未知或未特指的精神活性物质所致冲动控制障碍

定义

由未知或未特指的精神活性物质所致冲动控制障碍的特征是持续重复的行为，在这些行为中，尽管对个人或他人造成较长期伤害（例如，在无明显动机的情况下放火或偷窃、重复性性行为、攻击性爆发），但仍反复出现无法抵制冲动、驱使或冲动的行为，而这种行为至少在短期内对个人有益。原发性精神障碍（如冲动控制障碍、成瘾行为引起的障碍）不能更好地解释这些症状，如果冲动控制障碍发生在使用未知或未特指精神活性物质之前，如果在停止使用或停用未知或未特指精神活性物质后症状持续了相当长一段时间，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冲动控制症状（如：如与未知或未特指精神活性材料使用无关的既往发作史）。

Impulse control disorder induced by unknown or unspecified psychoactive substance is characterised by persistently repeated behaviours in which there is recurrent failure to resist an impulse, drive, or urge to perform an act that is rewarding to the person, at least in the short-term, despite longer-term harm either to the individual or to others (e.g., fire setting or stealing without apparent motive, repetitive sexual behaviour, aggressive outbursts) that develop during or soon after intoxication with or withdrawal from an unknown or unspecified psychoactive substance. The symptoms are not better explained by a primary mental disorder (e.g., an Impulse control disorder, a Disorder due to addictive behaviours), as might be the case if the impulse control disturbances preceded the onset of the unknown or unspecified psychoactive substance use, if the symptoms persist for a substantial period of time after cessation of use or withdrawal of the unknown or unspecified psychoactive substance, or if there is other evidence of a pre-existing primary mental disorder with impulse control symptoms (e.g., a history of prior episodes not associated with the unknown or unspecified psychoactive substance use).

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• 未知或未特指的精神活性物质所致冲动控制障碍