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A hybrid CNN-machine learning model for anxiety screening with mandala coloring patterns: Feature extraction and
Se-Ryun Park1, JongHan Kim2, Jinyoung Han3
1Department of Pharmacology, Kosin University College of Medicine, Busan, Republic of Korea.
Acta Psychologica
|July 24, 2026
Summary
This study used computer vision and machine learning to analyze mandala coloring patterns for anxiety assessment. While accurate overall, the model struggled with high-anxiety cases, suggesting visual features support, not replace, traditional methods.
Area of Science:
- Computational psychiatry
- Digital art therapy analysis
- Machine learning in mental health assessment
Background:
- Traditional anxiety assessments often miss behavioral cues by focusing on self-reports and somatic symptoms.
- Mandala coloring involves visual elements that may correlate with psychological states.
- Digitized art offers potential for objective, quantifiable analysis.
Purpose of the Study:
- To develop and evaluate a hybrid convolutional neural network (CNN) and machine learning (ML) model for classifying anxiety levels using visual features from mandala images.
- To explore the utility of quantifiable visual features (coloring accuracy, transitions, entropy, symmetry) as potential markers for anxiety.
- To assess the model's performance, particularly under class-imbalanced conditions.
Main Methods:
- A dataset of 1044 digitized mandala images was analyzed.
- A hybrid CNN-ML model was employed to extract and classify visual features.
- Stratified 5-fold cross-validation was used to evaluate the Random Forest (RF) classifier's performance.
- Key visual features analyzed included coloring accuracy, color transitions, color entropy, and symmetry.
Main Results:
- The Random Forest classifier achieved an overall accuracy of 84.56% in classifying anxiety levels.
- Model performance was limited under class-imbalanced conditions, showing low sensitivity (0.216) for the high-anxiety group.
- Quantifiable visual features demonstrated potential as exploratory markers.
Conclusions:
- Quantifiable visual features from mandala images can serve as supplementary markers to support anxiety severity classification.
- The developed computational approach offers preliminary evidence for integrating art-based methods with computational modeling for assessment support.
- This hybrid model is not a standalone diagnostic tool but an exploratory framework.