Resilience Enhancement Program Research Articles

Resilience enhancement program in smart grids by coordinating demand response and optimal reconfiguration during wildfires

Resilience enhancement program in smart grids by coordinating demand response and optimal reconfiguration during wildfires

Culturally-adapted resilience-building curriculum for medical students: a comprehensive approach at Showa University School of Medicine, Japan

The growing prevalence of psychological morbidity, depersonalization, and low personal accomplishment among medical students underscores the need for resilience-enhancing programs tailored to their specific needs. Incorporating cultural perspectives and societal context into these interventions is crucial to ensure their effectiveness and relevance. In response, Showa University School of Medicine in Japan has pioneered a culturally-adapted, resilience-based curriculum for medical students from their first through sixth years since 2020.
 This presentation will outline the comprehensive framework of the resilience-focused curriculum, including course objectives, content, learning resources, timetables, and pedagogical approaches. Key components of the curriculum encompass self-assessment and reflection, stress management strategies, effective communication and conflict resolution skills, and fostering a growth mindset. Additionally, interdisciplinary collaborations with psychology and social work departments provide individual supports and resources for students.
 Emphasizing the distinct challenges faced by medical students, such as academic stressors, relationships with senior clinical educators, patient and family interactions, and managing errors and burnout, the presentation will highlight the classes on the curriculum, support systems and mentorship programs in promoting mental well-being and resilience.
 The experiences and outcomes of the 2020-2022 cohorts will be shared, offering valuable insights into the effectiveness of the resilience-building curriculum in the Japanese context. Lessons learned from the implementation process, including challenges faced and strategies employed, will provide practical examples for other medical schools seeking to develop similar programs.

Regulatory mechanisms for climate-resilient urban energy systems

Disruptions to customer services are largely caused by weather-related blackouts. As a result, grid operators face a number of problems when operating grids under severe weather circumstances. A smart grid's capability of resiliency and profit can be increased through resilience enhancement programs (REPs) in the present study. This method improves resilience through the simulation of outages caused by weather, which is followed by rescheduling distribution networks and energy storage facilities, shifting loads, and dynamically recalibrating distribution networks as needed. The study examines per-hour variations in weather-dependent error likelihoods. In REPs, sources are rescheduled and appropriate reconfigurations are selected to minimize weather impacts in advance of the occurrence of a fault. It is likewise possible to isolate faulty components following a fault that has been initiated through reconfiguration. From the perspective of the system operator, the objective of the suggested method is to minimize the operating costs of the distribution networks and compensate for expenses associated with unsupplied power, and to maximize the profits of the electricity resource owners. The optimal result from a Pareto optimal set is determined by a multi-objective optimization algorithm utilizing particle swarm optimization (PSO). Measures for assessing resilience have been used for evaluating the effectiveness and impact of the suggested REPs. Simulations have proven that the suggested scheme is more efficient than conventional grids in cases of severe weather.

Evaluating the Emotion Regulation Program on Enhancing Family Resilience

The study aimed to explore the effectiveness of emotion regulation program in enhancing family resilience. By comparing the outcomes between experimental and control groups, the research sought to determine the intervention's impact on improving the resilience levels within family units. A total of 40 participants were divided equally into experimental and control groups. The experimental group underwent a emotion regulation program designed to enhance family resilience, while the control group did not receive any intervention. Family resilience was measured for both groups at three time points: pre-test, post-test, and follow-up, using standardized resilience assessment tools. The study employed descriptive statistics, analysis of variance with repeated measurements, and the Bonferroni post-hoc test to analyze the data. The findings indicated significant improvements in family resilience scores for the experimental group from pre-test to post-test, which were largely maintained at follow-up. The analysis of variance revealed significant time, group, and time × group interaction effects, underscoring the intervention's effectiveness. The Bonferroni post-hoc test further confirmed the sustainability of these improvements over time. The study concludes that the emotion regulation program was effective in enhancing family resilience among the participants in the experimental group, with these improvements being sustained over time. These results suggest the potential utility of such interventions in fostering resilience within family units, highlighting the importance of targeted psychological support in resilience enhancement programs.

