immediately after embryo transfer, accompanied by either meditation music or music of their choice, until one day before the Beta Human Chorionic Gonadotropin (BetaHcg) test. Stress and coping levels were assessed pre- and post-intervention. Statistical analyses were conducted using SPSS. Results showed that infertility-related stress levels significantly decreased and stress-coping abilities significantly improved among women in the intervention groups compared to the control group (p < 0.05). The group performing mandala activity with meditation music exhibited the most pronounced improvements. This study concludes that mandala activity, especially when combined with meditation music, has positive effects on stress and stress-coping among infertile women undergoing embryo transfer.

Keywords: Coping with stress; Embryo transfer; Mandala; Music; Stress.

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Conflict of interest statement

Declarations. Conflict of interests: The authors report no actual or potential conflicts of interest. Ethics Approval: This study was approved by the İstanbul Okan University Ethics Committee (Decision date: 11.08.2021; number: 140/22). Consent to Participate: Not applicable. Consent for Publication: Not applicable.

References

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[1] Practice Committee of the American Society for Reproductive Medicine. Definitions of infertility and recurrent pregnancy loss: a committee opinion. Fertil Steril. 2020;113(3):533–5. https://doi.org/10.1016/j.fertnstert.2019.11.025 . - DOI

[2] Practice Committee of the American Society for Reproductive Medicine. Definitions of infertility and recurrent pregnancy loss: a committee opinion. Fertil Steril. 2020;113(3):533–5. https://doi.org/10.1016/j.fertnstert.2019.11.025 . - DOI

[3] Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The international glossary on infertility and fertility care, 2017. Fertil Steril. 2017;108(3):393–406. https://doi.org/10.1016/j.fertnstert.2017.06.005 . - DOI - PubMed

[4] Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The international glossary on infertility and fertility care, 2017. Fertil Steril. 2017;108(3):393–406. https://doi.org/10.1016/j.fertnstert.2017.06.005 . - DOI - PubMed

[5] Inhorn MC, Patrizio P. Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century. Hum Reprod Update. 2015;21(4):411–26. https://doi.org/10.1093/humupd/dmv016 . - DOI - PubMed

[6] Inhorn MC, Patrizio P. Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century. Hum Reprod Update. 2015;21(4):411–26. https://doi.org/10.1093/humupd/dmv016 . - DOI - PubMed

[7] Sezgin H, Hocaoğlu Ç. İnfertilitenin Psikiyatrik Yönü. Psikiyatir Güncel Yaklaşımlar. 2014;6(2):165–85. https://doi.org/10.5455/cap.20131001091415 . (Turkish) - DOI

[8] Sezgin H, Hocaoğlu Ç. İnfertilitenin Psikiyatrik Yönü. Psikiyatir Güncel Yaklaşımlar. 2014;6(2):165–85. https://doi.org/10.5455/cap.20131001091415 . (Turkish) - DOI

[9] Ataman H, Aygun O, Pekcan N, Doğan Merih Y. The relationship between the perceived social support levels and levels of adjustment to the infertility problem of women who received infertility treatment. Izmir Democr Univ Health Sci J. 2021;4(3):285–301. https://doi.org/10.52538/iduhes.1025934 . - DOI

[10] Ataman H, Aygun O, Pekcan N, Doğan Merih Y. The relationship between the perceived social support levels and levels of adjustment to the infertility problem of women who received infertility treatment. Izmir Democr Univ Health Sci J. 2021;4(3):285–301. https://doi.org/10.52538/iduhes.1025934 . - DOI

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The Effect of Music and Mandala Activity on Stress and Stress-Coping Levels of Infertile Women Who Had an Embryo Transfer: A Randomized Clinical Trial

Affiliations

The Effect of Music and Mandala Activity on Stress and Stress-Coping Levels of Infertile Women Who Had an Embryo Transfer: A Randomized Clinical Trial

Authors

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Conflict of interest statement

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Abstract

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