Exam Anxiety and Its Associated Risk Factors Among Indian Medical Undergraduates

Authors

  • Anubhuti Sharma Rama Medical College hospital & Research Center, Kanpur, India
  • Satya Prakash Singh Rama Medical College hospital & Research Center, Kanpur, India
  • Saket Shekhar Rama Medical College hospital & Research Center, Kanpur, India
  • Poonam Kushwaha Rama Medical College hospital & Research Center, Kanpur, India
  • Anju Gahlot Rama Medical College hospital & Research Center, Kanpur, India

DOI:

https://doi.org/10.55489/njcm.140620232774

Keywords:

Test anxiety, Medical students, Prevalence, India, Psychological Distress, self-concept

Abstract

Background: Exam anxiety is a global troublesome psychological problem, impairing the academic performance of medical students. This study was planned to estimate the prevalence and associated risk factors of Exam anxiety among Indian medical students

Methodology: A cross-sectional analytical study was conducted among 230 Indian medical undergraduate students. Westside Test Anxiety Inventory (WTAI) was used to estimate the level of Exam anxiety among medical students. We utilized multivariable logistic regression to identify independent risk factors among medical students.

Results: The prevalence of high Exam Anxiety among medical students was 49.6 % (95% CI 43.9-57.0). The mean age of the students was 21.3 years. Multivariable logistic regression revealed the presence of excessive course load [AOR=2.22,95% CI:(1.03,4.78)], the presence of psychological stress [AOR=2.89,95% CI:(1.51,5.48)] and low self-esteem [AOR=8.15,95% CI:(1.51,43.96)] to be independent risk factors for exam anxiety.

Conclusions: Our study findings suggest that the prevalence of Exam anxiety is very high among Indian undergraduate medical students. Our study also showed that the perception of excessive course load, psychological stress and low self-esteem were the independent risk factors in medical students.

References

Sarason IG, Sarason BR, Pierce GR. Anxiety, cognitive interference, and performance. Journal of social behavior and personality. 1990;5(2):1. Doi: https://doi.org/10.1080/10413209008406425

Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019;16(15):2735. Doi: https://doi.org/10.3390/ijerph16152735 PMid:31370266 PMCid:PMC6696211

Dortaj F, Mousavi H, Rezaei P. Exam anxiety and its relationship with demographic factors among new students in Hormozgan Uni-versity of Medical Sciences. Hormozgan Medical Journal. 2013;17(4):365-74.

Saravanan C, Kingston R, Gin M. Is test anxiety a problem among medical students: a cross sectional study on outcome of test anxie-ty among medical students. Int J Psychol Stud. 2014;6(3):24. Doi: https://doi.org/10.5539/ijps.v6n3p24

Leitenberg H. Handbook of social and evaluation anxiety,1st ed.Washington DC: Springer science & business media;1990.p553 Doi: https://doi.org/10.1007/978-1-4899-2504-6_1

American psychiatric association. Diagnostic and statistical manual of mental disorders: DSM5, 5th ed. Washington, DC: American psychiatric association; 2013. p947 Doi: https://doi.org/10.1176/appi.books.9780890425596

Doherty JH, Wenderoth MP. Implementing an expressive writing intervention for test anxiety in a large college course. Journal of microbiology & biology education. 2017;18(2):18-2. Doi: https://doi.org/10.1128/jmbe.v18i2.1307 PMid:28861135 PMCid:PMC5576769

Von der Embse N, Jester D, Roy D, Post J. Test anxiety effects, predictors, and correlates: A 30-year meta-analytic review. Journal of Affective Disorders. 2018 ;227:483-93. Doi: https://doi.org/10.1016/j.jad.2017.11.048 PMid:29156362

Zeidner M. Test Anxiety: The State of the Art.1st ed. New York: Springer; 1998. p 440.

Zhang Z, Su H, Peng Q, Yang Q, Cheng X. Exam anxiety induces significant blood pressure and heart rate increase in college students. Clinical and experimental hypertension. 2011;33(5):281-6. Doi: https://doi.org/10.3109/10641963.2010.531850 PMid:21787237

Alsaady I, Gattan H, Zawawi A, Alghanmi M, Zakai H. Impact of COVID-19 crisis on exam anxiety levels among bachelor level univer-sity students. Mediterranean Journal of Social Sciences. 2020;11(5):33-9. Doi: https://doi.org/10.36941/mjss-2020-0052

Bagana E, Raciu A, Lupu L. Self esteem, optimism and exams' anxiety among high school students. Procedia - Social and Behavioral Sciences. 2011;30:1331-8. Doi: https://doi.org/10.1016/j.sbspro.2011.10.258

Hyseni Duraku Z, Hoxha L. Self-esteem, study skills, self-concept, social support, psychological distress, and coping mechanism ef-fects on test anxiety and academic performance. Health psychology open. 2018 Sep;5(2):1-9. Doi: https://doi.org/10.1177/2055102918799963 PMid:30225094 PMCid:PMC6136113

Park JH, Park JM. The Effects of Children's Ego-Resilience and Social Support on Exam Anxiety and School Adjustment. Korean Jour-nal of Child Studies. 2010;31(6):125-34.

Hashmat S, Hashmat M, Amanullah F, Aziz S. Factors causing exam anxiety in medical students. Journal-Pakistan Medical Associa-tion. 2008;58(4):167-70.

Khan AN, Rasool SA, Sultan A, Tahira I. Prevalence of examination related anxiety in a private medical college. J Ayub Med Coll Abbot-tabad.2013;25(1):113-5.