Resilience of family caregivers of PwD in Korea: A scoping review

AbstractBackgroundFamily caregivers play a important role in living the journey of life of person with dementia through their involvement in caregiving as in informal carers in South Korea. The aim of this scoping review was to examine research theory, measurement instruments, correlates, interventions, and outcomes of resilience for family caregivers of persons with people with dementia (PwD).MethodThis scoping review was conducted according to Arksey and O'Malley’s scoping review framework and Joanna Briggs Institute’s manual for scoping reviews. Multiple databases, including Ovid‐MEDLINE, Ovid‐EMBASE, PsycINFO, CINAHL and Korean databases were searched using controlled vocabulary and text words. Two review authors independently screened and selected relevant studies.ResultMultiple database search identified 18 studies, published between January 2000 and February 2022. Most studies (72.2%) used theoretical framework, such as modified McCubbin and McCubbin’s Family stress, adjustment, and adaptation model and Walsh’s Family resilience model. Eight measurement instruments have been applied to measure the resilience for family caregivers of PwD. However, all the used instruments were not conducted the cross‐cultural adaptation and construct validation in Korean family caregivers of PwD. Moreover, some studies (4 of 18 studies) were used resilience tool focused the individual level rather than family and community levels.ConclusionThis review findings indicate that more rigorous research is needed to measure family resilience using cross‐cultural adapted and validated tools and to test the guided theory for family caregiver of PwD, considering Korean cultural and social context. Moreover, family resilience enhancement programs, considering identified correlates in this review are needed to develop and implement to help family caregiver achieve coping and adaptation with persistent distress in caregiving for their PwD.

Vulnerability and resilience to food and nutrition insecurity: A review of the literature towards a unified framework

Current approaches to measuring food and nutrition security (FNS) mainly consider past access to food, while assessing vulnerability and resilience to food insecurity requires a dynamic setting and sound predictive models, conditional to the entire set of food-related multiple-scale shocks and stresses as well as households’ characteristics. The aim of this work is twofold: i) to review the state of the relevant literature on the conceptualization and the empirical measurement of vulnerability and resilience to food insecurity; ii) to frame the main coordinates of a possible unifying framework aiming at improving ex-ante targeting of policy interventions and resilience-enhancing programs. Our argument is that clarifying the relationships existing between vulnerability and resilience provides a better understanding and a more comprehensive picture of food insecurity that includes higher-order conditional moments and non-linearities. Furthermore, adopting the proposed unified framework, one can derive FNS measures that are: scalable and aggregable into higher-level dimensions (scale axiom); inherently dynamic (time axiom); conditioned to various factors (access axiom); applicable to various measures of food and nutrition as dependent variables (outcomes axiom). Unfortunately, the proposed unified framework shows some limitations. First, estimating conditional moments is highly data-demanding, requiring high-quality and high-frequency micro-level panel data for all the relevant FNS dimensions, not mentioning the difficulty of measuring risks/shocks and their associated probabilities using short panel data. Hence, there is a general issue of applicability of the proposed approach to typically data-scarce environments such as developing contexts. Second, there is an inherent tradeoff between the proposed approach in-sample precision and out-of-sample predictive performance. This is key to implement effective early warning systems and foster resilience-building programs.

Global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic: A meta-analysis

ObjectiveTo estimate the global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic. MethodsEmbase, Ovid-MEDLINE, PubMed, Scopus, Web of Science, CINAHL, WHO COVID-19 databases, and grey literature were searched for studies from January 1, 2020, to August 22, 2022. Hoy's assessment tool was used to assess for risk of bias. Meta-analysis and moderator analysis was performed using the Generalized Linear Mixed Model with a corresponding 95 % confidence interval (95 % CI) adopting the random-effect model in R software. Between-study heterogeneity was measured using I2 and τ2 statistics. ResultsOverall, 44 studies involving 51,119 participants were identified. The pooled prevalence of low resilience was 27.0 % (95 % CI: 21.0 %–33.0 %) with prevalence among the general population being 35.0 % (95 % CI: 28.0 %–42.0 %) followed by 23.0 % (95 % CI: 16.0 %–30.9 %) for health professionals. The 3-month trend analysis of the prevalence of low resilience beginning January 2020 to June 2021 revealed upward then downward patterns among overall populations. The prevalence of low resilience was higher in females, studied during the delta variant dominant period, frontline health professionals, and undergraduate degree education. LimitationsStudy outcomes showed high heterogeneity; however, sub-group and meta-regression analyses were conducted to identify potential moderating factors. ConclusionsGlobally, 1 out of 4 people among the general population and health professionals experienced low resilience due to COVID-19 adversity. The prevalence of low resilience was twice as much among the general population compared to health professionals. These findings provide information for policymakers and clinicians in the development and implementation of resilience-enhancing programs.

