Firesetting is an international public health concern with significant consequences for individuals and society. However, the adult firesetting literature is limited, especially for treatment provision. PsycINFO, EMBASE, MEDLINE Complete, PsycArticles, Web of Science, Scopus, ProQuest Central, and CINAHL were searched for peer-reviewed quantitative studies considering psychological interventions targeting deliberate firesetting in adults and subject to a narrative synthesis. Of the 4542 identified studies, 14 (n = 343 firesetters) met the broad inclusion criteria. Most studies comprised single-case or small-scale evaluations with highly selected samples, heterogeneous needs, and methodological limitations (e.g., lacking experimental control or reliable evaluation methods). Cognitive behaviour therapy (CBT) in a group format is currently the most evaluated intervention in UK secure living environments. High-quality studies showed that CBT group-based interventions improved firesetting-specific outcomes (i.e., problematic interest and associations with fire) and psychological vulnerabilities associated with firesetting (e.g., anger expression or offence-supporting attitudes) among prisoners and mental health inpatients. The paucity of high-quality evaluation studies and the considerable heterogeneity of the available study designs make it difficult to compare the existing interventions and draw reliable conclusions about what works for whom. Larger prospective longitudinal studies are needed internationally with multi-site designs, follow-up recidivism data in the community, and control groups to determine whether these interventions can effectively reduce firesetting risk.

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心理干预对纵火成人的有效性：系统评价

纵火是一个国际公共卫生问题，对个人和社会产生重大影响。然而，有关成人纵火的文献有限，特别是在提供治疗方面。在 PsycINFO、EMBASE、MEDLINE Complete、PsycArticles、Web of Science、Scopus、ProQuest Central 和 CINAHL 中检索同行评审的定量研究，考虑针对成人故意纵火的心理干预措施并进行叙述综合。在 4542 项已确定的研究中，有 14 项（n = 343 名点火者）符合广泛的纳入标准。大多数研究包括单例或小规模评估，具有高度选择性的样本、异质性需求和方法学限制（例如，缺乏实验控制或可靠的评估方法）。团体认知行为疗法（CBT）是目前在英国安全生活环境中评价最高的干预措施。高质量的研究表明，基于群体的 CBT 干预措施改善了囚犯和心理健康住院患者的纵火具体结果（即有问题的兴趣和与火的关联）以及与纵火相关的心理脆弱性（例如愤怒表达或支持犯罪的态度）。由于缺乏高质量的评估研究以及现有研究设计的相当大的异质性，使得很难比较现有的干预措施并就什么对谁有效得出可靠的结论。国际上需要进行更大规模的前瞻性纵向研究，包括多地点设计、社区累犯数据和对照组，以确定这些干预措施是否可以有效降低火灾风险。