Perceived Social Support and Well-Being of International Students at an Italian University




international students, social support, well-being, dispersion of dependency


The present study aimed to explore international students’ well-being in relation to their perception of social support and dispersion of dependency on various resources. Participants were 139 international students at an Italian university who completed the WHO-5 Well-being Index, Symptom Checklist 90-R, Multidimensional Scale of Perceived Social Support, and Dependency Grids. Results showed that higher well-being correlated with higher support and lower distress and that higher dispersion of dependency was associated with higher perceived support. International students who sought professional psychological help also reported lower well-being, higher distress, and fewer resources compared to those who did not seek psychological support. Furthermore, coming from collectivist cultures (rather than individualist ones) as well as being a long-term (rather than short-term) student was mostly associated with higher distress and less perceived support. These results suggest that counselling services for international students should help them find new sources of social support.

Author Biographies

Sabrina Cipolletta, University of Padua

Sabrina Cipolletta, Ph.D, is an Associate Professor in the Department of General Psychology at the University of Padua, Italy. She is the director of PsyMed, a research laboratory of psychology in the medical field, and of a clinical service for International students.  She teaches Social Psychology and Health and is the head of the International Bachelor Degree program in Psychological Science. Her research interests are in the field of health psychology and interpersonal relationships.

Arianna Mercurio, University of Rome 3

Arianna Mercurio, MSc, is graduated in Clinical Dynamic Psychology at the University of Padua, Italy, in 2020. She is currently attending a first level master in Orientation and Placement at the University of Rome 3, Italy. Her research interests are in the field of social support and personal constructs psychology.  

Rachele Pezzetta, San Camillo Hospital IRCCS

Rachele Pezzetta, Ph.D, is a Postdoctoral Researcher at the San Camillo Hospital IRCCS, in Venice. She obtained her PhD in Cognitive, Social and Affective Neuroscience at La Sapienza University in Rome. Her research interests are in the field of cognitive and affective psychology, and clinical neuroscience. She is currently training at the School of Psychotherapy of personal constructs psychology.


Aldawsari, N. F., Adams, K. S., Grimes, L. E., & Kohn, S. (2018). The effects of cross-cultural competence and social support on international students’ psychological adjustment: Autonomy and environmental mastery. Journal of International Students, 8(2), 901-924. DOI:

Ambrosio, L., Portillo, M. C., Rodriguez‐Blazquez, C., Rojo, J. M., Martinez‐Martin, P., & EC-PC Validation Group (2019). Influencing factors when living with Parkinson’s disease: A cross‐sectional study. Journal of Clinical Nursing, 28(17–18), 3168–3176. DOI:

Atri, A., Sharma, M., & Cottrell, R. (2007). Role of social support, hardiness, and acculturation as predictors of mental health among international students of Asian Indian origin. International quarterly of community health education, 27(1), 59-73. DOI:

Barrera, M. (1986). Distinctions between social support concepts, measures, and models. American Journal of Community Psychology, 14(4), 413-445. DOI:

Bektaş, Y., Demir, A., & Bowden, R. (2009). Psychological adaptation of Turkish students at U.S. campuses. International Journal for the Advancement of Counselling, 31(2), 130-143. DOI:

Berger, R., Safdar, S., Spieß, E., Bekk, M., & Font, A. (2018). Acculturation of Erasmus students: Using the multidimensional individual difference acculturation model framework. International Journal of Psychology, 54(6), 739-749. DOI:

Berkman, L. F., Leo-Summers, L., & Horwitz, R. I. (1992). Emotional support and survival after myocardial infarction. Annals of Internal Medicine, 117(12), 1003-1009. DOI:

Brisset, C., Safdar, S., Lewis, J. R., & Sabatier, C. (2010). Psychological and sociocultural adaptation of university students in France: The case of Vietnamese international students. International Journal of Intercultural Relations, 34(4), 413-426. DOI:

Brummett, B. H., Barefoot, J. C., Siegler, I. C., Clapp-Channing, N. E., Lytle, B. L., Bosworth, H. B., Williams, R. B., & Mark, D. B. (2001). Characteristics of socially isolated patients with coronary artery disease who are at elevated risk for mortality. Psychosomatic Medicine, 63(2), 267-272. DOI:

Brunsting, N. C., Zachry, C., Liu, J., Bryant, R., Fang, X., Wu, S., & Luo, Z. (2019). Sources of perceived social support, social-emotional experiences, and psychological well-being of international students. The Journal of Experimental Education, 1-17. DOI:

Cipolletta, S., & Amicucci, L. (2017). Illness trajectories in patients suffering from leg ulcers: A qualitative study. Journal of Health Psychology, 22(7), 932-942. DOI:

Cipolletta, S., Beccarello, A., & Galan, A. (2012). A psychological perspective of eye floaters. Qualitative Health Research, 22(11), 1547-1558. DOI:

Cipolletta, S., Entilli, L., Nucci, M., Feltrin, A., Germani, G., Cillo, U., & Volpe, B. (2019a). Psychosocial support in liver transplantation: A dyadic study with patients and their family caregivers. Frontiers in Psychology, 10. DOI:

