Test anxiety, emotional regulation and academic performance among medical students: a qualitative study

Medical school can be a difficult and emotionally turbulent experience for students. Test anxiety is very common among medical students and may impact their academic performance. However, there is a lack of qualitative studies on test anxiety and emotion regulation in relation to the academic perfor...

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Main Authors: Nora Alshareef, Sabir Giga, Ian Fletcher
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Medical Education Online
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/10872981.2025.2505177
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author Nora Alshareef
Sabir Giga
Ian Fletcher
author_facet Nora Alshareef
Sabir Giga
Ian Fletcher
author_sort Nora Alshareef
collection DOAJ
description Medical school can be a difficult and emotionally turbulent experience for students. Test anxiety is very common among medical students and may impact their academic performance. However, there is a lack of qualitative studies on test anxiety and emotion regulation in relation to the academic performance of medical students. This study aims to examine the relationship between test anxiety and academic performance among medical students, exploring the role of emotion regulation and coping strategies in managing test anxiety during examinations. The study involved 22 medical students from one Saudi medical school who participated in semi-structured interviews. The interviews were recorded and transcribed verbatim. A thematic analysis was conducted on the transcribed data, resulting in the identification of four key themes. The emerging themes are test anxiety, academic performance, emotion regulation, and other coping strategies. Students’ anxiety can vary from a source of motivation to a severe obstacle. It impacts their theoretical understanding, practical abilities, and the evaluation criteria used to assess academic achievement. However, some students use both adaptive and maladaptive emotion regulation strategies. Promoting emotion regulation and various coping mechanisms to address test anxiety in medical students is essential to enhance their academic performance and prepare them for future healthcare professions.
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spelling doaj-art-00d14e2fe5f44b439002304746bd35ac2025-08-20T01:51:01ZengTaylor & Francis GroupMedical Education Online1087-29812025-12-0130110.1080/10872981.2025.2505177Test anxiety, emotional regulation and academic performance among medical students: a qualitative studyNora Alshareef0Sabir Giga1Ian Fletcher2Medical Education Department, King Abdulaziz University, Jeddah, Saudi ArabiaDivision of Health Research, Lancaster University, Lancaster, UKDivision of Health Research, Lancaster University, Lancaster, UKMedical school can be a difficult and emotionally turbulent experience for students. Test anxiety is very common among medical students and may impact their academic performance. However, there is a lack of qualitative studies on test anxiety and emotion regulation in relation to the academic performance of medical students. This study aims to examine the relationship between test anxiety and academic performance among medical students, exploring the role of emotion regulation and coping strategies in managing test anxiety during examinations. The study involved 22 medical students from one Saudi medical school who participated in semi-structured interviews. The interviews were recorded and transcribed verbatim. A thematic analysis was conducted on the transcribed data, resulting in the identification of four key themes. The emerging themes are test anxiety, academic performance, emotion regulation, and other coping strategies. Students’ anxiety can vary from a source of motivation to a severe obstacle. It impacts their theoretical understanding, practical abilities, and the evaluation criteria used to assess academic achievement. However, some students use both adaptive and maladaptive emotion regulation strategies. Promoting emotion regulation and various coping mechanisms to address test anxiety in medical students is essential to enhance their academic performance and prepare them for future healthcare professions.https://www.tandfonline.com/doi/10.1080/10872981.2025.2505177Examtest anxietyacademic performancemedical studentemotion regulationcoping mechanism.
spellingShingle Nora Alshareef
Sabir Giga
Ian Fletcher
Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
Medical Education Online
Exam
test anxiety
academic performance
medical student
emotion regulation
coping mechanism.
title Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
title_full Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
title_fullStr Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
title_full_unstemmed Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
title_short Test anxiety, emotional regulation and academic performance among medical students: a qualitative study
title_sort test anxiety emotional regulation and academic performance among medical students a qualitative study
topic Exam
test anxiety
academic performance
medical student
emotion regulation
coping mechanism.
url https://www.tandfonline.com/doi/10.1080/10872981.2025.2505177
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