Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Klimawandel und Gesundheit: Was Sie in der Hausarztpraxis wissen müssen und tun können

Die Folgen des Klimwandels haben einen direkten Einfluss auf die Primärversorgung in Deutschland: Hitzeschutz insbesondere bei älteren Patienten, die Zunahme von Infektionen und die Verlängerung der Allergiesesaison spielen medizinisch eine bedeutsame Rolle. Aber auch in der Prävention und der Aufklärung der Patienten kommt den Hausärztinnen und -ärzten eine besondere Rolle zu. Direkt aus der Praxis berichtet im Live-Webinar am 13. Mai von 18 bis 19 Uhr unser Experte Dr. med. Robin Maitra.
Erweiterte Suche
Anmelden
nach oben
International Journal of Behavioral Medicine
Erschienen in: International Journal of Behavioral Medicine 2/2021

17.03.2021 | Special Issue: Sleep Science

Test Anxiety and Poor Sleep: A Vicious Cycle

verfasst von: Nancy Hamilton, Ronald Freche, Yichi Zhang, Gabriella Zeller, Ian Carroll

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Background

Test anxiety may be better thought of as a biopsychosocial process affecting academic performance during the days leading up to an exam, rather than a static appraisal of attitudes related to test taking. This was a passive observational study following students 2 days before a midterm exam and was designed to test the Sleep Anxiety Performance Process (SAPP) model in the context of a psychology statistics exam.

Methods

Undergraduates (N = 167) enrolled in a statistics class, January–November 2015. Participants completed an electronic battery of measures and Sleep Mood Study Diaries (SMS) during the mornings, 2 days before a statistics exam. Instructors confirmed exam scores.

Results

A path model showed a reciprocal bi-directional relationship between Sleep Quality and restfulness (Q&R) and test anxiety 2 days before a scheduled exam, with test anxiety measured in the morning, before the exam predicting exam performance. Prior exam performance, being a non-native English speaker (ESL), and class performance motivation also predicted exam performance.

Conclusions

These data support the SAPP model’s premise that that sleep and anxiety feed one another, as a reciprocal process, that collectively impairs academic performance, with direct effects on academic performance, but with implications for overall student health.
Fußnoten
1
It should be noted that race/ethnicity was a significant predictor of exam score. However, the effect was entirely dependent upon a single student’s outlier (poor) test score. Because of the low probability for replication, this effect is not pictured in the model or reported in Table 2.
 
