多种特指的精神活性物质所致强迫或相关障碍

定义

由多种特指精神活性物质所致强迫或相关障碍的特征是：在服用或停用多种特指精神活性物质期间或之后不久，出现反复侵入性思维或思虑，通常与焦虑有关，并通常伴随作为反应的重复行为，或出现针对皮肤的反复和习惯性动作（如拔毛、抠皮）。这些症状的强度或持续时间大大超过了以多种特指精神活性物质中毒或戒断为特征的类似障碍。使用多种特指精神活性物质的数量和持续时间必须能够产生强迫症或相关症状。原发性精神障碍（尤其是强迫症或相关障碍）不能更好地解释这些症状，如果这些症状出现在开始使用多种特指精神活性物质之前，如果这些症状在停止使用或戒断多种特指精神活性物质后持续相当长一段时间，或者如果有其他证据表明先前存在的原发性精神障碍伴有强迫症或相关症状（例如，多种特指精神药物使用无关的既往发作史）。

Obsessive-compulsive or related disorder induced by multiple specified psychoactive substances is characterised by either repetitive intrusive thoughts or preoccupations, normally associated with anxiety and typically accompanied by repetitive behaviours performed in response, or by recurrent and habitual actions directed at the integument (e.g., hair pulling, skin picking) that develop during or soon after intoxication with or withdrawal from multiple specified psychoactive substances. The intensity or duration of the symptoms is substantially in excess of analogous disturbances that are characteristic of intoxication with or withdrawal from the multiple specified psychoactive substances. The amount and duration of the multiple specified psychoactive substances use must be capable of producing obsessive-compulsive or related symptoms. The symptoms are not better explained by a primary mental disorder (in particular an Obsessive-compulsive or related disorder), as might be the case if the symptoms preceded the onset of the use of multiple specified psychoactive substances, if the symptoms persist for a substantial period of time after cessation of the multiple specified psychoactive substance use or withdrawal, or if there is other evidence of a pre-existing primary mental disorder with obsessive-compulsive or related symptoms (e.g., a history of prior episodes not associated with multiple specified psychoactive substances use).

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• 多种特指的精神活性物质所致强迫或相关障碍