Depression and somatization in Turkish migrants in Germany: the role of migration-related stressors

TL;DR

This study explores how migration-related stress affects depression and physical symptoms in Turkish migrants in Germany, highlighting the need for culturally sensitive care.

Contribution

The study identifies specific migration stressors linked to somatization and depression in Turkish migrants and advocates for culturally humble clinical approaches.

Findings

Higher migration-related stress predicts increased depressive symptoms and somatization.

Language barriers and intergenerational conflicts are strongly linked to somatic complaints.

Culturally adapted care improves diagnostic and treatment outcomes for migrants.

Abstract

Migration-related stressors (MRS), such as loss, cultural conflict, and language barriers, are linked to increased psychological distress. This study investigates the impact of MRS on de-pressive symptoms and somatization among Turkish-speaking first-generation migrants in Germany.

In a cross-sectional study, 60 psychiatric outpatients completed standardized measures as-sessing MRS, depressive symptoms (BDI-II), and somatization (PHQ-15). Regression analy-ses controlled for age, gender, and socioeconomic status.

Higher MRS significantly predicted both depressive symptoms and somatization. Somatic complaints were particularly associated with language difficulties, separation experiences, and intergenerational value conflicts.

Findings support the need to integrate cultural humility—defined as clinician self-awareness, openness, and contextual sensitivity—into evidence-based care. Symptom interpretation must consider patients’ migration histories and cultural frameworks. Culturally adapted, person-centered interventions may improve diagnostic accuracy and treatment outcomes for migrant populations.

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