Examining a Resilience Mental Health App in Adolescents: Acceptability and Feasibility Study.

Resilience is defined as the ability to rely on internal characteristics and external strengths to adapt to adverse events. Although universal resilience-enhancing programs are effective for adolescents, there is a need for interventions that are more easily accessible and can be customized for individual teens. Phone apps are easy to use, can be tailored to individuals, and have demonstrated positive effects for mental health outcomes. This study aimed to examine the feasibility and acceptability of a resilience app for adolescents. This app aimed to enhance resilience through modules focused on depression prevention, stress management, and healthy lifestyle approaches containing videos, measures, and practice suggestions. Furthermore, the study aimed to evaluate the effect of short-term app use on changes in resilience. In study 1, individual interviews and focus groups were conducted with adolescents, parents, teachers, and clinicians to discuss possible incentives for using a mental health app, the benefits of app use, and concerns associated with app use. Feedback from study 1 led to ideas for the prototype. In study 2, individual interviews and focus groups were conducted with adolescents, parents, teachers, and clinicians to gather feedback about the resilience app prototype. Feedback from study 2 led to changes in the prototype, although not all suggestions could be implemented. In study 3, 40 adolescents used the app for 30 days to determine feasibility and acceptability. Additionally, resilience and secondary mental health outcomes were measured before and after app use. Dependent samples 2-tailed t tests were conducted to determine whether there were changes in resilience and secondary mental health outcomes among the adolescents before and after app use. Multiple themes were identified through study 1 individual interviews and focus groups, including app content, features, engagement, benefits, concerns, and improvement. Specifically, the adolescents provided helpful suggestions for making the prototype more appealing and functional for teen users. Study 2 adolescents and adults reported that the prototype was feasible and acceptable through the Computer System Usability Questionnaire (mean 6.30, SD 1.03) and Mobile App Rating Scale (mean 4.08, SD 0.61). In study 2, there were no significant differences in resilience and mental health outcomes after using the app for 30 days. There was variation between the participants in the extent to which they used the app, which may have led to variation in the results. The users appeared to prefer the depression module and survey sections, which provided mental health feedback. Qualitative and quantitative data provide evidence that youth are interested in a resilience mental health app and that the current prototype is feasible. Although there were no significant mental health changes in study 3 users, practical implications and future directions are discussed for mental health app research.

An integrative review of resilience among nursing students in the context of nursing education.

This integrative review aimed to examine empirical research on resilience among nursing students in the context of nursing education. Resilience helps nursing students handle challenges, such as changing learning styles and experiencing their first clinical practice. An integrative review. The search terms focused on resilience and health in nursing students and nursing education. The database used in this review were CINAHL Plus, PubMed and MEDLINE. The Mixed Methods Appraisal Tool appraised the studies' quality. This study explored 52 records and revealed three current research focuses related to nursing students' resilience: (1) the concept and description of resilience, (2) the characteristics affecting resilience and (3) the mediating role of resilience in maintaining holistic health. Recommendations include adding a resilience topic to the nursing curriculum, providing resilience enhancement programs, examining the relationship between resilience and holistic health and exploring the influence of resilience about global health crises. Resilience among nursing students plays a vital role in helping them to overcome adversities during their nursing education. Additionally, after graduation, nursing students can continue contributing to society as resilient Registered Nurses in the future.

Further Examination of the Psychometric Properties of the Current Experiences Scale and Model of Resiliency.

