Salud Mental

Validation of a Scale to Measure the Psychological Well-being of Physiotherapists in Training at a Public University in Mexico

##plugins.themes.bootstrap3.article.main##

Fernando Flores Hernández
Xochiquetzalli Tejeda-Castellanos
Tania Vives Varela
Manuel Millán Hernández
Luis Alberto Luja Ramírez
Claudia Gutiérrez Camacho

Abstract

Introduction. According to the eudaimonic theory proposed by Carol Ryff, psychological wellbeing involves achieving fulfillment through the search for perfection and realizing one’s potential. However, some scales do not clearly differentiate levels of wellbeing and must be adapted for specific populations, such as Mexicans.

Objective. To validate the Ryff wellbeing scale in physiotherapy students and obtain its psychometric properties.

Method. The scale was administered to 196 students in the bachelor’s degree program in physiotherapy at the National Autonomous University of Mexico (UNAM). Adjustment values and explained variance were determined through exploratory and confirmatory factor analysis, and internal consistency was obtained through Cronbach’s Alpha. ANOVA was used to determine the discrimination of the items and dimensions of the scale.

Results. An instrument with a solid structure, variance, internal consistency, and adequate discrimination was obtained.

Discussion and conclusion. This study enabled us to establish six aspects of wellbeing in physiotherapy students: personal growth, self-acceptance, self-control, maintaining positive relationships with others, personal interaction, professional relationships and future, and purpose in life.

Keywords:
Psychological wellbeing, physiotherapy, university students, public university, wellbeing scale

References

Afridi, A., & Fahim, M. F. (2019). Identification of stressors and Perceptional difference of stress in first and final year Doctor of Physical Therapy students; a comparative study. JPMA. The Journal of the Pakistan Medical Association, 69(4), 572–575.

Aranguren, M., & Irrazabal, N. (2015). Estudio de las propiedades psicométricas de las escalas de bienestar psicológico de Ryff en una muestra de estudiantes argentinos. CienciasPsicológicas, 9(1), 73–83.

Baik, C., Larcombe, W., & Brooker, A. (2019). How universities can enhance student mental wellbeing: the student perspective. Higher Education Research & Development, 38(4), 674–687. https://doi.org/10.1080/07294360.2019.1576596

Browne, V. (2017). Under the Radar: The Mental Health of Australian University Students. The Australian and New Zealand Student Services Association, 25(2), 51–62. https://doi.org/10.30688/janzssa.2017.16

Díaz, D., Rodríguez-Carvajal, R., Blanco, A., Moreno-Jiménez, B., Gallardo, I., Valle, C., & van Dierendonck, D. (2006). Adaptación española de las escalas de bienestar psicológico de Ryff. Piscothema, 18(3), 572–577.

Dominguez-Lara, S., Romo-González, T., Palmeros-Exsome, C., Barranca-Enríquez, A., del Moral-Trinidad, E., & Campos-Uscanga, Y. (2019). Análisis estructural de la Escala de Bienestar Psicológico de Ryff en universitarios mexicanos. Liberabit: Revista Peruana de Psicología, 25(2), 267–285. https://doi.org/10.24265/liberabit.2019.v25n2.09

Fichardt, A. E., Janse Van Vuuren, C., & van der Merwe, L. (2023). Psychological well-being, stressors, coping strategies and support of undergraduate healthcare students amid COVID-19. Health SA Gesondheid, 28. https://doi.org/10.4102/hsag.v28i0.2340

Flores Hernández, F., Morales López, S., Ramos Castillo, Y. O., Vives Varela, T., & Millán-Hernández, M. (2023). Adaptation of the Psychological Wellbeing Scale in Mexican medical students. Salud Mental, 46(2), 89–95. https://doi.org/10.17711/sm.0185-3325.2023.012

Garcia, D., Kazemitabar, M., & Asgarabad, M. H. (2023). The 18-item Swedish version of Ryff’s psychological wellbeing scale: psychometric properties based on classical test theory and item response theory. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1208300

