Background: Patients with severe mental illness, including schizophrenia, may be legally mandated to undergo psychiatric treatment. Patients’ experiences in these situations are not well characterized. This systematic review of qualitative studies aims to describe the experiences of patients with schizophrenia and related disorders who have undergone legally mandated treatment. Methods: Four bibliographic databases were searched: CINAHL Plus (1981–2019), EMBASE (1947–2019), MEDLINE (1946–2019), and PsycINFO (1806–2019). These databases were searched for keywords, text words, and medical subject headings related to schizophrenia, legally mandated treatment and patient experience. The reference lists of included studies and systematic reviews were also investigated. The identified titles and abstracts were reviewed for study inclusion. A thematic analysis was completed for the synthesis of positive and negative aspects of legally mandated treatment. Results: A total of 4,008 citations were identified. Eighteen studies were included in the final synthesis. For the thematic analysis, results were collated under two broad themes; positive patient experiences and negative patient experiences. Patients were satisfied when their autonomy was respected, and dissatisfied when it was not. Patients often retrospectively recognized that their treatment was beneficial. Furthermore, negative aspects of the treatment included deficits in communication and a lack of information. Conclusions: Intervention research has historically focused on clinical outcomes and the quantitative aspects of treatment. Thus, this study provides insight into the qualitative aspects of patients’ experiences with legally mandated treatment. Recognizing these opinions and experiences can lead to better attitudes toward treatment for patients with schizophrenia and related psychiatric illnesses.

中文翻译：

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精神分裂症患者的法定治疗经验：定性研究的系统评价

背景：患有严重精神疾病（包括精神分裂症）的患者在法律上可能被强制要求接受精神治疗。患者在这些情况下的经历并没有得到很好的描述。这份定性研究的系统评价旨在描述精神分裂症和相关疾病患者接受法律强制治疗的经历。方法：检索了四个书目数据库：CINAHL Plus（1981-2019）、EMBASE（1947-2019）、MEDLINE（1946-2019）和 PsycINFO（1806-2019）。在这些数据库中搜索与精神分裂症、法定治疗和患者体验相关的关键词、文本词和医学主题标题。还调查了纳入研究和系统评价的参考清单。审查确定的标题和摘要以纳入研究。完成了一项专题分析，综合了法定治疗的积极和消极方面。结果：共识别出 4,008 次引用。18 项研究被纳入最终综合。对于专题分析，结果在两大主题下进行整理；积极的患者体验和消极的患者体验。当他们的自主权得到尊重时，患者会感到满意，当他们的自主权得不到尊重时，他们就会不满意。患者经常回顾性地认识到他们的治疗是有益的。此外，治疗的消极方面包括沟通不足和信息缺乏。结论：干预研究历来侧重于临床结果和治疗的定量方面。因此，这项研究提供了对患者接受法律强制治疗的体验的定性方面的洞察。认识到这些意见和经验可以使精神分裂症和相关精神疾病患者对治疗产生更好的态度。