兴奋剂（包括苯丙胺类、甲基苯丙胺或甲卡西酮）所致强迫或相关障碍

定义

兴奋剂（包括苯丙胺类、甲基苯丙胺或甲卡西酮）所致强迫或相关障碍的特征是，在服用或停用刺激剂期间或之后不久，出现反复的侵入性思维或先入为主的想法，通常与焦虑有关，并通常伴有作为反应的重复行为，或出现针对皮肤的反复和习惯性行为（如揪头发、抠皮肤）。这些症状的强度或持续时间大大超过了兴奋剂中毒或兴奋剂戒断所特有的类似障碍。兴奋剂的使用量和持续时间必须能够产生强迫症或相关症状。这些症状不能用原发性精神障碍（特别是强迫症或相关疾病）更好地解释，如果这些症状出现在开始使用兴奋剂之前，如果这些症状在停止使用或停用兴奋剂后持续了相当长一段时间，或者如果有其他证据表明先前就存在带有强迫症或相关症状的原发性精神障碍（例如，与使用兴奋剂无关的先前发作史），则属于这种情况。

Stimulant-induced obsessive-compulsive or related disorder including amphetamines, methamphetamine and methcathinone but excluding caffeine, cocaine and synthetic cathinones 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 stimulants. The intensity or duration of the symptoms is substantially in excess of analogous disturbances that are characteristic of Stimulant intoxication or Stimulant withdrawal. The amount and duration of stimulant 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 stimulant use, if the symptoms persist for a substantial period of time after cessation of the stimulant 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 stimulant use).

除外词 明确排除、需编到其他条目的情况

• 可卡因所致强迫或相关障碍6C45.72
• 合成卡西酮类物质所致强迫或相关综合征6C47.72
• 咖啡因使用所致障碍6C48

索引词 可用于检索该条目的同义词与别名

• 兴奋剂（包括苯丙胺类、甲基苯丙胺或甲卡西酮）所致强迫或相关障碍