ʻO ka hoʻomaʻamaʻa māmā kahi ala e mālama ai i ka maʻi maʻi o ka wā (SAD) a me kekahi mau kūlana ʻē aʻe ma o ka ʻike ʻana i ke kukui artificial.ʻO SAD kahi ʻano o ke kaumaha i loaʻa i kekahi manawa i kēlā me kēia makahiki, maʻamau i ka hāʻule a i ʻole ka hoʻoilo.
ʻOi aku ka maikaʻi o ka hoʻomaʻamaʻa māmā inā loaʻa iā ʻoe ka hui kūpono o ka ikaika māmā, ka lōʻihi a me ka manawa.