Literatur
1.
Zeidner M. Does test anxiety bias scholastic aptitude test performance by gender and sociocultural group? J Pers Assess. 1990;55:145–60.CrossRef
2.
Gregor A. Examination anxiety: live with It, control it or make it work for you? Sch Psychol Int. 2005;26(5):617–35.CrossRef
3.
Oaten M, Cheng K. Academic examination stress impairs self-control. Journal of social and clinical psychology. J Soc Clin Psychol. 2005;24(2):254–70.
4.
Gillespie NA, Gehrman P, Byrne EM, Kendler KS, Heath AC, Martin NG. Modeling the direction of causation between cross-sectional measures of disrupted sleep, anxiety and depression in a sample of male and female Australian twins. J Sleep Res. 2012;21(6):675–83.CrossRef
5.
Chapell MS, Blanding ZB, Silverstein ME, Takahashi M, Newman B, Gubi A, McCann N. Test anxiety and academic performance in undergraduate and graduate students. J Educ Psychol. 2005;97:268–74.CrossRef
6.
Macher D, Paechter M, Papousek I, Ruggeri K, Freudenthaler HH, Arendasy M. Statistics anxiety, state anxiety during an examination, and academic achievement. Br J Educ Psychol. 2013;83:535–49.CrossRef
7.
8.
Onwuegbuzie AJ, Wilson VA. Statistics anxiety: nature, etiology, antecedents, effects, and treatments—a comprehensive review of the literature. Teach High Educ. 2003:195–209.
9.
Onwuegbuze AJ. Satistics test anxiety and female students. Psychol Women Q. 1995;19:413–8.CrossRef
10.
Kopasz M, Loessl B, Hornyak, M, et al. Sleep and memory in healthy children and adolescents—a critical review. Sleep Med Rev. 2010;14:167–77.
11.
Dimitriou D, Knight FLC, Milton P. The role of environmental factors on sleep patterns and school performance in adolescents. Front Psychol. 2015;6.
12.
Trockel MT, Barnes MD, Egget DL. Health-related variables and academic performance among first year college students: implications for sleep and other behaviors. J Am Coll Health. 2000;49:125–31.CrossRef
13.
Borisenkov MF, Perminova EV, Kosova AL. Chronotype, sleep length, and school achievement of 11-to 23-year-old students in northern European Russia. Chronobiol Int. 2010;27(6):1259–70.CrossRef
14.
Taylor DJ, Vatthauer KE, Bramoweth AD, Roggero C, Roane B. The role of sleep in predicting college academic performance: is it a unique preictor? Behav Sleep Med. 2013;11(3):159–72.CrossRef
15.
Genzel L, Ahrberg K, Roselli C, al. e. Sleep timing is more important than sleep length or quality for medical school performance. Chronobiol Int. 2013;30(6):766–71.
16.
Gomes AA, Tavares J, de Azevedo MH. Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobio Int. 2011;28(9):786–801.CrossRef
17.
Uhde TW, Cortese BM, Vedeniapin A. Anxiety and sleep problems: emerging concepts and theoretical treatment implications. Curr Psychiatry Rep. 2009;11(4):269–76.CrossRef
18.
Blankstein KR, Flett GL, Watson MS, Koledin S. Test anxiety, self-evaluative worry, and sleep disturbance in college students. Anxiety Res. 1990;3(3):193–204.CrossRef
19.
Rosa RR, Bonnet MH. Reported chronic insomnia is independent of poor sleep as measured by electroencephalography. Psychosom Med. 1983;62:474–82.CrossRef
20.
Tsypes A, Aldao A, Mennin DS. Emotion dysregulation and sleep difficulties in generalized anxiety disorder. J Anxiety Dis. 2013;27(2):197–203.CrossRef
21.
Campbell R, Soenens B, Beyers W, Vansteenkiste M. University students’ sleep during an exam period: the role of basic psychological dneeds and stress. Motiv Emot. 2018;42(5):671–81.CrossRef
22.
Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel L. The interaction between sleep quality and academic performance. J Psychiatry Res. 2012;46(12):1618–22.CrossRef
23.
Alsaggaf MA, Wali SO, Merdad RA, Merdad LA. Sleep quantity, quality, and insomnia symptoms of medical students during clinical years: relationship with stress and academic performance. Saudi Med J. 2016;37(2):173–80.CrossRef
24.
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.CrossRef
25.
Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol. 1976;4(2):97–110.
26.
Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep. 2011;34(5):601–8.CrossRef
27.
Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef
28.
Spielberger CA, Gorsuch RL, Lushene RE. Manuel for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press; 1970.
29.
Trautwein U, Köller O. The relationship between homework and achievement—still much of a mystery. Educ Psychol Rev. 2003;15(2):115–45.CrossRef
30.
Sadigh MR, Himmanen SA, Scepansky JA. An investigation of the prevalence of insomnia in college students and its relationship to trait anxiety. Coll Stud J. 2014;48:397–406.
31.
Center NSCR. Snapshot report: Persistence: National Research Center 2016.
32.
Carney C, E., Edinger JD, Manber R, Garson C, Segal ZV. Beliefs about sleep in disorders characterized by sleep and mood disturbance. J Psychosomatic Res. 2007;62:179–88.
33.
34.
Enders CK, Bandalos DL. The relative performance of full information maximum likelihood estimation for missing data structural equation models. Struct Equ Modeling. 2001;8(3):430–57.CrossRef
35.
Lindsey C. Trait anxiety in college students: the role of the approval seeking schema and separation individuation. Coll Stud J. 2014;48:407–18.
36.
Clements AD, Bailey BA. The relationship between temperament and anxiety. J Health Psychol. 2010;15:515–25.CrossRef
37.
Matthews KA, Patel SJ, Pantesco EJ, et al. Similarities and differences in estimates of sleep duration by polysomnography, actigraphy, and self-reported habitual sleep in a community sample. Sleep Health. 2018;4(1):96–103.CrossRef
38.
Bernstein JPK, DeVito A, Calamia M. Subjectively and objectively measured sleep predict differing aspects of cognitive functioning in adults. Arch Clin Neuropsychol. 2019;34:1127–37.CrossRef
39.
40.
Grassgreen A. Students rate mental health services. Inside High Educ 2012.
41.
Ergene T. Effective interventions on test anxiety reduction. Sch Psychol Int. 2003(24):313 28.
42.
Park CL, Cohen LH, Murch RL. Assessment and prediction of stress-related growth. J Personal. 1996;64:71–105.CrossRef
Metadaten
Titel
Test Anxiety and Poor Sleep: A Vicious Cycle
verfasst von
Nancy Hamilton
Ronald Freche
Yichi Zhang
Gabriella Zeller
Ian Carroll
Publikationsdatum
17.03.2021
Verlag
Springer US
Erschienen in
International Journal of Behavioral Medicine / Ausgabe 2/2021
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-021-09973-1

Weitere Artikel der Ausgabe 2/2021

International Journal of Behavioral Medicine 2/2021 Zur Ausgabe

Special Issue: Sleep Science

Social Psychological Predictors of Sleep Hygiene Behaviors in Australian and Hong Kong University Students

Special Issue: Sleep Science

Nightmares and Insomnia in the US National Guard: Mental and Physical Health Correlates

Special Issue: Sleep Science

Demographic, Pregnancy-Related, and Health-Related Factors in Association with Changes in Sleep Among Pregnant Women with Overweight or Obesity

Special Issue: Sleep Science

Variability of Sleep and Relations to Body Weight Among First-Year College Students

Special Issue: Sleep Science

Sleep Duration and Quality in Relation to Fruit and Vegetable Intake of US Young Adults: a Secondary Analysis

Special Issue: Sleep Science

Insomnia, Psychosocial Well-Being, and Weight Control Behaviors Among Healthy-Weight Adolescent Females: Brief Report