Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.

<h4>Purpose</h4>During their early years at medical school, students repeatedly criticize their workload, time constraints and test associated stress. At the same time, depressiveness and anxiety among first and second year medical students are on the rise. We therefore hypothesized that...

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Main Authors: Henry Hahn, Peter Kropp, Timo Kirschstein, Gernot Rücker, Brigitte Müller-Hilke
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171220&type=printable
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author Henry Hahn
Peter Kropp
Timo Kirschstein
Gernot Rücker
Brigitte Müller-Hilke
author_facet Henry Hahn
Peter Kropp
Timo Kirschstein
Gernot Rücker
Brigitte Müller-Hilke
author_sort Henry Hahn
collection DOAJ
description <h4>Purpose</h4>During their early years at medical school, students repeatedly criticize their workload, time constraints and test associated stress. At the same time, depressiveness and anxiety among first and second year medical students are on the rise. We therefore hypothesized that test anxiety may be related to depressiveness and considered cognitive and academic performances as confounders for the former and psychosocial distress for the latter.<h4>Methods</h4>A whole class of 200 second year students was invited to participate in the study. Anxiety as a trait, depressiveness, crystallized intelligence, verbal fluency and psychosocial distress were assessed using validated tests and questionnaires. Acute state anxiety and sympathetic stress parameters were measured in real life situations immediately before an oral and a written exam and paired tests were used to compare the individual anxieties at the various time points. Previous academic performances were self-reported, the results of the impending exams were monitored. Finally, correlations were performed to test for interrelatedness between academic performances and the various personal, cognitive and psychosocial factors.<h4>Results</h4>Acute test anxiety did not correlate with depressiveness nor did it correlate with previous nor impending academic performances nor any of the expected confounders on academic performance. However both, depressiveness and test anxiety strongly correlated with the perceived imbalance between efforts spent and rewards received. Moreover, anxiety as a trait not only correlated with acute state anxiety before an exam but was also significantly correlated to the feeling of over-commitment.<h4>Conclusion</h4>Depressiveness during the early years of medical school seems unrelated to test anxiety and academic performance. Instead, it strongly correlated with the psychosocial distress emanating from attending medical school and points at a perceived imbalance between efforts spent and rewards received.
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spelling doaj-art-c7641cb6e7f644a3b33d9c9676d779da2025-08-20T02:03:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017122010.1371/journal.pone.0171220Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.Henry HahnPeter KroppTimo KirschsteinGernot RückerBrigitte Müller-Hilke<h4>Purpose</h4>During their early years at medical school, students repeatedly criticize their workload, time constraints and test associated stress. At the same time, depressiveness and anxiety among first and second year medical students are on the rise. We therefore hypothesized that test anxiety may be related to depressiveness and considered cognitive and academic performances as confounders for the former and psychosocial distress for the latter.<h4>Methods</h4>A whole class of 200 second year students was invited to participate in the study. Anxiety as a trait, depressiveness, crystallized intelligence, verbal fluency and psychosocial distress were assessed using validated tests and questionnaires. Acute state anxiety and sympathetic stress parameters were measured in real life situations immediately before an oral and a written exam and paired tests were used to compare the individual anxieties at the various time points. Previous academic performances were self-reported, the results of the impending exams were monitored. Finally, correlations were performed to test for interrelatedness between academic performances and the various personal, cognitive and psychosocial factors.<h4>Results</h4>Acute test anxiety did not correlate with depressiveness nor did it correlate with previous nor impending academic performances nor any of the expected confounders on academic performance. However both, depressiveness and test anxiety strongly correlated with the perceived imbalance between efforts spent and rewards received. Moreover, anxiety as a trait not only correlated with acute state anxiety before an exam but was also significantly correlated to the feeling of over-commitment.<h4>Conclusion</h4>Depressiveness during the early years of medical school seems unrelated to test anxiety and academic performance. Instead, it strongly correlated with the psychosocial distress emanating from attending medical school and points at a perceived imbalance between efforts spent and rewards received.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171220&type=printable
spellingShingle Henry Hahn
Peter Kropp
Timo Kirschstein
Gernot Rücker
Brigitte Müller-Hilke
Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
PLoS ONE
title Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
title_full Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
title_fullStr Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
title_full_unstemmed Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
title_short Test anxiety in medical school is unrelated to academic performance but correlates with an effort/reward imbalance.
title_sort test anxiety in medical school is unrelated to academic performance but correlates with an effort reward imbalance
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0171220&type=printable
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