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Native Hawaiians' Views on Depression and Preferred Behavioral Health Treatments: a Preliminary Qualitative Investigation.

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Title: Native Hawaiians' Views on Depression and Preferred Behavioral Health Treatments: a Preliminary Qualitative Investigation.
Authors: Masuda, Akihiko, Nakamura, Lisa, Preston-Pita, Hannah, Hermosura, Sid, Morgan, Lucas, Stueber, Kyla, Spencer, Samuel D., Qinaʻau, Joanne, Austin-Seabury, A. Aukahi
Source: Journal of Behavioral Health Services & Research. Apr2024, Vol. 51 Issue 2, p203-218. 16p.
Subjects: Mental health services, Mental depression, Psychology, Spirituality, Colonization
Abstract: Behavioral health issues, especially depression, are a major health disparity concern for Native Hawaiians in Hawaiʻi. Following the cultural safety framework and contextual behavioral science approach to intervention development, the present preliminary qualitative investigation aimed to gather better insight into Native Hawaiians' views of depression and its causes as well as their preferred forms of behavioral health services. Data were initially collected from a 2-hour virtual focus group with three behavioral health service providers working with Native Hawaiians, followed by a total of 38 online one-on-one in-depth interviews with Native Hawaiian clients with depression (n = 19), behavioral health service providers working with Native Hawaiian adults (n = 9), and Native Hawaiian cultural leaders (n = 10). Our qualitative data suggested that Native Hawaiians tend to view depression contextually and socioculturally as the manifestation of one's vital connection to the ʻāina (land), ʻohana (family; continuity from ancestry and future generations), community, culture/spirituality, and one's authentic self being disrupted. Our findings also suggested that Native Hawaiians often attribute these disruptions to disparities due to the ongoing impact of colonization, historical trauma, and cultural loss. As a preferred form of treatment for depression, participants recommended various Hawaiian cultural practices to be integrated into existing behavioral health services to nurture the above-mentioned vital connection. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Native Hawaiians' Views on Depression and Preferred Behavioral Health Treatments: a Preliminary Qualitative Investigation.
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  Data: <searchLink fieldCode="AR" term="%22Masuda%2C+Akihiko%22">Masuda, Akihiko</searchLink><br /><searchLink fieldCode="AR" term="%22Nakamura%2C+Lisa%22">Nakamura, Lisa</searchLink><br /><searchLink fieldCode="AR" term="%22Preston-Pita%2C+Hannah%22">Preston-Pita, Hannah</searchLink><br /><searchLink fieldCode="AR" term="%22Hermosura%2C+Sid%22">Hermosura, Sid</searchLink><br /><searchLink fieldCode="AR" term="%22Morgan%2C+Lucas%22">Morgan, Lucas</searchLink><br /><searchLink fieldCode="AR" term="%22Stueber%2C+Kyla%22">Stueber, Kyla</searchLink><br /><searchLink fieldCode="AR" term="%22Spencer%2C+Samuel+D%2E%22">Spencer, Samuel D.</searchLink><br /><searchLink fieldCode="AR" term="%22Qinaʻau%2C+Joanne%22">Qinaʻau, Joanne</searchLink><br /><searchLink fieldCode="AR" term="%22Austin-Seabury%2C+A%2E+Aukahi%22">Austin-Seabury, A. Aukahi</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Behavioral+Health+Services+%26+Research%22">Journal of Behavioral Health Services & Research</searchLink>. Apr2024, Vol. 51 Issue 2, p203-218. 16p.
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  Data: <searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology%22">Psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Spirituality%22">Spirituality</searchLink><br /><searchLink fieldCode="DE" term="%22Colonization%22">Colonization</searchLink>
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  Data: Behavioral health issues, especially depression, are a major health disparity concern for Native Hawaiians in Hawaiʻi. Following the cultural safety framework and contextual behavioral science approach to intervention development, the present preliminary qualitative investigation aimed to gather better insight into Native Hawaiians' views of depression and its causes as well as their preferred forms of behavioral health services. Data were initially collected from a 2-hour virtual focus group with three behavioral health service providers working with Native Hawaiians, followed by a total of 38 online one-on-one in-depth interviews with Native Hawaiian clients with depression (n = 19), behavioral health service providers working with Native Hawaiian adults (n = 9), and Native Hawaiian cultural leaders (n = 10). Our qualitative data suggested that Native Hawaiians tend to view depression contextually and socioculturally as the manifestation of one's vital connection to the ʻāina (land), ʻohana (family; continuity from ancestry and future generations), community, culture/spirituality, and one's authentic self being disrupted. Our findings also suggested that Native Hawaiians often attribute these disruptions to disparities due to the ongoing impact of colonization, historical trauma, and cultural loss. As a preferred form of treatment for depression, participants recommended various Hawaiian cultural practices to be integrated into existing behavioral health services to nurture the above-mentioned vital connection. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Behavioral Health Services & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Apr2024
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