Publications

Keywords: Chat GPT; policy; Gen AI; International Committee of Medical Journal Editors.
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JHSS 2025;10(2):122-154
ORIGINAL ARTICLE IN PSYCHOLOGY
The intersection of stress, loneliness, and mental health attitudes in young multinational corporation employees
Authors: Thuy Thi Thanh LE¹, Ha-Chau TRAN-NGOC^2*, Van-Nhi HO³, Bao-Nhu NGUYEN-HOANG⁴, Hoang-Anh Ngoc HO⁵, Van-Anh TRAN-DO^6,7
1.Faculty of Social Work, Vietnam Youth Academy, Hanoi, Vietnam. E-mail: thanhthuy09@gmail.com. ORCID: 0009-0000-5810-5452.
^2.Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: hctran.psych@gmail.com. ORCID: 0009-0001-3795-9915.
^3.Faculty of Social Sciences – Law, Hoa Sen University, Ho Chi Minh City, Vietnam. E-mail: hvnnhi2804@gmail.com. ORCID: 0009-0006-6561-6780.
^4.Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: nguyenhoangnhu2901@gmail.com. ORCID: 0009-0005-0913-6830.
^5.Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: hoanganhh22052004@gmail.com. ORCID: 0009-0009-6200-5142.
^6.Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: vananhtrando117@gmail.com. ORCID: 0009-0004-9879-6170.
^7.User Experience Research, Bosch Global Software Technology, Ho Chi Minh City, Vietnam. E-mail: anh.trandovan@vn.bosch.com.
*Corresponding Author: Ha-Chau Tran-Ngoc, Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: hctran.psych@gmail.com

Abstract

Introduction: Promoting psychological well-being in young multinational corporation (MNC) employees requires understanding the relationship between stress, loneliness, and mental health attitudes. However, existing research lacks a comprehensive analysis of how these factors interact and influence attitudes toward seeking psychological help. Addressing this gap is crucial for developing effective workplace mental health interventions.
Methods: Using a sample of 118 young MNC employees in Vietnam (64.4% Gen Z, 81.4% female, 11% LGBTQ+, 67.8% single), this study examines relationships between stress, loneliness, problematic internet use (PIU), and attitudes toward seeking psychological help, with tenure and remote work status as moderators. Data were analyzed using partial least squares structural equation modeling (PLS-SEM).
Results: Perceived stress is positively correlated with problematic internet use (PIU) and dissatisfaction with social relationships, while negatively correlated with social satisfaction. PLS-SEM revealed that perceived stress significantly predicted dissatisfaction with social relationships (β = 0.408, p < 0.001), which was strongly associated with PIU (β = 0.407, p < 0.001), indicating a maladaptive coping mechanism. Higher social dissatisfaction correlated with negative attitudes toward psychological help. Longer tenure was associated with reduced social dissatisfaction, whereas remote work intensified the loneliness–PIU relationship. Tenure (β = -0.209, p < 0.05) and remote work status (β = 0.216, p < 0.05) moderated the stress–loneliness and loneliness–PIU relationships, respectively.
Conclusion: These findings highlight the complex relationship between stress, loneliness, and workplace factors in young MNC workers. Addressing problematic internet use and improving psychological support may reduce stress and loneliness. Furthermore, tenure-related interventions could foster social well-being in corporate environments, emphasizing the need for targeted workplace mental health strategies.

Keywords: Attitudes; help-seeking attitudes; loneliness; multinational employees; problematic internet use; stress; workplace factors.
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JHSS 2025;10(2):155-169
ORIGINAL ARTICLE IN PUBLIC HEALTH
Social and individual risk factors of alcohol and drug use among emerging adults in a nightlife setting
Authors: Antonina CONTINO¹, Marco CODARIN², Umberto ALBERT^3,4, Francesco MARCATTO⁵, Stefano PASSINI⁶, Thomas WEST⁷, Lorenzo SILVESTRI⁸, and Lisa DI BLAS^9*
1 Addiction Department, Azienda Sanitaria Giuliano-Isontina-ASUGI, Trieste, Italy. E-mail: antonina.contino@asugi.sanita.fvg.it
^2. Soc.Cooperativa Sociale “La Quercia”, Trieste, Italy. E-mail: marco.codarin@cooperativalaquesrcia.it
^3. Department of Medicine, Surgery and Health Sciences, University of Trieste, Italy. E-mail: ualbert@units.it. ORCID: 0000-0001-9781-4219.
^4. Deaprtment of Mental Health, Azienda Sanitaria Giuliano-Isontina-ASUGI, Trieste, Italy.
^5. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: fmarcatto@units.it. ORCID: 0000-0003-0675-0876.
^6. Department of Education Studies, University of Bologna, Bologna, Italy. E-mail: s.passini@unibo.it. ORCID: 0000-0001-8887-0999.
^7. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: thomas.west@units.it.
^8. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: Lorenzo.silvestri@studenti.units.it
^9. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: diblali@units.it. ORCID: 0000-0002-1374-2535.
*Corresponding Author: Lisa Di Blas, Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: diblali@units.it

