Evidence map›Paper›PMID 32406364›Full record

SynthesisEuropean psychiatry : the journal of the Association of European Psychiatrists2020

Experiences with legally mandated treatment in patients with schizophrenia: A systematic review of qualitative studies.

Joanne E Plahouras, Shobha Mehta, Daniel Z Buchman, George Foussias, Zafiris J Daskalakis, Daniel M Blumberger

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in European psychiatry : the journal of the Association of European Psychiatrists, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.3field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Mental health help-seeking by US college students with a diagnosis of psychosis.Social psychiatry and psychiatric epidemiology · 2026
    Article
  4. Article
  5. Review
  6. Article
  7. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joanne E PlahourasInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Shobha MehtaInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-7558-8433
Daniel Z BuchmanJoint Centre for Bioethics, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0001-8944-6647
George FoussiasInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Zafiris J DaskalakisInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Daniel M BlumbergerInstitute of Medical Science, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8422-5818
Centre for Addiction and Mental Health · CAUniversity Health Network · CA

Funding

Canadian Institute of Health Research
6 · The paper itself

Abstract

backgroundPatients 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.

methodsFour 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.

resultsA 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.

conclusionsIntervention 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.

Indexed as

CoercionQualitative ResearchSchizophrenic PsychologyCommunicationHumansSchizophreniaTreatment Adherence and Complianceinvoluntary treatmentqualitativereviewschizophrenia

Identifiers

PMID32406364
PMCPMC7355163
OpenAlexW3025552751

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.