Cipolletta, S., Gammino, G. R., & Palmieri, A. (2017). Illness trajectories in patients with amyotrophic lateral sclerosis: How illness progression is related to life narratives and interpersonal relationships. Journal of Clinical Nursing, 26(23-24), 5033-5043. DOI:

Cipolletta, S., Giudici, L., Punzi, L., Galozzi, P., & Sfriso, P. (2019b) Health-related quality of life and its association with illness perception, coping strategies and the distribution of dependency in autoinflammatory diseases, Clinical and experimental rheumatology, 37(6), 156-157

Cipolletta, S., Shams, M., Tonello, F., & Pruneddu, A. (2013). Caregivers of patients with cancer: Anxiety, depression and distribution of dependency. Psycho-Oncology, 22(1), 133-139. DOI:

Cohen, S., & Syme, S. L. (1985). Issues in the study and application of social support. In S. Cohen & S. L. Syme (Eds.), Social support and health (pp. 3–22). Academic Press.

Cohen, S. (1988). Psychosocial models of the role of social support in the etiology of physical disease. Health Psychology, 7(3), 269-297. DOI:

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. DOI:

Dao, T. K., Lee, D., & Chang, H. L. (2007). Acculturation level, perceived English fluency, perceived social support level, and depression among Taiwanese international students. College Student Journal, 41(2), 287-295.

Derogatis, L. R. (1983). SCL-90-R: Administration, scoring & procedures manual- II. (2nd ed.). Clinical Psychometric Research.

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191. DOI:

Fatima, S., & Jibeen, T. (2019). Interplay of self-efficacy and social support in predicting quality of life in cardiovascular patients in Pakistan. Community Mental Health Journal, 55(5), 855-864. DOI:

Fransella, F., Bell, R., & Bannister, D. (2004). A manual for repertory grid technique (2nd ed.). John Wiley & Sons.

Hofstede, G. (2001). Culture's consequences: Comparing values, behaviors, institutions and organizations across nations. Sage publications.

Horsten, M., Mittleman, M. A., Wamala, S. P., Schenck-Gustafsson, K., & Orth-Gomer, K. (2000). Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm female coronary risk study. European Heart Journal, 21(13), 1072-1080. DOI:

Institute of International Education. IIE (2020). “International Students Enrollment Trends, 1948/49-2019/2020).” Open Doors Report on International Students Educational Exchange. Retrieved from

Jou, Y. H., & Fukada, H. (1997). Stress and social support in mental and physical health of Chinese students in Japan. Psychological Reports, 81(3), 1303-1312. DOI:

Kelly, G. A. (1955). The psychology of personal constructs. vol. 1. A theory of personality. vol. 2. Clinical diagnosis and psychotherapy. Norton & Company.

Kelly, G. A. (1969). In whom confide: On whom depend for what. In B. Maher (Ed.), Clinical psychology and personality: The selected papers of George Kelly (pp. 189-206). John Wiley & Sons.

Kagee, A., Roomaney, R., & Knoll, N. (2018). Psychosocial predictors of distress and depression among South African breast cancer patients. Psycho‐oncology, 27(3), 908-914. DOI:

Kim, Y. K., Maleku, A., Lemieux, C. M., Du, X., & Chen, Z. (2019). Behavioral health risk and resilience among international students in the United States: A study of socio-demographic differences. Journal of International Students, 9(1), 282-305. DOI:

Kurtović, A., & Ivančić, H. (2017). Predictors of depression and life satisfaction in visually impaired people. Disability and Rehabilitation, 41(9), 1012-1023. DOI:

Laso Ortiz, E., Hernández González, E., & Guerra Hernández, M. (2015). The dispersion of dependency grids: A method for estimating the social support. Quadernos de Psicologia, 17(1), 83-94. DOI:

Lee, J., Koeske, G. F., & Sales, E. (2004). Social support buffering of acculturative stress: A study of mental health symptoms among Korean international students. International Journal of Intercultural Relations, 28(5), 399-414. DOI:

Lin, Y., & Kingminghae, W. (2014). Social support and loneliness of Chinese international students in Thailand. Journal of Population and Social Studies, 22(2), 141-157.

Mak, A. S., Bodycott, P., & Ramburuth, P. (2015). Beyond host language proficiency: Coping Resources Predicting International Students’ Satisfaction. Journal of Studies in International Education, 19(5), 460-475. DOI:

Meghani, D. T., & Harvey, E. A. (2016). Asian Indian international students’ trajectories of depression, acculturation, and enculturation. Asian American Journal of Psychology, 7(1), 1-14. DOI:

Mitchell, J., & Latchford, G. (2010). Prisoner perspectives on mental health problems and help-seeking. Journal of Forensic Psychiatry & Psychology, 21(5), 773-788. DOI:

Mori, S. C. (2000). Addressing the mental health concerns of international students. Journal of Counseling & Development, 78(2), 137-144. DOI:

Nabavi, R. T., & Bijandi, M. S. (2018). An investigation of predictors of life satisfaction among overseas Iranian undergraduate students. Educational Process: International Journal, 7(1), 74-93. DOI:

Nahidi, S., Blignault, I., Hayen, A., & Razee, H. (2018). Psychological distress in Iranian international students at an Australian university. Journal of immigrant and minority health, 20(3), 651-657. DOI:

Naldi, C. (2020, January). Studenti stranieri nel Sistema di Istruzione Superiore in Italia (Anno Accademico 2018-2019). Uni-Italia.