Abstract
Introduction: Regular alcohol consumption, binge drinking, and the use of psychoactive drugs reach their peak in emerging adulthood. Among other factors, socialization contexts such as nightlife and individual differences in personality and motives for drug use contribute to adolescents’ exposure to risk.
Methods: The current overnight project study was conducted in a summer nightlife setting. Italian adolescents aged 18 to 25 were invited to complete a short online survey about their lifetime, i.e., if ever used a substance, and past-month alcohol and drug use. A subsample also self-reported on a short Big Five personality measure, and another subsample on a measure of motives for drug use and perceived drug use among siblings and friends. A total of 770 people (54.8% females) provided valid self-reports.
Results: The prevalence of binge drinking, frequent alcohol use, stimulants, and club drugs use was higher in the nightlife sample compared to a normative sample, with significant odds ratios indicating moderate to high risk, particularly for the male nightlife population. The Big Five personality profiles helped distinguish between frequent alcohol use and binge drinking, between regular cannabis use and use of other drugs, including poly-drug use. In the case of stimulant use, socially oriented motives predominated, while in the case of regular cannabis use and poly-drug use in the past month, self-related motives such as coping with anxiety also emerged. Finally, drug users were 2 to 4 times more likely than their peers to report substance use among their friends.
Discussion: To date, no studies have been conducted in nightlife settings in Italy. The results of the present Overnight project confirm that the nightlife environment represents a risk factor for alcohol and substance use, and that personality and motives for substance use help identify young people at higher risk for substance misuse. Prevention projects can benefit from these findings.

Keywords: Big Five; binge drinking; drug use; nightlife; poly-drug use.
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JHSS 2025;10(2):170-184
ORIGINAL ARTICLE IN PSYCHIATRY AND PUBLIC HEALTH
Sociodemographic factors, migraine, major depressive disorder, and quality of life: A cross-sectional study
Authors: Norah S. ALZAYED¹, Abdel W AWADALLA^2*
1 Department of Psychiatry, King Fahad University Hospital, Khobar 31952, Saudi Arabia. E-mail: psycho_nora@hotmail.com. ORCID: 0009-0006-8910-5870.
² Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. King Fahad University Hospital, Khobar, 31952, Saudi Arabia. E-mail: awadal@yahoo.com. ORCID: 0009-0002-0688-3388.
*Corresponding Author: Abdel W Awadalla, Associate Professor, Department of Psychiatry, College of Medicine, Imam Abdulrahman Bin Faisal University. E-mail: awadal@yahoo.com

Abstract
Introduction: Migraine and major depressive disorder (MDD) represent significant global health burdens, with migraine affecting approximately 1 billion individuals worldwide and MDD being the leading cause of disability globally. These conditions frequently co-occur and profoundly impact quality of life (QOL) and suicide risk through complex bidirectional pathophysiological mechanisms. Understanding of sociodemographic influences remains limited in Middle Eastern populations, particularly Saudi Arabia.
Methods: A cross-sectional study was conducted across multiple mental health hospitals in Saudi Arabia, involving 205 participants stratified into migraine (n=60), MDD (n=64), and control (n=81) groups. Comprehensive sociodemographic data were collected. Clinical assessments utilized validated Arabic translations of WHOQOL-BREF and PHQ-9. Statistical analyses included univariate and multivariate logistic regression models to identify independent predictors of suicide risk.
Results: Significant sociodemographic disparities were observed. Age distribution differed markedly (p<.001), with median ages of 35.0 years in migraine, 36.5 years in MDD, and 27.0 years in controls. Gender distribution showed pronounced female predominance in migraine (75.0%) and MDD (51.6%) versus controls (43.2%) (p=.001). Unemployment rates were elevated in migraine (55.0%) and MDD (54.0%) groups versus controls (31.3%) (p=.005). Suicide risk scores were highest in migraine (median: 64.5), followed by MDD (63.0) and controls (51.0) (p<.001). High suicide risk prevalence was 25.0% in migraine, 19.0% in MDD, and 4.9% in controls. Multivariate analysis revealed depression severity as the sole independent predictor of suicide risk (coefficient=0.826, p<.001).
Discussion: Depression severity serves as the dominant independent predictor of suicide risk across migraine and MDD populations. Findings necessitate systematic depression screening in migraine management and integrated care approaches to mitigate suicide risk in vulnerable populations.

