Department of Psychiatry, Faculty of Medicine and Dentistry, Clinical Skills Building, Rm. 3700, Western University, London, ON, Canada.
Department of Psychiatry, Faculty of Medicine and Dentistry, Clinical Skills Building, Rm. 3700, Western University, London, ON, Canada.
Int J Law Psychiatry. 2017 May-Jun;52:74-80. doi: 10.1016/j.ijlp.2017.03.002. Epub 2017 Mar 18.
CTOS have been the subject of many qualitative and quantitative research studies. Both research approaches add value to our understanding of CTOs. Qualitative studies provide an understanding of CTOs and the experience of being on a CTO that quantitative studies cannot provide. Many qualitative studies that have examined the views of subjects of CTOs have been published. However, authors of these studies continue to note that views and experiences of the subjects of these orders are not well known. This paper provides the results of a systematic review of qualitative studies focused on understanding the experiences of individuals who have been the subjects of CTOs.
Relevant databases and grey literature were searched. To be included, a study had to have used a qualitative methodology for data collection and analysis, and focus on examining stakeholder perspectives on the lived experience of CTOs.
After a rigorous review of the abstracts, we identified 22 papers that met the criteria. These papers were analysed in detail in order to examine the existence of common themes. The 22 papers represented the views of 581 participants from 7 countries around the world. Ten themes were found to be common among the research findings of the 22 papers. Three themes in particular were highlighted: feelings of coercion and control, medication seen as the main reason for a CTO and that the perception of CTOs as a safety net. Findings also highlight the ambivalence that subjects of CTOs experience, the importance of the therapeutic relationship for successful engagement of the subject of the CTO and the complex role of coercion.
We have made a number of recommendations about how clinicians might use the views of the subjects of CTOs achieve a more positive experience of a CTO.
CTOS 一直是许多定性和定量研究的主题。这两种研究方法都增加了我们对 CTO 的理解。定性研究提供了对 CTO 的理解以及对 CTO 体验的理解，而定量研究则无法提供。已经发表了许多研究 CTO 主题观点的定性研究。然而，这些研究的作者仍然指出，对这些订单主体的观点和经验还不是很了解。本文提供了对专注于理解作为 CTO 主题的个人经历的定性研究的系统评价结果。
搜索了相关数据库和灰色文献。要被包括在内，研究必须使用定性方法进行数据收集和分析，并侧重于检查利益相关者对 CTO 生活体验的观点。
在对摘要进行严格审查后，我们确定了符合标准的 22 篇论文。为了检查共同主题的存在，详细分析了这些论文。这 22 篇论文代表了来自全球 7 个国家的 581 名参与者的观点。在 22 篇论文的研究结果中发现了 10 个共同的主题。其中三个主题尤为突出：感到被迫和控制、药物被视为 CTO 的主要原因以及 CTO 被视为安全网的看法。研究结果还强调了 CTO 主题的矛盾心理，成功参与 CTO 主题的治疗关系的重要性以及强制的复杂作用。
我们就临床医生如何利用 CTO 主题的观点提出了一些建议，以实现对 CTO 的更积极体验。
