其他特指的精神活性物质所致冲动控制障碍

定义

由其他特指精神活性物质诱发的冲动控制障碍的特征是，在特指精神活性物质中毒或戒断期间或之后不久出现的持续重复行为，在这些行为中，尽管对个人或他人造成较长期伤害（例如，无明显动机的放火或偷窃、重复性行为、攻击性爆发），但仍反复出现无法抵抗冲动、驱使或冲动的行为，而这种行为至少在短期内对个人有益。症状的强度或持续时间大大超过特指精神活性物质中毒或戒断后特有的冲动控制障碍。使用特指精神活性物质的数量和持续时间必须能够产生冲动控制障碍。这些症状不能用原发性精神障碍（如冲动控制障碍、成瘾行为所致障碍）来更好地解释，如果冲动控制障碍在开始使用特指精神活性物质之前就已出现，如果在停止使用或停用特指精神活性物质后症状仍持续相当长一段时间，或者如果有其他证据表明之前就已存在带有冲动控制症状的原发性精神障碍（如既往发作史与使用特指精神活性物质无关）。

Impulse control disorder induced by other specified 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 a specified psychoactive substance. The intensity or duration of the symptoms is substantially in excess of disturbances of impulse control that are characteristic of intoxication with or withdrawal from the specified psychoactive substance. The amount and duration of the specified psychoactive substance use must be capable of producing disturbances of impulse control. 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 specified psychoactive substance use, if the symptoms persist for a substantial period of time after cessation of use or withdrawal of the specified 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 specified psychoactive substance use).

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• 其他特指的精神活性物质所致冲动控制障碍