Keywords: Migraine, major depressive disorder, quality of life, suicide risk, sociodemographic factors.
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JHSS 2025;10(2):185-201
ORIGINAL ARTICLE IN PSYCHOLOGY
Validation of the Stress Mindset Measure (SMM) in an Italian sample: Practical utility of a short version
Authors: Irene FLOREAN^1*, Francesco MARCATTO², Silvia TRENTIN³, Barbara PENOLAZZI^4
1 Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: irene.florean@phd.units.it. ORCID: 0000-0001-9406-9794.
^2. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: fmarcatto@units.it. ORCID: 0000-0003-0675-0876.
^3. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: silvia.trentin2@phd.units.it. ORCID: 0009-0000-2779-7257.
^4. Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: bpenolazzi@units.it. ORCID: 0000-0001-8717-6233.
*Corresponding Author: Irene Florean, Department of Life Sciences, University of Trieste, Trieste, Italy. E-mail: irene.florean@phd.units.it

Abstract
Introduction: The Stress Mindset Measure (SMM) is a self-report scale assessing the extent to which individuals believe that the effects of stress are beneficial or harmful. It has been linked to physiological and behavioural outcomes relevant to wellbeing and validated across different languages and cultures. However, its factorial structure remains inconsistent across studies, raising questions about its optimal conceptualization. This study aimed to validate the SMM and examine its factorial structure in an Italian sample.
Methods: A sample of 215 adults completed the Italian version of the SMM, along with measures of perceived stress, life satisfaction, and self-efficacy. An Exploratory Factor Analysis (EFA) was conducted to investigate the SMM factorial structure emerging from the data. Confirmatory Factor Analyses (CFA) were then used to compare this model with the original unidimensional model and previously proposed two- and four-factor structures. Additional CFAs explored the psychometric properties of two shortened versions of the SMM. The practical utility of each model was evaluated
through regression analyses predicting adjustment outcomes.
Results: EFA supported a novel two-factor model distinguishing between beliefs about the effects of stress on learning/productivity and on health/wellbeing. CFA confirmed this model provided superior fit compared to alternative structures (CMIN/df = 1.21, RMSEA = 0.032). However, regression analyses indicated that the unidimensional model best predicted perceived stress (β = – .205), life satisfaction (β = .150), and self-efficacy (β = .229). A shortened version including only the four positively worded items (SMM-4P) showed strong psychometric properties and similar
predictive validity to the full unidimensional scale.
Discussion: Findings support the Italian adaptation of the SMM and suggest that the novel two factor solution may offer greater conceptual clarity. Nonetheless, the unidimensional structure remains more practical for predicting adjustment outcomes. The results also highlight the potential utility of the SMM-4P in time-constrained contexts such as clinical assessment.

Keywords: Stress Mindset Measure (SMM); Italian validation; factorial structure; predictive utility; Short Stress Mindset Measure (SMM-4P).
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JHSS 2025;10(2):202-215
ORIGINAL ARTICLE IN PSYCHOLOGY
Unpacking the relationship between parental and peer attachment and psychological burnout: The mediating roles of social-emotional competence and psychological basic needs
Authors: Pouya LOHRASBI¹, Shamin BIDSHAHRI ², Zahra MOHAMMADIAN³, Soraya MOHAMMADI⁴, Hamidreza ZAKERI^5*
1.Department of Psychology, Payame Noor University, Shiraz City, Iran. E-mail: lohrasbipouya@gmail.com. ORCID: 0009-0000-5822-28610.
^2.Department of Psychology, Azad University, Shiraz City, Iran. E-mail: Shamim.bidshahri@gmail.com. ORCID: 0009-0000-4670-8504.
^3.Department of Psychology, Azad University, Shiraz City, Iran. E-mail: zh.mohamadian@gmail.com. ORCID: 0009-0004-2417-8716.
^4.Department of Psychology, Azad University, Shiraz City, Iran. E-mail: sorayamohamadi2097@gmail.com. ORCID: 0009-0009-9773-3393.
^5.Department of Psychology, Apadana Institute of Higher Education, Shiraz City, Iran. E-mail: hzakeri55@yahoo.com. ORCID: 0009-0009-9915-07910.
*Corresponding Author: Hamidreza Zakeri, Department of Psychology, Apadana Institute of Higher Education, Shiraz City, Iran. E-mail: hzakeri55@yahoo.com

