可卡因所致冲动控制障碍

定义

可卡因所致冲动控制障碍的特征是在可卡因中毒期间或戒断后不久，持续反复出现的行为，即经常无法抑制冲动或驱动力，以实施对个人有利的行为，至少在短期内，尽管对个人或他人造成长期伤害（例如，无明显动机的纵火或偷窃、重复性行为、攻击性爆发）。症状强度或持续时间大大超过了可卡因中毒或可卡因戒断所特有的冲动控制障碍。可卡因用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，如果冲动控制障碍发生在使用可卡因之前，如果症状在停止使用可卡因或戒断后持续相当长时间，或者，如果有其他证据表明存在具有冲动控制症状的原发性精神障碍（例如，与可卡因使用无关的既往发作史），则可能出现这种情况。

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

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• 可卡因所致冲动控制障碍