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Cognitive Modification of Test-Anxious College Students

Journal of Consulting and Clinical Psychology
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Abstract

Assigned 15 male and 6 female test anxious 17-25 yr. olds (1 high school student and 20 undergraduates) to a group cognitive modification treatment, group desensitization, or a waiting list control group. The cognitive modification group combined an insight-oriented therapy which was designed to make test anxious Ss aware of their anxiety-engendering thoughts with a modified desensitization procedure which employed (a) coping imagery on how to handle anxiety and (b) self-instructional training to attend to the task and not ruminate about oneself. Results indicate that the cognitive modification group was most effective in significantly reducing test anxiety as assessed by (a) test performance obtained in an analog test situation, (b) self-reports given immediately after posttreatment and later at a 1-mo follow-up, and (c) GPA. Following treatment, the test anxious Ss in the cognitive modification group did not differ from a group of 10 low test anxious Ss, and in fact the cognitive modification Ss reported a significant increase in facilitative anxiety. (63 ref.)
Journal
ol
Consulting
and
Clinical Psychology
1972,
Vol.
39, No. 3,
370-380
COGNITIVE
MODIFICATION
OF
TEST
ANXIOUS
COLLEGE
STUDENTS1
DONALD
H.
MEICHENBAUM
2
University
of
Waterloo, Waterloo, Ontario
The
relative
efficacy
of a
group
cognitive
modification
treatment procedure
(N
=
8) was
determined
by
comparing
it
with group desensitization
(N 8)
and
a
waiting
list
control group
(N
=
S). The
cognitive modification group
combined
an
insight-oriented therapy which
was
designed
to
make
test-
anxious
5s
aware
of
their
anxiety-engendering thoughts with
a
modified
desensitization procedure which employed
(a)
coping imagery
on how to
handle anxiety
and (6)
self-instructional training
to
attend
to the
task
and not
ruminate about oneself. Results indicated
that
the
cognitive modification
group
was
most
effective
in
significantly reducing
test
anxiety
as
assessed
by
(a)
test
performance
obtained
in an
analogue
test
situation,
(&)
self-reports
given
immediately
after
posttreatment
and
later
at a
one-month
follow-up,
and (c)
grade point
average.
Following treatment,
the
test
anxious
Ss in the
cognitive
modification
group
did not
differ
from
a
group
of low
test
anxious
5s, and in
fact
the
cognitive modification
5s
reported
a
significant increase
in
facilitative
anxiety.
The
negative
effects
of
test
anxiety
on
aca-
demic
performance have been repeatedly docu-
mented (Alpert
&
Haber,
1960;
Handler
&
Sarason,
1952;
Paul
&
Eriksen, 1964; Sara-
son, 1960; Spielberger, 1966).
The
major
causes
of
performance decrement
are
believed
to be
failure
of the
high test anxious person
to
attend
to
relevant
parts
of the
task,
in-
trusion
of
irrelevant thoughts,
and
high emo-
tional arousal which
interfere
with
perform-
ance
(Easterbrook,
19S9;
Handler
&
Wat-
son, 1966; Wine, 1971). Research
by
Hand-
ler
and
Watson (1966)
and
Harlett
and
Watson
(1968)
has
indicated
that
high test
anxious
persons,
in
situations where their per-
formance
is
being evaluated, spend more
of
their time
(a)
worrying about their perform-
ance
and
about
how
well others
are
doing,
(b)
ruminating over
alternatives,
(c)
being
preoccupied
with such things
as
feelings
of
inadequacy, anticipation
of
punishment, loss
of
status
and
esteem,
and
heightened somatic
and
autonomic reactions. Consistent with this
1
This
study
was
assisted under Grant
120 of the
Ontario
Mental
Health
Foundation
and by a
grant
from
the
University
of
Waterloo counseling service.
The
author
wishes
to
thank
Tony
Bellisimo
who
acted
as the
therapist
and
Dorritt Clarke
and
Al
Fedoravicius
who
conducted
the
assessments.
2
Requests
for
reprints
should
be
sent
to
Donald
H.
Meichenbaum,
Department
of
Psychology, University
of
Waterloo, Waterloo, Ontario, Canada.
description
of
high test anxious
Ss,
Liebert
and
Horris
(1967)
have suggested that test
anxiety
is
composed
of two
major components,
worry
and
emotionality.
The
worry com-
ponent
is
described
as
cognitive concern over
performance;
emotionality
is the
autonomic
arousal aspect
of
anxiety.
The
debilitating
effects
of
worry
or
cognitive concern
on
per-
formance
have been documented
by
Doctor
and
Altman
(1969), Liebert
and
Horris
(1967),
Horris
and
Liebert
(1970),
and
Spiegler,
Horris,
and
Liebert (1968). These
authors suggest that
the
emotionality compo-
nent
is
less likely
to
interfere with
the
per-
formance
of the
high test anxious
S,
whereas
worry requires more
of the S's
attention
and
more
directly causes decrement
in
perform-
ance.
Wine
(1971)
indicated that
the im-
portance
of the
worry component underscores
an
attentional interpretation
of the
debilitat-
ing
effects
of
test
anxiety where
the
adverse
effects
of
test anxiety
are due to
attention
being
divided between
self
and the
task. Wine
suggested
that
the
high test anxious
S's
per-
formance
may be
improved
by
directing
his
attention
to
task-relevant variables
and
away
from
self-evaluative ruminations. Treatment
should
be
designed
to
directly control
the
worry
component
and the
cognitive
or
atten-
tional
style
of the
high test anxious person.