Abstract
Introduction: Psychological burnout constitutes a major concern in the field of positive psychology, particularly as it is commonly experienced by students during their academic journey. Therefore, identifying its contributing factors is of critical importance for both research and intervention. Attachment to parents and peers, basic psychological needs, and social-emotional competence are pivotal factors influencing psychological burnout. This study examines the direct and indirect effects of these factors on psychological burnout.
Methods: This study’s sample consisted of 350 university students (270 females and 80 males) enrolled at Azad University of Shiraz, Iran. Participants were selected through convenience sampling and ranged in age from 18 to 40 years (Mage = 22.05, SD = 3.51), who completed four standardized self-report instruments: the Psychological Burnout Inventory (PBI), Psychological Basic Needs Scale (PBNS), Emotional-Social Competence Questionnaire (ESCQ), and Attachment to Parents and Peers Inventory (APPI). For the analysis of data, SPSS (V.26) and AMOS (V.26) were employed.
Results: The assumed research model has a good fit so that, the effect of attachment to parents and peers on psychological burnout is mediated by emotional-social competence and psychological basic needs (χ2/df = 1.98, p <0.01, CFI = 0.91, RMSEA = 0.05). Furthermore, the effect of attachment to parents and peers on psychological burnout is mediated by emotional-social competence (χ2/df = 1.90, p < 0.01, CFI = 0.92, RMSEA = 0.006), and the effect of attachment to parents and peers on psychological burnout is mediated by psychological basic needs (χ2/df = 1.98, p < 0.01, CFI = 0.98, RMSEA = 0.05).
Discussion: This study indicates that Iranian university students with strong parental and peer relationships, who are aware of their basic needs and possess emotional-social skills, tend to exhibit lower levels of psychological burnout and higher mental health.

Keywords: Attachment to parents and peers; emotional-social competence; psychological basic needs; psychological burnout.
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JHSS 2025;10(2):216-238
ORIGINAL ARTICLE IN PSYCHOLOGY
The role of perfectionism in the relationship between adverse childhood experiences, symptoms of depression, and life satisfaction among Vietnamese adults
Authors: Tu Thi NGUYEN¹, Son Van HUYNH², Huan Thanh NGUYEN³, Vy Truc LE⁴, Ky LUU⁵, Tuan-Khai TRUONG⁶, Thao Thanh Thi NGUYEN^7,8, Vinh-Long TRAN-CHI^9
1 Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: tunt@hcmue.edu.vn
^2. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: sonhv@hcmue.edu.vn
^3. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: huannt@hcmue.edu.vn
^4. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: vytrucle.judy@gmail.com
^5. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: kyluuhihi@gmail.com
^6. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: tuankhaipsy@gmail.com
^7. Department of Health System and Management, Faculty of Public Health, Can Tho University of Medicine and Pharmacy, Can Tho City, Vietnam. E-mail: nttthao@ctump.edu.vn
^8. Department of Psychology, College of Medical and Health Sciences, Asia University, Taichung, Taiwan. E-mail: nttthao@ctump.edu.vn
^9. Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: longtcv@hcmue.edu.vn
*Corresponding Author: Vy Truc Le, Faculty of Psychology, Ho Chi Minh City University of Education, Ho Chi Minh City, Vietnam. E-mail: vytrucle.judy@gmail.com

Abstract
Introduction: Adverse childhood experiences (ACEs) were known as a risk factor for mental health problems and impact during adulthood. This study puts intention on the perfectionism concept that is a personality trait that may be developed from ACEs and impact on mental health.
Objective: This study aims to explore the relationship between ACEs, perfectionism, depressive symptoms and life satisfaction. Additionally, we aim to find the differences between symptoms of depression and life satisfaction by gender and birth order as a consideration of Vietnamese culture.
Methods: We used random sampling and collected 554 valid respondents (including 178 participants who had ACEs) in Vietnam. The respondents ranged from 18 to 60 years old (Mean = 20.92, SD = 3.252) PLS-SEM model was conducted to examine the relationship among constructs of this study. Furthermore, One-way and Two-way MANOVA was used to find the differences of variables.
Results: Maladaptive aspects of perfectionism (including concern over mistakes, doubt about actions, parental expectations, parental criticism, and personal standards) played a mediating role in the relationship between ACEs and depressive symptoms (β = 1.063, 95% CI [0.760; 1.416], p < 0.001). In addition, the adaptive aspect of perfectionism (organization) played a moderating role in the pathway from maladaptive perfectionism to life satisfaction (β = -0.122, 95% CI [-0.222; -0.022], p < 0.05). We also found significant differences in depressive symptoms and life satisfaction by gender and birth order.
Conclusion: The coexistence of both adaptive and maladaptive aspects of perfectionism provides researchers with a foundation to further investigate the relationship between perfectionism and other mental health issues. Additionally, it extends the data available for mental health practitioners to develop treatment plans for patients and clients who have experienced childhood adversities.