O’Reilly, A., Hickey, T., & Ryan, D. (2015). The Experiences of American International Students in a Large Irish University. Journal of International Students, 5(1), 86-98. DOI:

O’Reilly, A., Ryan, D., & Hickey, T. (2010). The psychological well-being and sociocultural adaptation of short-term international students in Ireland. Journal of College Student Development, 51(5), 584-598. DOI:

Oxman, T. E., Berkman, L. F., Kasl, S., Freeman Jr, D.,H., & Barrett, J. (1992). Social support and depressive symptoms in the elderly. American Journal of Epidemiology, 135(4), 356-368. DOI:

Powell, M. (2013). The use of an adapted version of the dependency grid to investigate social support for young people in care [Doctoral dissertation].

Poyrazli, S., Kavanaugh, P. R., Baker, A., & Al-Timimi, N. (2004). Social support and demographic correlates of Acculturative stress in international students. Journal of College Counseling, 7(1), 73-82. DOI:

Ra, Y., & Trusty, J. (2017). Impact of social support and coping on acculturation and Acculturative stress of east Asian international students. Journal of Multicultural Counseling and Development, 45(4), 276-291. DOI:

Rodriguez, M. S., & Cohen, S. (1998). Social support. In H. S. Friedman (Ed.), Encyclopedia of mental health (pp. 535–544). Academic Press

Sarason, I. G., & Sarason, B. R. (2009). Social support: Mapping the construct. Journal of Social and Personal Relationships, 26(1), 113-120. DOI:

Sawir, E., Marginson, S., Deumert, A., Nyland, C., & Ramia, G. (2008). Loneliness and international students: An Australian study. Journal of studies in international education, 12(2), 148-180. DOI:

Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social Science & Medicine, 32(6), 705-714. DOI:

Smith, J. E., Stefan, C., Kovaleski, M., & Johnson, G. (1991). Recidivism and dependency in a psychiatric population: An investigation with Kelly's dependency grid. International Journal of Personal Construct Psychology, 4(2), 157-173. DOI:

Stevens, C. D., & Walker, B. M. (1996). How residential college students adjust socially and emotionally to first year University. Higher Education Research & Development, 15(2), 201-221. DOI:

Sümer, S., Poyrazli, S., & Grahame, K. (2008). Predictors of depression and anxiety among international students. Journal of Counseling & Development, 86(4), 429–437. DOI:

Swanbrow Becker, M. A., Dong, S., Kronholz, J., & Brownson, C. (2018). Relationships between stress and psychosocial factors with sources of help-seeking among international students. Journal of International Students, 8(4). DOI:

Talbot, R., Cooper, C. L., & Ellis, B. (1991). Uses of the dependency grid for investigating social support in stressful situations. Stress Medicine, 7(3), 171-180. DOI:

Thompson, T., Pérez, M., Kreuter, M., Margenthaler, J., Colditz, G., & Jeffe, D. B. (2017). Perceived social support in African American breast cancer patients: Predictors and effects. Social Science & Medicine, 192, 134-142. DOI:

Triandis, H. C. (2001). Individualism‐collectivism and personality. Journal of personality, 69(6), 907-924. DOI:

Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377-387. DOI:

UNESCO Istitute of Statistics. (2020, February 25). International (or internationally mobile) students.

Walker, B. M. (1997). Shaking the kaleidoscope: Dispersion of dependency and its relationships. In G. J. Neimeyer & R. A. Neimeyer (Eds.), Advances in personal construct psychology (pp. 63-97). JAI Press.

Walker, B. M. (2005). Making sense of dependency. In F. Fransella (Ed.), The essential practitioner’s handbook of personal construct psychology (pp. 78-86). John Wiley & Sons. DOI:

Wang, H. X., Mittleman, M. A., & Orth-Gomer, K. (2005). Influence of social support on progression of coronary artery disease in women. Social science & medicine, 60(3), 599-607. DOI:

World Health Organization. (1998, February). Wellbeing Measures in Primary Health Care. The Depcare Project.

Yeh, C. J., & Inose, M. (2003). International students' reported English fluency, social support satisfaction, and social connectedness as predictors of acculturative stress. Counselling Psychology Quarterly, 16(1), 15-28. DOI:

Yusoff, Y. M. (2012). Self-efficacy, perceived social support, and psychological adjustment in international undergraduate students in a public higher education institution in Malaysia. Journal of Studies in International Education, 16(4), 353-371. DOI:

Zhang, J., & Goodson, P. (2011). Predictors of international students’ psychosocial adjustment to life in the United States: A systematic review. International Journal of Intercultural Relations, 35(2), 139-162. DOI:

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. DOI:



How to Cite

Cipolletta, S., Mercurio, A., & Pezzetta, R. (2021). Perceived Social Support and Well-Being of International Students at an Italian University. Journal of International Students, 12(3).



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