Vol.:(0123456789) 1 3
Journal of Immigrant and Minority Health
https://doi.org/10.1007/s10903-018-0692-y
BRIEF COMMUNICATION
Brief Report: Subjective Social Mobility and Depressive Symptoms
in Syrian Refugees to Germany
Frank Euteneuer
1
· Sarina J. Schäfer
2
© Springer Science+Business Media, LLC, part of Springer Nature 2018
Abstract
Previous fndings indicate that refugees are at increased risk for mental health problems. In addition to stressful pre-migration
experiences, post-migration factors may contribute to poor mental health outcomes. Among immigrants to the United States,
downward mobility in subjective social status (SSS) was associated with depression, corroborating the potentially detrimental
mental health consequences of a decline in one’s perceived social position. The present study examined whether downward
mobility in SSS among male refugees from Syria to Germany is associated with depression. We found that refugees who
experience stronger downward mobility in SSS exhibit more severe depressive symptoms and were more likely to fulfll
provisional DSM-IV criteria for a diagnosis of Major Depression. Our fndings highlight the importance to consider the
‘social pain’ of downward social mobility during the post-migration phase.
Keywords Downward social mobility · Subjective social status · Depression · Depressive symptoms · Refugees
Background
Previous fndings indicate that refugees are at increased
risk for mental health problems, in particular post-traumatic
stress, depression and anxiety [1]. Among refugees from
war and confict areas, pre-migration traumatic experiences
and post-migration stressors have been associated with all
of these psychopathological outcomes, whilst a poor post-
migration social status was particularly associated with
depression [2]. Accordingly, it has been suggested that ref-
ugees, after arriving in a foreign country, realize that they
“have lost everything” including their social standing and
control over several aspects of their lives [1]. Thus, the sub-
jective experience of downward social mobility might be an
important psychosocial stressor, which facilitates depression
[3].
While downward social mobility is understudied in refu-
gees, two studies have examined subjective social mobility
in immigrants by measuring their loss in subjective social
status (SSS) [4, 5]. SSS refers to the “individual’s percep-
tion of his place on the social ladder” and has frequently
been found to predict health outcomes better than objective
socioeconomic indicators [3]. Among immigrants to the
United States, downward mobility in SSS was associated
with elevated risk for developing depression, corroborating
the potentially detrimental mental health consequences of a
decline in one’s perceived social position [4, 5].
Although downward social mobility can be considered
a common problem among refugees [1, 2], to our knowl-
edge, no studies have explicitly examined whether down-
ward mobility in SSS predicts depressive symptoms in
refugees from conflict and war-areas. In this study, we
examined whether downward mobility in SSS among male
refugees from Syria to Germany is associated with depres-
sive symptom severity and a provisional diagnosis of Major
Depression.
F. Euteneuer and S.J. Schäfer contributed equally as frst authors.
* Frank Euteneuer
frank.euteneuer@staf.uni-marburg.de
Sarina J. Schäfer
sarina.schaefer@fernuni-hagen.de
1
Division of Clinical Psychology and Psychotherapy, Philipps
University of Marburg, Gutenbergstraße 18, 35032 Marburg,
Germany
2
Psychological Methods and Evaluation, University of Hagen,
Universitätsstraße 33, 58084 Hagen, Germany