Ta Park Van M, Kaholokula Joseph Keawe'aimoku, Chao Puihan Joyce, Antonio Mapuana
School of Nursing, Department of Community Health Systems, University of California at San Francisco, 2 Koret Way, San Francisco, CA, 94143-0608, USA.
Department of Native Hawaiian Health, University of Hawai'i at Mānoa, Honolulu, HI, USA.
J Behav Health Serv Res. 2018 Jul;45(3):454-468. doi: 10.1007/s11414-017-9584-5.
The purpose of this mixed-methods study was to gain insight about Native Hawaiian (NH) women's experiences with, and viewpoints of, depression and help-seeking behaviors (N = 30: 10 from the university and 20 from the community). More women reported depression in the interviews than through their Center for Epidemiologic Studies Depression Scale (CES-D) responses. Quantitative data revealed 57% of the women had ever received mental health help (80% of university vs. 45% of community sample). There was a range of satisfaction reported for various types of mental health care, with satisfaction being the highest for spiritual/religious advisor/folk healer. During the interviews, one woman reported that she is currently receiving professional care and five women are seeking help from their family/social network. Future research should explore reasons for the differences in the quantitative and qualitative findings regarding depression and associated help-seeking as well as in the satisfaction levels by type of help-seeking.
这项混合方法研究的目的是深入了解夏威夷原住民（NH）女性在抑郁症及寻求帮助行为方面的经历和观点（N = 30：10名来自大学，20名来自社区）。与通过流行病学研究中心抑郁量表（CES-D）回答相比，更多女性在访谈中报告有抑郁症。定量数据显示，57%的女性曾接受过心理健康帮助（大学样本中为80%，社区样本中为45%）。对于各类心理健康护理，报告的满意度存在差异，对精神/宗教顾问/民间治疗师的满意度最高。在访谈中，一名女性报告称她目前正在接受专业护理，五名女性正在向其家庭/社交网络寻求帮助。未来的研究应探讨在抑郁症及相关寻求帮助行为的定量和定性研究结果方面以及按寻求帮助类型划分的满意度水平方面存在差异的原因。