Alammari MR, Bukhary DM. Factors contributing to prosthodontic exam anxiety in undergraduate dental students. Advances in medical education and practice. 2019 23:31-8. Doi: https://doi.org/10.2147/AMEP.S187351 PMid:30774497 PMCid:PMC6350835

Patil SG, Aithala MR. Exam anxiety: its prevalence and causative factors among Indian medical students. National Journal of Physiol-ogy, Pharmacy and Pharmacology. 2017;7(12):1323-8. Doi: https://doi.org/10.5455/njppp.2017.7.0516113072017

García JA, y Olmos FC, Matheu ML, Carreño TP. Self esteem levels vs global scores on the Rosenberg self-esteem scale. Heliyon. 2019;5(3):e01378. Doi: https://doi.org/10.1016/j.heliyon.2019.e01378 PMid:30963120 PMCid:PMC6434180

Kocalevent RD, Berg L, Beutel ME, Hinz A, Zenger M, Härter M, et al. Social support in the general population: standardization of the Oslo social support scale (OSSS-3). BMC psychology. 2018;6(1):1-8. Doi: https://doi.org/10.1186/s40359-018-0249-9 PMid:30016997 PMCid:PMC6050647

Andrews G, Slade T. Interpreting scores on the Kessler psychological distress scale (K10). Australian and New Zealand journal of public health. 2001;25(6):494-7. Doi: https://doi.org/10.1111/j.1467-842X.2001.tb00310.x PMid:11824981

Talwar P, Matheiken S, Cheng JLA, Sabil S. Reliability and Factor Structure of the Westside Test Anxiety Scale among University Stu-dents. Online J Health Allied Scs. 2019;18(3):8.

Tsegay L, Shumet S, Damene W, Gebreegziabhier G, Ayano G. Prevalence and determinants of test anxiety among medical students in Addis Ababa Ethiopia. BMC Med Educ. 2019 Nov 14;19(1):423 Doi: https://doi.org/10.1186/s12909-019-1859-5 PMid:31727023 PMCid:PMC6857229

Akoglu H. User's guide to correlation coefficients. Turkish journal of emergency medicine. 2018;18(3):91-3. Doi: https://doi.org/10.1016/j.tjem.2018.08.001 PMid:30191186 PMCid:PMC6107969

Nazir MA, Izhar F, Talal A, Sohail ZB, Majeed A, Almas K. A quantitative study of test anxiety and its influencing factors among medi-cal and dental students. J Taibah Univ Med Sci. 2021;16(2):253-9. Doi: https://doi.org/10.1016/j.jtumed.2020.12.014 PMid:33897331 PMCid:PMC8046942

26.Tassadaq MM, Naseem M, Zafar M. Prevalence, causes and patterns of anxiety towards examinations and attitude towards cop-ing: a study among medical students. Turkish Medical Student Journal. 2016 ;3(3):79-82.

Modi JN, Gupta P, Singh T. Competency-based medical education, entrustment and assessment. Indian Pediatr. 2015;52(5):413-20. Doi: https://doi.org/10.1007/s13312-015-0647-5 PMid:26061928

Hanfesa S, Tilahun T, Dessie N, Shumet S, Salelew E. Test Anxiety and Associated Factors Among First-Year Health Science Students of University of Gondar, Northwest Ethiopia: A Cross-Sectional Study. Adv Med Educ Pract. 2020;11:817-24. Doi: https://doi.org/10.2147/AMEP.S275490 PMid:33173370 PMCid:PMC7646484

Nagpal S, Grewal S, Walia L, Kaur V. A Study to Access the Exam Stress in Medical College and Various Stressors Contributing to Ex-am Stress. Sch. J. App. Med. Sci.2015;3(7C):2615-20.

Orth U, Robins RW. The Development of Self-Esteem. Curr Dir Psychol Sci. 2014 ;23(5):381-7. Doi: https://doi.org/10.1177/0963721414547414

Thomas T, Joseph G, Paul S. A Study to Assess the Correlation between Academic Test Anxiety and Self-Esteem among Undergradu-ate Students. Journal of Health and Allied Sciences NU. 2022 ;12(4):417-22. Doi: https://doi.org/10.1055/s-0042-1742464

Taylor TL, Montgomery P. Can cognitive-behavioral therapy increase self-esteem among depressed adolescents? A systematic re-view. Children and Youth Services Review. 2007;29(7):823-39. Doi: https://doi.org/10.1016/j.childyouth.2007.01.010

Rupani MP, Parikh KD, Trivedi AV, Singh MP, Shah K, Parmar K, et al. Cross-sectional study on exam anxiety among medical students of a tertiary care teaching hospital of western India. Natl J Community Med. 2016;7(5):449-54.

Roy SK, Majumdar S, Mukherjee M, Paul A. Assessment of Examination Related Anxiety among Students in a Medical College at Kolka-ta, India: A Cross-sectional Study. Journal of Clinical & Diagnostic Research. 2022 Oct 1;16(10):40-3. Doi: https://doi.org/10.7860/JCDR/2022/58219.17079 PMid:35928300

Downloads

Published

2023-06-01

How to Cite

1.
Sharma A, Singh SP, Shekhar S, Kushwaha P, Gahlot A. Exam Anxiety and Its Associated Risk Factors Among Indian Medical Undergraduates. Natl J Community Med [Internet]. 2023 Jun. 1 [cited 2024 Apr. 23];14(06):348-56. Available from: https://njcmindia.com/index.php/file/article/view/2774

Issue

Section

Original Research Articles