Keywords: Adverse childhood experiences; adult; depression; life satisfaction; perfectionism.
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JHSS 2025;10(2):239-251
ORIGINAL ARTICLE IN PUBLIC HEALTH
Development of an integrated care pathway for the prevention and management of biopsychosocial frailty in community-dwelling older adults in Italy: The PDTCP model
Authors: Giuseppe LIOTTA¹, Edoardo TREBBI², Francesco MONDERA³, Ferdinando ROMANO⁴, Maddalena ILLARIO⁵, Michele BISOGNO⁶, Edoardo CARNEVALE⁷, Michele TREGLIA⁸, Igina D’ANTONI⁹, Clara DONNOLI¹⁰, Fabio RICCARDI¹¹, Paola SCARCELLA^12
1 Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy. E-mail: giuseppe.liotta@uniroma2.it. ORCID: 0000-0002-1990-1816
^2. Post graduate School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, Rome, Italy. E-mail: edoardo.trebbi@uniroma1.it. ORCID: 0000-0002-6553-5917
^3. Post graduate School of Hygiene and Preventive Medicine, University of Rome “La Sapienza”, Rome, Italy. E-mail: francesco.mondera@uniroma1.it. ORCID: 0009-0009-2278-1702
^4. Department of Public Health and Infectious Diseases, University of Rome “La Sapienza”, Rome, Italy. Local Health Unit “Abruzzo 1”, L’Aquila. E-mail: ferdinando.romano@uniroma1.it
^5. Department of Public Health and infectious Diseases, University of Naples “Federico II°”, Naples, Italy. E-mail: maddalena.illario@unina.it. ORCID: 0000-0001-9834-6517
^6. Post graduate School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, Rome, Italy. E-mail: michele.bisogno@students.uniroma2.eu. ORCID: 0009-0003-1483-6159
^7. Post graduate School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, Rome, Italy. E-mail: edoardo.carnevale@students.uniroma2.eu, ORCID: 0009-0009-2641-4205
^8. Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy. E-mail: michele.treglia@uniroma2.it. ORCID: /0000-0002-9434-2604
^9. Post graduate School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, Rome, Italy. E-mail: igidantoni@libero.it
^10. School in Nursing Sciences and Public Health, University of Rome “La Sapienza”, Rome, Italy. Email: clara.donnoli@students.uniroma2.eu. ORCID: 0009-0000-1315-5229.
^11. Post graduate School of Hygiene and Preventive Medicine, University of Rome “Tor Vergata”, Rome, Italy. E-mail: fariccardi@hotmail.com
^12. Department of Human Sciences, University LUMSA – Rome, Italy. E-mail: paola.scarcella@gmail.com. ORCID: 0000-0002-3319-7925
*Corresponding Author: Liotta Giuseppe, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”. Email: giuseppe.liotta@uniroma2.it

Abstract
Background: With the accelerating demographic transition and rising prevalence of biopsychosocial frailty among older adults, there is a growing need for integrated care models. Italy, among the oldest countries in Europe, faces increasing healthcare costs and a high burden of chronic conditions in the elderly.
Objectives: This study presents a Prevention and Diagnostic Therapeutic Care Pathway (PDTCP) aimed at the early identification and management of biopsychosocial frailty in community-dwelling individuals over 65 years of age.
Methods: The PDTCP is a multidisciplinary model based on multidimensional assessment tools (SFGE and Sunfrail+), enabling risk stratification and tailored interventions. The pathway includes early detection, personalized care planning (PCP), coordination with general practitioners, and structured follow-up. Implementation involves a dedicated governance structure and community engagement initiatives. Outcome indicators include reduced emergency visits, hospitalizations, and institutionalizations.
Results: While currently at the design and implementation phase, the PDTCP targets key performance indicators such as 90% PCP drafting in frail/pre-frail patients, 20% reduction in ER visits, hospitalizations, and falls, and 80% uptake of care plans. A logic model and operational protocol support systematic evaluation.
Conclusions: The PDTCP provides a comprehensive and person-centered framework for managing frailty in aging populations. Further validation through pilot implementations and outcome evaluation is needed to confirm its impact and scalability.

Keywords: Frailty; integrated care; multi-dimensional assessment; older adults; prevention; personalized care.
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