Tongan people living in New Zealand have a high prevalence of mental illness and low uptake of mental health services. Rates of mental illnesses also differ between those born in Tonga and those born in New Zealand. However, little is known about the personalized and culturally shaped meaning and experience of mental distress in this population. Therefore, this research explored the meaning of mental distress for Tongan men and community leaders living in Auckland, New Zealand. The Tongan cultural framework, talanoa (talking, to tell), enabled a culturally congruent and collective approach to examining mental health‐related ideologies and ensuing distress. Two talanoa groups were held (one with men and one with community leaders), with a total of 18 participants. The primary research questions focused on tufunga faka‐Tonga (Tongan constructions of mental distress). Four themes emerged: fa’unga (reality), hu‘unga (directionality), ta‘anga (temporality), and tu‘unga (positionality). The analytic lens used to define reality was fa‘unga, because this concept encompasses the creation/preservation of sino (body), me‘a (thing, something), and mo‘oni (truth, real). The findings suggested that it is necessary to incorporate tufunga faka‐Tonga into all aspects of service delivery to improve mental health services for the Tongan population. The Tongan community will benefit from increased awareness of tufunga faka‐paiōsaikosōsiolo (biopsychosocial constructions of mental distress) and tufunga fepaki mo e fetaulaki he vaha‘a ‘o e tufunga faka‐paiōsaikosōsiolo mo e tufunga faka‐Tonga (intersections between biopsychosocial and Tongan constructions of mental distress) to support identification of health risks and health service seeking behaviours.

中文翻译：

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从汤加男人和社区领袖的角度对精神困扰进行种族解释。

居住在新西兰的汤加人精神疾病患病率高，对精神卫生服务的接受度低。在汤加和新西兰出生的人，精神疾病的发病率也有所不同。但是，对于这一人群的精神困扰的个性化和文化塑造的意义和经验知之甚少。因此，本研究探讨了精神痛苦对住在新西兰奥克兰的汤加男子和社区领袖的意义。汤加文化框架talanoa（说起话来）使人们能够采用文化上一致的集体方法来审查与心理健康有关的意识形态并随之产生痛苦。两个塔拉诺阿举行了小组会议（一个人参加，一个人与社区领袖参加），共有18名参与者。主要的研究问题集中在tufunga faka-Tonga（精神疾病的汤加构造）上。出现了四个主题：fa'unga（真实性），hu'unga（方向性），ta'anga（时间性）和tu'unga（位置性）。用来定义现实的分析镜头是fa'unga，因为这个概念包括创建/保存中（身体），me'a（事，东西），并mo'oni（真理，真正的）。研究结果表明，有必要将fung-fonga全面提供服务，以改善汤加人口的精神卫生服务。汤加社区将受益于对精神创伤的tufungafaka-paiōsaikosōsiolo（生物心理社会结构）和tufunga fepaki mo e fetaulaki he vaha'a'oe tufungafaka-paiōsaikosōsiolomo e tufunga faka-Tonga（生物心理与结构之间的交叉点）认识的提高精神困扰），以帮助识别健康风险和寻求行为的健康服务。