Adult colouring: the effect of app-based vs. pen-and-paper colouring on mindfulness and anxiety
Keywords:
anxiety, mindfulness, colouring/colouring books, mandala, colouring applicationsAbstract
Background
The rise in popularity of “mindfulness colouring books” has led to the development of colouring applications as an alternative to the traditional pen-and-paper versions. There have been no investigations exploring these applications in regards to mindfulness.
Participants and procedure
In two randomised experiments, this study examined whether there were any differences in state mindfulness and anxiety between (a) paper-and-pen and a colouring application (i.e., Experiment 1; n = 100), and (b) two different methods of colouring within an application (i.e., tapping or swiping; i.e., Experiment 1; n = 100).
Results
Experiments 1 and 2 showed a significant decrease in anxiety symptoms following a single colouring session, irre spective of different conditions. Also, Experiment 1, but not Experiment 2, revealed that colouring through the application significantly aided the increase in mindfulness.
Conclusions
App-based colouring may be a contemporary time- and cost-effective intervention in reducing anxiety. However, the non-significant increase in mindfulness appears challenging when attempting to justify the results. The effectiveness of colouring apart from mindfulness is seen through potential constructs such as flow, and display a limitation that requires further reflections on guidance to enhance mindfulness through colouring. Future directions are discussed.
Downloads
References
Andlin‐Sobocki, P., & Wittchen, H. U. (2005). Cost of anxiety disorders in Europe. European Journal of Neurology, 12, 39–44. https://doi.org/10.1111/j.1468-1331.2005.01196.x
Baer, R. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. https://doi.org/10.1177/1073191105283504
Bishop, S. (2004). Mindfulness: A proposed operational definition. Clinical Psychology: Science and Practice, 11, 230–241. https://doi.org/10.1093/clipsy/bph077
Blevins, B. (2011). Carolyn Daitch: Anxiety Disorders: The Go-To Guide for Clients and Therapists. Journal of Child and Family Studies, 20, 706-707. https://doi.org/10.1007/s10826-011-9530-8
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. https://doi.org/10.1037/0022-3514.84.4.822
Carsley, D., & Heath, N. L. (2018a). Effectiveness of mindfulness-based colouring for test anxiety in adolescents. School Psychology International, 39, 251–272. https://doi.org/10.1177/0143034318773523
Carsley, D., & Heath, N. L. (2018b). Evaluating the effectiveness of a mindfulness coloring activity for test anxiety in children. The Journal of Educational Research, 112, 143–151. https://doi.org/10.1080/00220671.2018.1448749
Carsley, D., Heath, N., & Fajnerova, S. (2015). Effectiveness of a classroom mindfulness colouring activity for test anxiety in children. Journal of Applied School Psychology, 31, 239–255. https://doi.org/10.1080/15377903.2015.1056925
Chang, C., Schmidt, L., Walsh, S., & Yoepp, J. (2005). Lowering stress while teaching research: A creative arts intervention in the classroom. Journal of Nursing Education, 44, 330–333.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155–159. https://doi.org/10.1037//0033-2909.112.1.155
Csikszentmihalyi, M. (1990). Flow: The Psychology of Optimal Performance. New York, NY: Cambridge University Press.
Curry, N., & Kasser, T. (2005). Can colouring mandalas reduce anxiety? Art Therapy, 22, 81–85. https://doi.org/10.1080/07421656.2005.10129441
Drake, C. R., Searight, H. R., & Olson-Pupek, K. (2014). The influence of art-making on negative mood states in university students. American Journal of Applied Psychology, 2, 69–72. https://doi.org/10.12691/ajap-2-3-3
Dredge, S. (2015). Adult colouring books? Inevitably, there’s an app for that. The Guardian. Retrieved from www.theguardian.com/technology/2015/aug/27/adult-colouring-books-app-recolor
Flett, J. A. M., Lie, C., Riordan, B. C., Thompson, L. M., Conner, T. S., & Hayne, H. (2017). Sharpen your pencils: preliminary evidence that adult coloring reduces depressive symptoms and anxiety. Creativity Research Journal, 29, 409–416. https://doi.org/10.1080/10400419.2017.1376505
Gotink, R. A., Meijboom, R., Vernooij, M. W., Smits, M., & Hunink, M. M. (2016). 8-week mindfulness based stress reduction induces brain changes similar to traditional long-term meditation practice – a systematic review. Brain and Cognition, 108, 32–41. https://doi.org/10.1016/j.bandc.2016.07.001
Hayes, S. C., Strosahl, K., & Wilson, K. (1999). Acceptance and commitment therapy: Understanding and treating human suffering. New York, NY: Guilford Press.