BackgroundStress-related disease is increasing, with high resilience proposed as protective. Whilst the Current Experiences Scale (CES) shows promise as a measure of resilience, its psychological correlates and relationship to psychological stress remain unclear.Objectives(1) Further explore the psychometric properties of the CES, (2) identify modifiable psychological factors associated with the CES and (3) test a previously published model for the influence of adaptive strategies and stress management factors on resiliency and stress.MethodsN = 455 individuals (mean age = 47.8, 65.1% female) completed measures of adaptive strategies: mindfulness (Cognitive and Affective Mindfulness Scale-Revised), positive affect (Positive and Negative Affect Schedule) and gratitude (The Gratitude Questionnaire), stress management skills: coping (Measure of Current Status-A), depression (Patient Health Questionnaire-8) and anxiety (General Anxiety Disorder Assessment) and outcomes: resilience (CES) and stress (Perceived Stress Scale). Cronbach’s alpha and confirmatory factor analysis (CFA) examined the psychometric properties of the CES. Multivariable regression identified psychological variables associated with resilience. Structural equation modelling (SEM) tested the previously published model for resilience.ResultsThe CES and its subscales showed good internal consistency (ɑ = .75-.93). The 23-item CES produced excellent results for model fit (Root Mean Square Error of Approximation (RMSEA) = .07, Standardized Root Mean Square Residual (SRMR) = .06, Comparative Fit Index (CFI) = .99; Tucker-Lewis Index (TLI) = .99). Higher gratitude (P < .0001), mindfulness (P < .0001), positive affect (P < .0001) and coping (P < .0001) were associated with higher resilience. Depression (P = .23) and anxiety (P = .34) were not. A model of resilience which included gratitude, mindfulness, positive affect and coping as determinants of resilience and perceived stress performed well (RMSEA = .03, SRMR = .02, CFI = .99; TLI = .99).ConclusionsThe CES was validated in a large sample. The association of gratitude, mindfulness, positive affect and coping with resilience may guide practitioners seeking to design resilience-enhancing programs.

Resilience enhancing programs in the U.S. military: An exploration of theory and applied practice

ABSTRACT U.S. service members are at an enhanced risk for developing mental disorders. To address these challenges, while promoting operational readiness and improving mental health outcomes, the Department of Defense directed each service component to develop and implement universal resilience enhancing programs. This paper provides a review of theoretical approaches conceptualizing resilience to trauma, including the theoretical foundations of programs currently in place. The resilience programs of U.S. Army, U.S. Air Force, U.S. Navy and U.S. Marine Corps are described, and available program effectiveness data are reviewed. Gaps between theory and practice are identified and an alternative method of assessing psychological readiness in Army units that is informed by resilience theory is offered as one way to address these gaps and scientific concerns. By comprehensively assessing the stressors affecting Soldiers at regular intervals, military leaders may be able to better identify and mitigate stressors in a systematic way that bolsters individual and unit psychological fitness. An enhanced psychological readiness metric stands to strengthen the validity of current resilience programs, bring clarity to the mechanisms of resilience, and provide a novel way for leaders to promote readiness in their units. Application of this metric within the infrastructure of existing reporting systems stands to improve mental health outcomes for Service Members, enhance the psychological readiness of the force, and reduce healthcare costs over time.

Risk perception of earthquakes: Modeling conception of willingness to pay and prospect theory

Natural disasters have greatly threatened people's lives and properties. In recent years, disaster management has become a key issue for the sustainable development of a society. In this regard, understanding how people perceive disasters is needed to formulate better disaster management strategies and enhance the resilience of the society. This research seeks to study risk perception and relevant attitudes, which are the fundamental factors of human behavior under the threat of disaster impact. A stated preference survey is conducted to investigate people's willingness to pay for earthquake risk reduction, where the effect of information is also the concern and incorporated in survey design. Thereupon, a multiple-bounded dichotomous choice model and an ordered probit model are estimated to quantify risk attitudes toward earthquakes as the monetary value. Results suggest that factors, such as higher socioeconomic status, more family members, and the residence aged above 40 years old, have positive effects on risk perception. In addition, presenting previous earthquake disaster damage information may increase individuals' risk perception. The prospect theory is employed in the study to establish a theoretical model to capture people's risk-seeking and/or risk-averse behavior, thereby more sophisticatedly reflecting the behavioral realism related to disaster preparedness. Based on the improved understanding of risk perception and relevant attitudes, the associated authorities may be able to develop solid resilience-enhancement programs and more effectively strengthen disaster response efficiency, thereby minimizing the damages and injuries caused by earthquakes.

