Department of Psychology, Lawrence University, Appleton, WI, USA.
Department of Psychology, Goucher College, 1021 Dulaney Valley Road, Baltimore, MD, 21204, USA.
Arch Womens Ment Health. 2024 Jun;27(3):317-327. doi: 10.1007/s00737-023-01411-3. Epub 2023 Dec 26.
Seeking Safety is an evidence-based treatment for individuals with comorbid posttraumatic stress disorder and substance use disorder. This treatment shows promise to address the unique, unmet needs of women in prison. The current systematic literature review aims to highlight several critical gaps in research on Seeking Safety in forensic settings that need to be filled before Seeking Safety can be implemented in a widespread manner.
PsycINFO, PubMed and Google scholar databases were used to identify studies that were published in English, included women in forensic settings, and incorporated Seeking Safety treatment. A total of seven studies met review criteria. The quality of studies was assessed with the mixed methods appraisal tool.
High risk of contamination, inclusion of small, predominantly White samples, high attrition rates, need for dose-response testing, and lack of follow-up data currently limit the ability to assess the efficacy of Seeking Safety in forensic settings. In addition, there is a lack of research on Seeking Safety's ability to reduce symptoms of substance use disorder for incarcerated women and further cultural adaptation may be needed.
Seeking Safety has the potential to address the underlying causes of incarceration for justice-involved women, but additional research addressing these identified gaps is needed to facilitate more widespread implementation.
《寻求安全》是一种针对患有创伤后应激障碍和物质使用障碍共病的个体的循证治疗方法。这种治疗方法有望满足监狱中女性独特且未得到满足的需求。目前的系统文献综述旨在强调寻求安全在法医环境中的研究中的几个关键差距，在寻求安全可以广泛实施之前，这些差距需要得到填补。
使用 PsycINFO、PubMed 和 Google Scholar 数据库来确定以英文发表、包括法医环境中的女性并纳入寻求安全治疗的研究。共有七项研究符合审查标准。研究质量采用混合方法评估工具进行评估。
高污染风险、纳入小的、主要是白人的样本、高退出率、需要剂量反应测试以及缺乏随访数据，目前限制了评估寻求安全在法医环境中的疗效的能力。此外，寻求安全减少被监禁女性物质使用障碍症状的能力的研究还很缺乏，可能需要进一步进行文化适应。
寻求安全有可能解决涉及司法的女性入狱的根本原因，但需要进一步研究解决这些已确定的差距，以促进更广泛的实施。
