Amina Mahmood, MBBS1, Fauzia Arain, MD2, Muhammad Zeshan, MD3

1 Royal College of Surgeons in Ireland, 2 BronxCare Health System, Mount Sinai Icahn School of Medicine, Department of Child & Adolescent Psychiatry, New York, USA, 3 Rutgers University, Psychiatry, Princeton, NJ, USA


In 2020, the COVID-19 pandemic changed everything. The world has been grappling with not only a raging virus, but also, a mental health crisis. This has especially been  challenging for our educators and students, who have adjusted to virtual classrooms.

Material(s) and Method(s):

This study aims to determine the effect of online art-based interventions on the mental health of children and adolescents in the context of COVID-19. Five articles were considered.


Based on a review of the literature of various online modalities, the Mandala design was emphasised and compared with other art-based interventions. Common conditions of the participants included depression, anxiety, ADHD, and post-traumatic stress disorder. The following instruments were used across individual studies: The state-trait anxiety inventory, state mindfulness scale, spirituality scale, behavior assessment scale for children, and self-structured questionnaires. Results indicate a decrease in trauma and anxiety (as reflected by the significant difference in the pre and the post state anxiety scores) symptoms after completing a Mandala design. Further evaluation is needed in patients experiencing depression and other psychiatric conditions.


There is more research to be done on remote art-based interventions as our world navigates this new reality and technology advances. However, overall, the implementation of the Mandala design has proven to be an effective art-based modality in young people.