Document Type : Research articles

Authors

1 Department of Medical Education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Student Research Committee, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran

3 Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: The coronavirus disease 2019 (COVID-19) forced higher education to adopt e-learning and remote online tests as a kind of assessment that leads to new paradigms.
Objectives: This study aimed to investigate the medical students' test anxiety toward remote online tests during the COVID-19 pandemic.
Methods: The current cross-sectional study has been conducted in the 2020-2021 academic year. A self-reported online questionnaire was used to investigate the medical students' test anxiety at Mashhad University of Medical Sciences, Mashhad, Iran. The survey consisted of demographic characteristics, including gender, age, and curriculum phase, as well as the validated version of the Sarasons's test anxiety scale in Persian.
Results: The findings indicated that the prevalence rates of mild, moderate, and severe test anxiety were 27.9%, 36.9%, and 35.2%, respectively, toward remote online tests. Although the comparison of test anxiety levels showed a statistically significant difference due to gender and age (P<0.05), the difference in test anxiety among the students of basic sciences and preclinical was not significant (P>0.05). Furthermore, the female students' test anxiety was more than that of male students, and participants over 20 years old had higher test anxiety scores (P<0.05).
Conclusion: Moderate to severe test anxiety was more common in medical students, which can have devastating effects on the students' academic performance. There is a critical need to recommend anxiety management techniques and bring reforms in e-assessment systems to reduce test anxiety in medical students.

