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Depression and somatization in Turkish migrants in Germany: the role of migration-related stressors
Bernd Hanewald1, Eric Hahn2, Tam Thi Minh Ta2
1Center for Psychiatry, Justus Liebig University Giessen, Giessen, Germany.
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.
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