{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:05:52Z","timestamp":1784563552832,"version":"3.55.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:00:00Z","timestamp":1698364800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100009940","name":"Lotto New Zealand","doi-asserted-by":"publisher","award":["R-LHR-2018-72415"],"award-info":[{"award-number":["R-LHR-2018-72415"]}],"id":[{"id":"10.13039\/501100009940","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Aust N Z J Psychiatry"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Eating disorders are as common in M\u0101ori, the Indigenous people of Aotearoa-New Zealand, as they are in non-M\u0101ori; however, research has focused on the experiences of non-M\u0101ori. This paper will describe explanatory factors, treatment experiences and what helps with recovery for M\u0101ori.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Kaupapa M\u0101ori research methodology informed the methods and analysis. Fifteen semi-structured interviews comprised thirteen M\u0101ori participants with eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) and two wh\u0101nau (support network) members. A thematic analysis was undertaken by a first cycle of coding that used deductive structural coding to identify data describing participants\u2019 perceived causes of eating disorders, their experience of treatment and recovery. A second cycle of coding used inductive analysis with descriptive and pattern coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Three overarching themes were antecedents (cumulative exposure), treatment (a system of complexities) and recovery (resource empowerment). Antecedents comprised cumulative exposure to body and sporting ideals and adversity as causal factors of eating disorders. In the treatment theme, a system of complexities critiqued rural settings for generalised mental health services, allocation of M\u0101ori cultural support, the economic burden of treatment, culturally incongruent treatment (methods, values) and a weight-focused discharge criterion. Recovery (resource empowerment) found appropriate health information, self-determination and connection to M\u0101ori culture and wh\u0101nau aspirations helped with recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The diversity of birdcalls reminds us of the individuality of eating disorders. Health practitioners are reminded that just as the T\u016b\u012b, K\u0101k\u0101 and Kerer\u016b possess their own unique birdcalls, so do M\u0101ori with eating disorders and their wh\u0101nau have their own experiences, needs and required treatment responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00048674231207583","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T08:23:09Z","timestamp":1698394989000},"page":"365-372","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["\u2018E koekoe te T\u016b\u012b, e ketekete te K\u0101k\u0101, e kuku te Kerer\u016b, The T\u016b\u012b chatters, the K\u0101k\u0101 cackles, and the Kerer\u016b coos\u2019: Insights into explanatory factors, treatment experiences and recovery for M\u0101ori with eating disorders \u2013 A qualitative study"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7133-8020","authenticated-orcid":false,"given":"Mau Te Rangimarie","family":"Clark","sequence":"first","affiliation":[{"name":"Department of M\u0101ori\/Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7048-1212","authenticated-orcid":false,"given":"Jenni","family":"Manuel","sequence":"additional","affiliation":[{"name":"Department of M\u0101ori\/Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand"},{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9898-6784","authenticated-orcid":false,"given":"Cameron","family":"Lacey","sequence":"additional","affiliation":[{"name":"Department of M\u0101ori\/Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand"},{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Pitama","sequence":"additional","affiliation":[{"name":"Department of M\u0101ori\/Indigenous Health Innovation (MIHI), University of Otago, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0090-3579","authenticated-orcid":false,"given":"Ruth","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Otago, Wellington, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Jordan","sequence":"additional","affiliation":[{"name":"Department of Psychological Medicine, University of Otago, Christchurch, New Zealand"},{"name":"Te Whatu Ora \u2013 Health New Zealand Waitaha\/Canterbury, Specialist Mental Health Clinical Research Unit, Christchurch, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,27]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02852-1"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2018.11.004"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-023-00748-5"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-5251-4_30"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12971"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406920953752"},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00462-0"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-020-01200-0"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)30044-3"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/15213269.2020.1737545"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23372"},{"key":"e_1_3_2_14_1","first-page":"71","article-title":"The Hui Process: A framework to enhance the doctor-patient relationship with M\u0101ori","volume":"124","author":"Lacey C","year":"2011","unstructured":"Lacey C, Huria T, Beckert L, et al. 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