  1. Alsaady I ,Gattan H, Zawawi A, Alghanmi M, Zakai H. Impact of COVID-19 Crisis on Exam Anxiety Levels among Bachelor Level University Students. MediterrJ Soc Sci. 2020;11(5):33-9.doi: 10.36941/mjss-2020-0052.
  2. Lateef Junaid MA, Auf A, Shaikh K, Khan N, Abdelrahim SA. Correlation between Academic Performance and Anxiety in Medical Students of Majmaah University - KSA. JPMA J Pak Med Assoc. 2020;70(5):865-8. doi: 10.5455/JPMA.19099. [PMID: 32400743].
  3. Simran G, Sangeeta N, Lily W. Evaluation of Examination Anxiety Status and its Associated Factors among First Professional Medical (MBBS) StudentsIJIMS. 2015;2(8):1-11.
  4. Niroumand S, Naseroddin M, Talebi M, Dadgarmoghaddam M, Moodi Ghalibaf A. Mental Health as a Determinant Factor in Academic Performance: A cross-sectional study among medical students of Mashhad University of Medical
    Sciences, Mashhad, Iran. FMEJ. 2021;11(4):40-5. doi: 10.22038/FMEJ.2021.59183.1419.
  5. Tian-Ci Quek T, Tam W-S, 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: 10.3390/ijerph16152735. [PMID: 31370266].
  6. Roos A-L, Goetz T, Voracek M, Krannich M, Bieg M, Jarrell A, et al. Test Anxiety and Physiological Arousal: A Systematic Review and Meta-Analysis. Educ Psychol Rev . 2021;33(2):579-618.doi: 10.1007/s10648-020-09543-z.
  7. Saravanan C, Kingston R, Gin M. Is Test Anxiety a Problem Among Medical Students: A Cross Sectional Study on Outcome of Test Anxiety among Medical Students? Int J Psychol Stud. 2014;6(3):24-31.doi: 10.5539/ijps.v6n3p24.
  8. Alqudah MA, Rashid RA. A review of factors causing test anxiety. Qual Soc Work. 2020;2(1):1-6.
  9. Guo X DY, Zhao X, Li X, Zhang L. Investigation on students' test anxiety in 461 medical college. J Health Phychol. 2016;24(12):1877-80.
  10. Jegatha Deborah L, Karthika R, Vijayakumar P, Rawal B, Wang Y. Secure Online Examination System for e-learning. IEEE
    Can Conf Electr Comput Eng CCECE.
    2019;1-4.doi: 10.1109/CCECE43985.2019.9052408.
  11. Stowell JR, Bennett D. Effects of Online Testing on Student Exam Performance and Test Anxiety. J Educ Comput Rec. 2010;42(2):161-71.doi: 10.2190/EC.42.2.b.
  12. Zagury-Orly I, Durning SJ. Assessing open-book examination
    in medical education: The time is now. Med Teac.2021;43(8):972-3. doi: 10.1080/0142159X.2020.1811214.
  13. Dadgarmoghaddam M, Najafi MN, Ebrahimi A, Talaei A, Najafnajafi N, Ghalibaf AM. Social Mental Health during COVID-19 Pandemic in Iran: A Cross-sectional Study among the General Population of Razavi Khorasan Province, Iran. Iran. Red Crescent Med J 2021 15;23(11).doi: 10.32592/ircmj.2021.23.11.1010.
  14. Liu Y, Pan H, Yang R, Wang X, Rao J, Zhang X, et al. Test anxiety and emotion regulation among undergraduate medical students in China: the mediating role of psychological resilience. Ann Gen Psychiatry. 2020.1-23. doi: 10.21203/rs.3.rs-29594/v1.
  15. Arbabisarjou A, Zare S, Shahrakipour M, Ghoreishinia G. Analyzing test anxiety among medical sciences students of Zahedan in 2015. Int J Med Health Res. 2016;5(7):334-7.
  16. Yazdani F. Test anxiety and academic performance in female nursing students. Nurs Adm Q. 2012;1(1):47-58.
  17. Sarason IG, Sarason B. Test anxiety. In Leitenberg H. (Editor), Handbook of social and evaluative anxiety: New York: Plenum Press; 1990.
  18. Ishtiaq S, Khan M, Shaheen A, Mansoor S. Prevalence of study related anxiety among female medical students. IMJ. 2013;5(2):110-5.
  19. Jadoon NA, Yaqoob R, Raza A, Shehzad MA, Zeshan SC. Anxiety and depression among medical students: a cross-
    sectional study. J Pak Med Assoc. 2010;60(8):699-702. [PMID:20726214].
  20. Latas M, Pantic M, Obradovic D. Analysis of test anxiety in medical students. Med Preg.2010;63(11-12):863-6. doi: 10.2298/mpns1012863l. [ PMID: 21553469].
  21. Darabi M, Aivazi AA, Gholami-Parizad E, Ghazanfari Z, Imanzad M. Test anxiety among Ilam UMS'students, 2012. Adv Nurs Midwifery. 2013;23(82):1-7.
  22. 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;19(423):1-10. doi:10.1186/s12909-019-1859-5.
  23. Cipra C, Müller-Hilke B. Testing anxiety in undergraduate medical students and its correlation with different
    learning approaches. Plos One. 2019;14(3):e0210130. doi: 10.1371/journal.pone.0210130. [PMID: 30865635].
  24. Rehman F, Saeed I, Zubairi MU, Umar M, Shahzad A, Rehman A. Influencing Factors of Examination Anxiety among Medical Students in Lahore-Pakistan. PJMH S. 2020;14(1):175-8.
  25. Elsalem L, Al-Azzam N, Jum'ah AA, Obeidat N, Sindiani AM, Kheirallah KA. Stress and behavioral changes with remote E-exams during the Covid-19 pandemic: A cross-sectional study among undergraduates of medical sciences. Ann Med Surg. 2020;60:271-9.
  26. Farooqi Y, Ghani R, Spielberger C. Gender Differences in Test Anxiety and Academic Performance of Medical Students. Intl J Phys Beh Res.. 2012;2(2):38-43. doi: 10.5923/j.ijpbs.20120202.06.
  27. Vatankhah M, Kalani n, Rayat Dost E, Abiri S. Investigation of Anxiety Test in Medical Students of Jahrom University of Medical Sciences: A Cross-sectional, Descriptive Study. J Biochem Tech. 2018;9(2):114-8.
  28. Al-Sowygh ZH. Academic distress, perceived stress and coping strategies among dental students in Saudi Arabia. Saudi Dental J. 2013;25(3):97-105. doi: 10.1016/j.sdentj.2013.05.002. [PMID: 24179318].
  29. Golmirzaei J PA, Sharafi M. Prevalance of exam related anxiety of medical students among basic science. J Sci Med Sport. 2014;1(1):30-6.
  30. OECD. Remote online exams in higher education during the COVID-19 crisis. 2020;1:1-13.
  31. Butler-Henderson K, Crawford J. A systematic review of online examinations: A pedagogical innovation for scalable authentication and integrity. Comput Educ. 2020;159:1-12. doi: 10.1016/j.compedu.2020.104024.
  32. Crawford J B-HK, Rudolph J, Malkawi B, Glowatz M, Burton R, Magni PA, Lam S. COVID-19: 20 countries' higher education intra-period digital pedagogy responses. J. appl. learn. teach.2020;3(1):9–28. doi: 10.37074/jalt.2020.3.1.7.
  33. Hassanzade Daloee M, AkbariRad M, Sarabi M. Physician Burnout: a Brief Review of Its Definition, Causes, and Consequences. RCM. 2020;7(4):150-6. doi: 10.22038/RCM.2020.51483.1335.