Article: Immigration-associated variables and substance dependence.

DRUG-DEPENDENT PATIENTS often suffer from such negative mood states as anxiety and depression, which have been associated with increased drug craving and a high relapse risk after detoxification (Cooney et al., 1997; Friedman et al., 2004; Hartka et al., 1991). In drug-dependent immigrants, immigration-related stress factors and sociodemographic variables, such as social status or unemployment, may independently contribute to negative mood states and drug craving. Social stress factors include reduced treatment options resulting from cultural and language barriers and a lack of intercultural competence in professional treatment centers (Grusser et al., 1995; Haasen et al., ...

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