The second reason was linked to higher vulnerability and lower levels of physical and psychological well-being in medical university students than the others . As reported in Supe’s research [8], higher levels of stress were found in medical students who used the coping strategies as positive reappraisal, accepting responsibility, and planful problem solving, whilst lower levels of stress were noted in medical students who adopted the escaping strategy and distancing from difficult situations. More recently, some researchers discovered that medical university students with low levels of resilience but high levels of optimism showed a great psychological well-being