兴奋剂（包括苯丙胺类、甲基苯丙胺或甲卡西酮）所致冲动控制障碍

定义

兴奋剂（包括苯丙胺类、甲基苯丙胺或甲卡西酮）所致冲动控制障碍，其特征是持续重复行为，在这种行为中，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、重复性性行为、攻击性爆发），在服用或停用兴奋剂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了兴奋剂中毒或兴奋剂戒断所特有的冲动控制障碍。使用兴奋剂的量和持续时间必须能够产生冲动控制障碍。原发性精神障碍（如冲动控制障碍、成瘾行为所致精神障碍）不能更好地解释这些症状，如果冲动控制障碍发生在使用兴奋剂之前，如果症状在停止使用或戒断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之前就存在原发性精神障碍，并伴有冲动控制症状（如之前的发作史与使用兴奋剂无关），则可能属于这种情况。

Stimulant-induced impulse control disorder including amphetamines, methamphetamine and methcathinone 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 stimulants. The intensity or duration of the symptoms is substantially in excess of disturbances of impulse control that are characteristic of Stimulant intoxication or Stimulant withdrawal. The amount and duration of stimulant 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 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 impulse control symptoms (e.g., a history of prior episodes not associated with stimulant use).

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）所致冲动控制障碍