Abstract
Test anxiety is a common concern in students of all ages, and over the past few decades, there has been debate about whether to consider test anxiety a formal psychological disorder, or even a disability under the law. The present study informs those debates with information about the base rates of different test anxiety symptoms in a large sample of college students (n = 2773). Students completed the Test Anxiety Inventory (TAI) as well as a demographics questionnaire. More than half of students indicated “often” or “almost always” feeling very uneasy before getting a test back, and most symptoms were endorsed as being present at least “often” by 25% of participants or more. In addition, expected demographic trends in test anxiety levels by gender, ethnicity, and diagnostic status were found in this large sample. Implications for clinical and disability classification of test anxiety are discussed, along with directions for future research.
Similar content being viewed by others
Data Availability
Consistent with IRB guidelines, readers are encouraged to contact the corresponding author if data are needed.
References
Alpert, R., & Haber, R. N. (1960). Anxiety in academic achievement situations. The Journal of Abnormal and Social Psychology, 61(2), 207–215.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders. (4th ed.). American Psychiatric Association.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. (5th ed.). American Psychiatric Publishing.
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders. (5th ed., text revision). American Psychiatric Association Publishing.
Beverly Hills Therapy Group. (2018). Do you need extended time on your exams? Retrieved December 27, 2023, from https://www.therapyinbeverlyhills.com/test-anxiety-accommodations/
Bögels, S. M., Alden, L., Beidel, D. C., Clark, L. A., Pine, D. S., Stein, M. B., & Voncken, M. (2010). Social anxiety disorder: Questions and answers for the DSM-V. Depression and Anxiety, 27(2), 168–189.
Bolton, D. (2008). What is mental disorder? Oxford University Press.
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.
Dandachi-FitzGerald, B., Merckelbach, H., Bošković, I., & Jelicic, M. (2020). Do you know people who feign? Proxy respondents about feigned symptoms. Psychological Injury and Law, 13, 225–234.
Educational Testing Service. (2012). Guidelines for documentation of psychiatric disabilities in adolescents and adults. Educational Testing Service.
Fuermaier, A. B., Tucha, O., Koerts, J., Tucha, L., Thome, J., & Faltraco, F. (2021). Feigning ADHD and stimulant misuse among Dutch university students. Journal of Neural Transmission, 128(7), 1079–1084.
Harrison, A. G., Beal, A. L., & Armstrong, I. T. (2022). The impact of depression and anxiety on speed of academic performance and retrieval fluency in postsecondary students. The Clinical Neuropsychologist, 36(6), 1506–1532.
Haslam, N., Holland, E., & Kuppens, P. (2012). Categories versus dimensions in personality and psychopathology: A quantitative review of taxometric research. Psychological Medicine, 42(5), 903–920.
Horwitz, A. V., & Wakefield, J. C. (2012). All we have to fear: Psychiatry’s transformation of natural anxieties into mental disorders. Oxford University Press.
Kagan, E. R., Frank, H. E., & Kendall, P. C. (2017). Accommodation in youth with OCD and anxiety. Clinical Psychology: Science and Practice, 24(1), 78–98.
Knappe, S., Beesdo-Baum, K., Fehm, L., Stein, M. B., Lieb, R., & Wittchen, H. U. (2011). Social fear and social phobia types among community youth: Differential clinical features and vulnerability factors. Journal of Psychiatric Research, 45(1), 111–120.
Lewandowski, L., Lambert, T. L., Lovett, B. J., Panahon, C. J., & Sytsma, M. R. (2014). College students’ preferences for test accommodations. Canadian Journal of School Psychology, 29(2), 116–126.
Lewandowski, L. J., Lovett, B. J., Codding, R. S., & Gordon, M. (2008). Symptoms of ADHD and academic concerns in college students with and without ADHD diagnoses. Journal of Attention Disorders, 12(2), 156–161.
Lovett, B. J., & Jordan, A. H. (2022). A modular treatment approach to test anxiety. Unpublished manuscript.
Lovett, B. J., & Lewandowski, L. J. (2015). Testing accommodations for students with disabilities: Research-based practice. American Psychological Association.
