合成卡西酮类物质所致冲动控制障碍

定义

合成卡西酮类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，但反复出现无法抵制的冲动、驱使或冲动，无法做出对自己有益的行为（例如，无明显动机的放火或偷窃、重复性性行为、攻击性爆发），这些行为是在合成卡西酮中毒或戒断合成卡西酮期间或之后不久出现。这些症状的强度或持续时间大大超过合成卡西酮中毒或合成卡西酮戒断所特有的冲动控制障碍。使用合成卡西酮的数量和持续时间必须能够导致冲动控制障碍。原发性精神障碍（如冲动控制障碍、成瘾行为障碍）不能更好地解释这些症状、 如冲动控制障碍在开始使用合成卡西酮之前就已出现，或在停止使用或戒断合成卡西酮后症状仍持续相当长一段时间，或有其他证据表明之前已存在具有冲动控制症状的原发性精神障碍（如与合成卡西酮的使用无关的既往发作史）。

Synthetic cathinone-induced impulse control disorder 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 synthetic cathinones. The intensity or duration of the symptoms is substantially in excess of disturbances of impulse control that are characteristic of Synthetic cathinone intoxication or Synthetic cathinone withdrawal. The amount and duration of synthetic cathinone 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 synthetic cathinone use, if the symptoms persist for a substantial period of time after cessation of the synthetic cathinone use or withdrawal, 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 synthetic cathinone use).

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• 合成卡西酮类物质所致冲动控制障碍