Adaptive challenges of curriculum implementation for enhancing medical student resilience at Showa University in Japan

It has been consistently reported that medical students experience a high rate of psychological morbidity, depersonalization, and low personal accomplishment around the world. Under the circumstances, resilience-enhancing programs have been gathering attention and partially implemented even in Japan. However, most of the programs just imitate resiliency programs in North America even though studies have indicated that there are cultural differences between East Asia and North America in the capacity to cope with a stressful situation. The presenters investigated what factors might affect the similarities or differences in the perception of resilience among experienced palliative care physicians in Canada and Japan in 2017-2018. This study showed that Japanese physicians are more likely to rely on “Relationships” with other persons such as family members, friends, mentors or colleagues; in contrast, Canadian physicians tended to be more focused on individual factors such as “Autonomy” and “Confidence”. As a result, the presenters at Showa University School of Medicine in Japan have implemented a progressively advancing resiliency program in a passed manner for the 1st through 6th year medical students as part of a new curriculum. This represents one of the most drastic revisions of curriculum in the school’s history. This presentation will introduce a course for resiliency programs as part of a new curriculum, including course description, course content, educational objectives, instructional strategies and the tips for the classroom teaching and learning.

A Study on the Development of Resilience Enhancement Program for Ex-prisoners

A Study on the Development of Resilience Enhancement Program for Ex-prisoners

PROMOTING PSYCHOLOGICAL RESILIENCE: PRESCHOOL TEACHERS' PERSPECTIVES

The present paper aims to explore preschool teachers’ perspectives on the protective factors of preschool children’s psychological resilience. The sample consisted of 156 preschool teachers. The data collection method was a questionnaire which was based on the theoretical background of psychological resilience. In particular, the perspectives of preschool teachers on the intra-individual, family and school factors that are considered resilience-enhancing were explored. The analysis of the research data shows that the teachers of the sample consider that parents’ involvement in the development of children, parents’ emotion understanding skills, communication within family and support from family members are among the main family factors that contribute to the development of psychological resilience of preschool children. As far as the intra-individual protective factors are concerned, problem solving skills, self-esteem and decisiveness are regarded as the most significant. Teacher support, school safety and positive relationships within the peer group are among the school factors that are considered that can serve as protective factors for promoting psychological resilience of preschool children. The extent to which teachers regard that psychological resilience is a stable characteristic has an effect on their perceptions about the significance of the protective factors.The above findings can contribute to the design and development of psychological resilience-enhancing programs.

The Relationship between Resilience and Burnout of Health Staff at COVID-19 Dedicated Hospitals: A case study of Afghan-Japan Hospital

Job burnout is a decrease in a person’s ability to adjust with internal and external stressors of the organization. However, resilience is the ability to withstand adversity and bounce back from difficult life events. The main purpose of this study was to find out the relationship between resilience and burnout among health staff in Afghan-Japan Hospital, the first dedicated hospital for COVID-19 in Afghanistan. Descriptive-correlational design was used in this study. All the doctors and nurses working in Afghan-Japan hospital constituted the population of the study and for data collection, the Connor and Davidson Resilience Scale (2003) and the Maslach Burnout inventory (MBI) are applied. The results showed that the health staff of the Afghan-Japan Hospital had low resilience and moderate and severe burnout in the dimensions of job burnout. There was also a significant negative relationship between resilience and burnout (r= -0.859, P = 0.000). As a result, it can be claimed that resilience is a good predictor of burnout and managers can use to reduce the rate of burnout of the health staff by resilience enhancement programs.

Multi-objective resilience enhancement program in smart grids during extreme weather conditions

Weather based electrical power outages cover a huge part of consumer interruptions. So, reliable-economical operation of grids during extreme weather conditions is one of challenges for grid operators. In this regard, this paper proposes resilience enhancement programs in order to increase resilience and economic profits in a smart grid. In proposed approach, resilience improvement is done by modeling weather effects on branches outages and then re-scheduling of distributed energy resources and energy storages, load shifting and dynamic reconfiguration of distribution network. In this paper, hourly variation of weather depended failure probabilities are considered. Resilience enhancement programs aim to mitigate effects of events which may cause by extreme weather before fault inception by rescheduling of resources and selecting suitable reconfigurations. Also, reconfiguration isolates damaged parts after fault inception. The objectives in the proposed approach are defined as minimizing operational cost of distribution network and energy not supplied penalty costs from the system operator’s viewpoint, as well as, maximizing benefits of energy resources owners by considering weather conditions. A multi-objective optimization algorithm based on genetic algorithm and epsilon constraint method using fuzzy decision maker is employed to choose the best solution from a provided Pareto optimal set. In order to evaluate performance of proposed resilience enhancement programs and its effect, resilience assessment metrics are studied. Various simulations prove the efficiency of proposed model in compare with traditional grid during extreme weather conditions.

