A nursing intervention based on the Zentangle® method: Experiences of patients diagnosed with borderline personality disorder.

The Zentangle sessions were part of a six-month comprehensive treatment programme with multiple therapies, so the contribution of Zentangle alone cannot be separated. All participants were women, and the sample was purposeful and voluntary, so findings may not transfer to men or to patients with different motivations. The study used interviews about experience rather than quantitative tracking of benefits. Patients with language difficulties or a psychological state that prevented communication were excluded, and two patients withdrew before interviews. The interviewer was a mental health nurse and Certified Zentangle Teacher, which may shape rapport and interpretation. Many participants described benefits only after several sessions, while some early difficulties and negative feelings were common.

Nothing to declare; the authors declared no conflict of interest or potential competing interest.

Do not read these patient descriptions as evidence that Zentangle treats borderline personality disorder. The participants were in a comprehensive hospital programme with multiple therapies, so the contribution of Zentangle alone cannot be separated, and the study reports experiences rather than measured outcomes.