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

Abstract

Introduction: 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.

Method: 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.

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

Conclusion: 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.