title: Social support contributes to resilience among physiotherapy students: a cross sectional survey and focus group study.
abstract: OBJECTIVE
  The present study, taking a resource-oriented approach to mental health, aimed at investigating mental resilience and its determinants among undergraduate physiotherapy students using quantitative and qualitative tools.
  
  
  METHODS
  A questionnaire-based cross-sectional survey supplemented by 2 focus groups.
  
  
  METHODS
  One university in Hungary.
  
  
  METHODS
  130 physiotherapy students at years 1, 2, and 3.
  
  
  METHODS
  Sense of coherence, a measure of dynamic self-esteem, as well as social support from family and peers were used to assess mental well-being. A screening instrument for psychological morbidity and perceived stress were used as deficiency-oriented approaches. Student opinions were gathered on positive and negative determinants of mental health.
  
  
  RESULTS
  Resilience was lower [mean difference 4.8 (95% CI -3.4; 13.1)], and the occurrence of psychological morbidity (32.5% vs. 0%) was higher among female compared to male students. However, the proportion of students fully supported by their peers was higher among females (63% vs. 37.5%). Female students, unlike their male counterparts, experienced higher stress compared to their peers in the general population. Social support declined as students progressed in their studies though this proved to be the most important protective factor for their mental well-being.
  
  
  CONCLUSIONS
  Results were fed back to the course organizers recommending the implementation of an evidence-based method to improve social support as delineated by the Guide to Community Preventive Services of the US the outcomes of which are to be seen in the future.
authors.affiliation: Division of Health Promotion, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai st. 26/b, H-4028 Debrecen, Hungary(2). Electronic address: biro.eva@sph.unideb.hu.
authors.forename: Éva
authors.initials: É
authors.lastname: Bíró
authors.affiliation: Department of Physiotherapy, Faculty of Public Health, University of Debrecen, Kassai st. 26/b, H-4028 Debrecen, Hungary(2). Electronic address: balajti.ilona@sph.unideb.hu.
authors.forename: Ilona
authors.initials: I
authors.lastname: Veres-Balajti
authors.affiliation: Division of Health Promotion, Department of Preventive Medicine, Faculty of Public Health, University of Debrecen, Kassai st. 26/b, H-4028 Debrecen, Hungary(2). Electronic address: kosa.karolina@sph.unideb.hu.
authors.forename: Karolina
authors.initials: K
authors.lastname: Kósa
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008603:Mental Health; D010379:Peer Group; D026761:Physical Therapy Specialty / Q000193:education*; D055500:Resilience, Psychological; D012737:Sex Factors; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology; D013334:Students / Q000523:psychology*; D014495:Universities; D055815:Young Adult
keywords: Mental health; Physiotherapy students; Psychological resilience; Social support