其他特指的精神活性物质所致强迫或相关障碍

定义

由其他特指精神活性物质诱发的强迫症或相关障碍的特征是：在特指精神活性物质中毒或戒断期间或戒断后不久，出现反复的侵入性思维或思虑，通常与焦虑有关，并通常伴随重复的反应行为，或出现针对皮肤的反复和习惯性动作（如拔头发、抠皮肤）。症状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的类似障碍。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特指精神活性物质之前，如果这些症状在停止使用或戒断特指精神活性物质后持续了相当长一段时间，或者如果有其他证据表明之前已经存在带有强迫症或相关症状的原发性精神障碍（例如，既往发作史与使用特指精神活性物质无关）。

Obsessive-compulsive or related disorder induced by other specified psychoactive substance 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 a specified psychoactive substance. The intensity or duration of the symptoms is substantially in excess of analogous disturbances 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 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 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 obsessive-compulsive or related 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强迫或相关障碍