Hodselmans, A., Hemdal, E., Lundberg, S., Bjarnegård, A., Hobbelen, H., & Svantesson, U. (2018). Physiotherapy students’ perceived stress, stressors, and reactions to stressors: A comparative study between Sweden and The Netherlands. Physiotherapy Theory and Practice, 34(4), 293–300. https://doi.org/10.1080/09593985.2017.1390805

Jacob, T., Itzchak, E. B., & Raz, O. (2013). Stress among healthcare students – A cross disciplinary perspective. Physiotherapy Theory and Practice, 29(5), 401–412. https://doi.org/10.3109/09593985.2012.734011

Larcombe, W., Finch, S., Sore, R., Murray, C. M., Kentish, S., Mulder, R. A., Lee-Stecum, P., Baik, C., Tokatlidis, O., & Williams, D. A. (2016). Prevalence and socio-demographic correlates of psychological distress among students at an Australian university. Studies in Higher Education, 41(6), 1074–1091. https://doi.org/10.1080/03075079.2014.966072

Lee, E., & Carey, T. (2013). Eudaimonic Wellbeing as a Core Concept of Positive Functioning. MindPad Notes d’idées, 17–20.

Morales-Rodríguez, F. M., Espigares-López, I., Brown, T., & Pérez-Mármol, J. M. (2020). The Relationship between Psychological Well-Being and Psychosocial Factors in University Students. International Journal of Environmental Research and Public Health, 17(13), 4778. https://doi.org/10.3390/ijerph17134778

Pethtel, O., & Chen, Y. (2010). Cross-cultural aging in cognitive and affective components of subjective well-being. Psychology and Aging, 25(3), 725–729. https://doi.org/10.1037/a0018511

Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological wellbeing revisited. Journal of Personality and Social Psychology, 69(4), 719–727. https://doi.org/10.1037/0022-3514.69.4.719

Sasaki, N., Watanabe, K., Imamura, K., Nishi, D., Karasawa, M., Kan, C., Ryff, C. D., & Kawakami, N. (2020). Japanese version of the 42-item psychological wellbeing scale (PWBS-42): a validation study. BMC Psychology, 8(1), 75. https://doi.org/10.1186/s40359-020-00441-1

Springer, K. W., Pudrovska, T., & Hauser, R. M. (2011). Does psychological well-being change with age? Longitudinal tests of age variations and further exploration of the multidimensionality of Ryff’s model of psychological well-being. Social Science Research, 40(1), 392–398. https://doi.org/10.1016/j.ssresearch.2010.05.008

Stallman, H. M. (2010). Psychological distress in university students: A comparison with general population data. Australian Psychologist, 45(4), 249–257. https://doi.org/10.1080/00050067.2010.482109

Topp, C. W., Østergaard, S. D., Søndergaard, S., & Bech, P. (2015). The WHO-5 Well-Being Index: A Systematic Review of the Literature. Psychotherapy and Psychosomatics, 84(3), 167–176. https://doi.org/10.1159/000376585

Tucker, B., Jones, S., Mandy, A., & Gupta, R. (2006). Physiotherapy students' sources of stress, perceived course difficulty, and paid employment: Comparison between Western Australia and United Kingdom. Physiotherapy Theory and Practice, 22(6), 317–328. https://doi.org/10.1080/09593980601059550

Van Dierendonck, D. (2004). The construct validity of Ryff's Scales of Psychological Well-being and its extension with spiritual well-being. Personality and Individual Differences, 36(3), 629–643. https://doi.org/10.1016/s0191-8869(03)00122-3

Vences Camacho, K. A., Márquez Gómez, J. O., & Cardoso Jiménez, D. (2023). Bienestar psicológico en estudiantes universitarios de nuevo ingreso. RIDE Revista Iberoamericana para la Investigación y el Desarrollo Educativo,13(26). https://doi.org/10.23913/ride.v13i26.1385

Walsh, J., Feeney, C., Hussey, J., & Donnellan, C. (2010). Sources of stress and psychological morbidity among undergraduate physiotherapy students. Physiotherapy, 96(3), 206–212. https://doi.org/10.1016/j.physio.2010.01.005

Waterman, A. S. (1993). Two conceptions of happiness: Contrasts of personal expressiveness (eudaimonia) and hedonic enjoyment. Journal of Personality and Social Psychology, 64(4), 678–691.