Lovett, B. J., & Nelson, J. M. (2017). Test anxiety and the Americans with Disabilities Act. Journal of Disability Policy Studies, 28(2), 99–108.
McCarthy, J. M., & Goffin, R. D. (2005). Selection test anxiety: Exploring tension and fear of failure across the sexes in simulated selection scenarios. International Journal of Selection and Assessment, 13(4), 282–295.
Putwain, D. W. (2007). Test anxiety in UK schoolchildren: Prevalence and demographic patterns. British Journal of Educational Psychology, 77(3), 579–593.
Putwain, D. W., & Symes, W. (2020). The four Ws of test anxiety. Psychologica, 63(2), 31–52.
Putwain, D. W., Stockinger, K., von der Embse, N. P., Suldo, S. M., & Daumiller, M. (2021). Test anxiety, anxiety disorders, and school-related wellbeing: Manifestations of the same or different constructs? Journal of School Psychology, 88, 47–67.
Rockett, F. C. (1956). Speed of form recognition as a function of stimulus factors and test anxiety. The Journal of Abnormal and Social Psychology, 53(2), 197–202.
Roemer, L., & Orsillo, S. M. (2020). Acceptance-based behavioral therapy: treating anxiety and related challenges. Guilford.
Sarason, S. B., & Mandler, G. (1952). Some correlates of test anxiety. Journal of Abnormal and Social Psychology, 47(4), 810–817.
Schlosser, A., Neeman, Z., & Attali, Y. (2019). Differential performance in high versus low stakes tests: Evidence from the GRE test. The Economic Journal, 129(623), 2916–2948.
Spielberger, C. D. (1980). Test anxiety inventory. Mind Garden.
Suhr, J. A., & Johnson, E. E. (2022). First do no harm: Ethical issues in pathologizing normal variations in behavior and functioning. Psychological Injury and Law, 15(3), 253–267.
Szafranski, D. D., Barrera, T. L., & Norton, P. J. (2012). Test anxiety inventory: 30 years later. Anxiety, Stress & Coping, 25(6), 667–677.
Taylor, J., & Deane, F. P. (2002). Development of a short form of the Test Anxiety Inventory (TAI). Journal of General Psychology, 129(2), 127–136.
Theobald, M., Breitwieser, J., & Brod, G. (2022). Test anxiety does not predict exam performance when knowledge is controlled for: Strong evidence against the interference hypothesis of test anxiety. Psychological Science, 33(12), 2073–2083.
Trapp, E. P., & Kausler, D. H. (1958). Test anxiety level and goal-setting behavior. Journal of Consulting Psychology, 22(1), 31–34.
von der Embse, N., Jester, D., Roy, D., & Post, J. (2018). Test anxiety effects, predictors, and correlates: A 30-year meta-analytic review. Journal of Affective Disorders, 227, 483–493.
Wakefield, J. C. (2010). Taking disorder seriously: A critique of psychiatric criteria for mental disorders from the harmful-dysfunction perspective. In T. Millon, R. F. Krueger, & E. Simonsen (Eds.), Contemporary directions in psychopathology (pp. 275–300). Guilford.
Washington State University. (n.d.). Test anxiety and disability documentation and accommodations. Retrieved December 27, 2023, from https://s3.wp.wsu.edu/uploads/sites/471/2015/10/TestAnxietyDocumentation.pdf
Weis, R., & Waters, E. A. (2023). Evidence-based accommodations for postsecondary students with disabilities: Beware the base rate fallacy. Psychological Injury and Law, Advance Online Access. https://doi.org/10.1007/s12207-023-09471-7
Zuriff, G. E. (1997). Accommodations for test anxiety under ADA? Journal of the American Academy of Psychiatry and the Law, 25(2), 197–206.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Lovett, B.J., Nelson, J.M. & O’Meara, P. Test Anxiety Symptoms in College Students: Base Rates and Statistical Deviance. Psychol. Inj. and Law 17, 45–54 (2024). https://doi.org/10.1007/s12207-023-09494-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12207-023-09494-0