Development and Evaluation of Resilience Enhancement Program Applying Mindfulness Meditation in Patients with Ileostomy

The purpose of this study was to develop a resilience enhancement program applying mindfulness meditation (REP-MM) and evaluate the effects of the program on post-traumatic stress (PTS), resilience, and health-related quality of life (HRQoL) in patients with ileostomy. The REP-MM was developed by combining the resilience enhancement program with mindfulness meditation according to four patterns. The program was developed through identifying patients' needs, reviewing relevant literature, developing a preliminary program, and testing content validity and user evaluation. The participants were 55 patients with ileostomy. We conveniently assigned 27 patients to the experimental group and 28 to the control group. The study was conducted in conducted in a hospital from January 22 to May 30, 2019. The REPMM was provided to the experimental group, and conventional ileostomy care was provided to the control group using a nonequivalent control-group pretest-posttest design. ANCOVA revealed that the levels of PTS (F = 321.64, p < .001), resilience (F = 111.86, p < .001), and HRQoL (F = 31.08, p < .001) in the experimental group were higher than those in the control group when comparing pretest to posttest changes. The REP-MM is effective in PTS, resilience, and HRQoL in patients suffering from post-stoma creation crisis. The REP-MM can induce positive self-recognition changes in patients with ileostomy through dispositional, situational, relational, and philosophical interventions. We suggest nurses reduce PTS and improve resilience and HRQoL in patients with ileostomy.

리더의 관리자 코칭행동이 구성원의 혁신행동에 미치는 영향 : 회복탄력성과 직무재창조의 다중매개효과를 중심으로

The purpose of this study is to verify the mediation effect of resilience and job crafting in the relationship between leader’s managerial coaching behavior and subordinates" innovative behavior to present practical methods to strengthen employees’ innovative behavior. The data were collected by online surveys of 297 office workers who have served in various domestic organizations and hypothesis were set based on affective events theory, psychological resource theory and prior researches. The reliability and validity of the collected data were verified by SPSS 25.0 and AMOS 25.0, and the hypothesis was analyzed by SPSS process macro 3.0. The result of this study indicate are as follow; First, leader’s managerial coaching behaviors have a significantly positive effect on innovative behavior, resilience, job crafting of subordinates. Second, mediating and multiple mediating role of resilience and job crafting were found in the relationship between the leader’s managerial coaching behavior and the innovative behavior. These results suggest that the leader’s managerial coaching behavior affects innovative behavior by improvement of resilience and job crafting. Resilience has a positive effect on job crafting and innovative behavior. We suggest that companies need to increase employees" innovative behavior by encouraging leader’s managerial coaching behaviors and resilience enhancement programs. Implications we suggest are as follow; the leaders, as a service providers’ perspective, should regard their subordinates as customers to afford coaching behavior for improvement of employees’ innovative behaviors. It is meaningful to reinterpreted service as human-centered social norm beyond service industries. Also this study is valuable to identify mediating and multiple mediating role of resilience and job crafting on the basis of affective events theory, psychological resource theory.

Association between Perceived Stress and Resilience among University Students

Background: Stress is not unfamiliar in our daily livings especially in student population. Undergraduate students tend to expose to stressors from various sources such as academic performances, family issues, financial problems and etc. Stress can be positive, keeping us alert and ready to avoid danger. In this context, resilience plays a vital role to allow students to overcome, adapt and cope well with the stresses. The aim of the study was to assess the level of perceived stress and resilience among university students and to determine the association and relationship between perceived stress and resilience. Methods: Perceived Stress Scale and Resilience Scale were distributed to the undergraduate students in a private university. An online questionnaire was also shared through social media for students to answer. Results: Overall, the mean age among the 355 participants were 20.83. Gender differences were found in stress and resilience level. Female were found to have higher PSS score (p=0.006) and lower RS score (p<0.001) compared to male. Pearson’s Correlation showed that there was a moderate negative association between perceived stress level and resilience among undergraduate students (p<0001). Null hypothesis was rejected. Conclusions: In conclusion, undergraduate students had moderate perceived stress and low resilience level. There were association between perceived stress level and resilience among undergraduates students. Thus, specific intervention such as stress management and resilience enhancement program can be conducted to improve the scenario.