Hanley, A. W., Warner, A. R., Dehili, V. M., Canto, A. I., & Garland, E. L. (2015). Washing dishes to wash the dishes: Brief instruction in an informal mindfulness practice. Mindfulness, 6, 1095–1103. https://doi.org/10.1007/s12671-014-0360-9
Hoffman, E. J., & Mathew, S. J. (2008). Anxiety disorders: a comprehensive review of pharmacotherapies. Mount Sinai Journal of Medicine: A Journal of Translational and Personalized Medicine, 75, 248–262. https://doi.org/10.1002/msj.20041
Hollon, S., Stewart, M., & Strunk, D. (2006). Enduring effects for cognitive behavior therapy in the treatment of depression and anxiety. Annual Review of Psychology, 57, 285–315. https://doi.org/10.1146/annurev.psych.57.102904.190044
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47. https://doi.org/10.1016/0163-8343(82)90026-3
Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi.org/10.1093/clipsy/bpg016
Kinash, S., Brand, J., & Mathew, T. (2012). Challenging mobile learning discourse through research: Student perceptions of Blackboard Mobile Learn and iPads. Australasian Journal of Educational Technology, 28, 639–655. https://doi.org/10.14742/ajet.832
Kirsch, I., Deacon, B., Huedo-Medina, T., Scoboria, A., Moore, T., & Johnson, B. (2008). Initial severity and antidepressant benefits: A meta-analysis of data submitted to the Food and Drug Administration. PLoS Medicine, 5, e45. https://doi.org/10.1371/journal.pmed.0050045
Linehan, M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
Mantzios, M., & Giannou, K. (2018a). When did colouring books become mindful? Exploring the effectiveness of a novel method of mindfulnessguided instructions for colouring books to increase mindfulness and decrease anxiety. Frontiers in Psychology, 9, 56. https://doi.org/10.3389/fpsyg.2018.00056
Mantzios, M., & Giannou, K. (2018b). A real-world application of short mindfulness-based practices: a review and reflection of the literature and a practical proposition for an effortless mindful lifestyle. American Journal of Lifestyle Medicine. https://doi.org/10.1177/1559827618772036
Mantzios, M., & Wilson, J. C. (2014). Making concrete construals mindful: A novel approach of developing mindfulness and self-compassion to assist weight loss, Psychology & Health, 29, 422–441. https://doi.org/10.1080/08870446.2013.863883
Marteau, T., & Bekker, H. (1992). The development of a six-item short-form of the state scale of the Spielberger State-Trait Anxiety Inventory (STAI). British Journal of Clinical Psychology, 31, 301–306. https://doi.org/10.1111/j.2044-8260.1992.tb00997.x
Martin-Merino, E., Ruigomez, A., Wallander, M., Johansson, S., & Garcia-Rodriguez, L. (2009). Prevalence, incidence, morbidity and treatment patterns in a cohort of patients diagnosed with anxiety in UK primary care. Family Practice, 27, 9–16. https://doi.org/10.1093/fampra/cmp071
NHS (2017). Generalised anxiety disorder in adults – Treatment – NHS Choices. Retrieved from www.nhs.uk/Conditions/Anxiety/Pages/Treatment.aspx
NICE (2017). First-choice antidepressant use in adults with depression or generalised anxiety disorder. Retrieved from www.nice.org.uk/advice/ktt8/chapter/Evidence-context
Sandmire, D., Gorham, S., Rankin, N., & Grimm, D. (2012). The influence of art making on anxiety: A pilot study. Art Therapy, 29, 68–73. https://doi.org/10.1080/07421656.2012.683748
Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
Small, S. R. (2006). Anxiety reduction: Expanding previous research on mandala coloring. Undergraduate Journal of Psychology, 19, 15–21.
Strauss, C., Cavanagh, K., Oliver, A., & Pettman, D. (2014). Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLoS One, 9, e96110. https://doi.org/10.1371/journal.pone.0096110
Stein, D. J., Hollander, E., & Rothbaum, B. O. (2010). Textbook of anxiety disorders. Washington, DC: American Psychiatric Association Publishing.
Tanay, G., & Bernstein, A. (2013). State Mindfulness Scale (SMS): Development and initial validation. Psychological Assessment, 25, 1286–1299. https://doi.org/10.1037/a0034044
Vagnino, K. (2015). I tried a bunch of coloring apps, and they all miss the point. The Verge. Retrieved from www.theverge.com/2015/12/19/10622076/i-tried-abunch-ofcoloring-apps-and-they-all-miss-the-point
Van der Vennet, R., & Serice, S. (2012). Can colouring mandalas reduce anxiety? A replication study. Art Therapy, 29, 87–92. https://doi.org/10.1080/07421656.2012.68004
Vøllestad, J., Nielsen, M. B., & Nielsen, G. H. (2012). Mindfulness‐and acceptance‐based interventions for anxiety disorders: A systematic review and meta‐analysis. British Journal of Clinical Psychology, 51, 239–260. https://doi.org/10.1111/j.2044-8260.2011.02024.x