370
... This situation is clearly changing, and steps are currently being taken to incorporate many of Ellis' concepts and procedures into the field of cognitive behavior therapy (Beck, 1976;Goldfried & Davison, 1976;Goldfried, Decenteceo, & Weinberg, 1974;Mahoney, 1974;Meichenbaum, 1977). A number of outcome studies have appeared in the literature, demonstrating that speech anxiety (Meichenbaum, Gilmore, & Fedoravicious, 1971;Trexler & Karst, 1972), interpersonal anxiety (Di-Loreto, 1971; Kanter & Goldfried, Note 1), unassertive behavior (Thorpe, 1975;Wolfe & Fodor, in press;Linehan, Goldfried, & Goldfried, Note 2), and test anxiety (Holroyd, 1976;Meichenbaum, 1972;Osarchuk, 1976) can be reduced by intervention procedures that focus on training individuals to modify their unrealistic belief systems. ...
... The relevance of a more cognitively oriented approach in the treatment of test anxiety is noted by Wine (1971), whose review suggests that anxious individuals not only experience emotional arousal but also engage in excessive worry about the adequacy of their performance. Based on the assumption that test anxiety may be comprised of both "emotionality" and "worry" components (Liebert & Morris, 1967;Morris & Liebert, 1969), Meichenbaum (1972) developed a treatment package involving cognitive restructuring and modified systematic desensitization. Test-anxious subjects were provided with relaxation training, engaged in discussions of potentially unrealistic beliefs associated with test taking, and were then given practice in coping with imagined testrelated situations by means of relaxation and self-instructions to focus on only the test itself. ...
... Although Meichenbaum's (1972) cognitive modification procedure for reducing of test anxiety consisted of a treatment package containing rational-emotive therapy, self-instructions, and relaxation components, our results reveal that cognitive restructuring alone is effective. It should be noted, however, that the cognitive restructuring procedure used by Meichenbaum is somewhat different from the intervention procedure used in the present study. ...
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This collaborative clinical outcome study with 36 18–49 yr old Ss compared 2 procedures for reducing test anxiety with a waiting list control. In the first, systematic rational restructuring, the participants were trained to realistically reevaluate imaginally presented test-taking situations. In the second, a prolonged exposure condition, Ss were presented the same hierarchy items but with no instructions for coping cognitively. Ss were administered the following measures of test anxiety; the S-R Inventory of Anxiousness, Achievement Anxiety Test, Test Anxiety Questionnaire, Fear of Negative Evaluation, Social Avoidance and Distress Scale, and the Trait Scale of the Stait-Trait Anxiety Inventory. Results show greater anxiety reduction in the systematic rational restructuring condition, followed by the prolonged exposure group, with no changes for the control. Only those in the rational restructuring condition reported a significant decrease in subjective anxiety when placed in an analog test-taking situation. Ss in the restructuring condition also reported greater generalized anxiety reduction in social-evaluative situations. Within the broader context of cognitive behavior therapy, these results indicate that the cognitive reappraisal of anxiety-provoking situations can offer an effective treatment procedure for the reduction of anxiety. (31 ref)
... Suinn and Richardson (1971) described the use of competency scenes as part of a successful anxiety treatment program. Meichenbaum (1972) also reported that coping imagery enhanced treatment efficacy when incorporated into a cognitive desensitization program for test anxiety. ...
... In its modification of negative beliefs and inappropriate expectations of failure on a stressful task, individualized covert modeling is similar to the rational restructuring techniques employed by Ellis (1962) and others (e.g., Goldfried, Linehan, & Smith, 1978;Meichenbaum, 1972). Individualized covert modeling emphasizes the individual's personal coping skills and systematically incorporates them into the treatment regimen. ...
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Assessed the comparative efficacy of individualized covert modeling combined with study skills training, self-control desensitization combined with study skills training, and study skills training alone as treatments for test anxiety. 48 test-anxious undergraduates were randomly assigned to 1 of the 3 treatment conditions or to a waiting-list control group. All treatment groups met for 8 1-hr sessions. The assessment of test anxiety was made on the basis of the Suinn Test Anxiety Behavior Scale and the Achievement Anxiety Test administered prior to and at the completion of treatment. Academic performance was measured by GPA. At posttest, all treatment groups were significantly better than waiting-list controls on one or more of the dependent measures. Individualized covert modeling and self-control desensitization both substantially reduced self-reported test anxiety. However, the individualized covert modeling group was the only treatment group that showed significant improvement in academic performance. A replication of the individualized covert modeling procedure produced similar positive results. (40 ref)
... Mental health care using self-instructional training is effective [8]. Originally this training was used only for impulsivity control [10], but previous studies have now shown its effectiveness in mental health care, including stress management [7] [11], anxiety and fear reduction [12], and overcoming shyness [13]. In addition, although this training was initially used mostly for children, it has also been used for adults as well, and its effectiveness has been proven [14]. ...
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Interactive systems that enable people to easily access mental health care in their daily lives are being studied. Self-instruction training, which is a kind of cognitive-behavioral therapy, is expected to be effective for general-purpose mental health care, but the difficulty for users to create self-instructional texts by themselves has hindered its widespread use. Furthermore, it is not sufficient to simply use a computer-assisted method for the training in which the computer automatically generates the self-instructional texts. This is because previous studies have shown that users do not feel self-instructional texts that are not created by themselves are their thoughts, and consequently cannot internalize the content of the texts, reducing the effectiveness of the training. In this study, we focused on the interface design that facilitates users to internalize automatically generated self-instructional texts, toward the realization of a self-instructional training support system. We proposed an interface that shows the real-time captured video of a user's face like a mirror and superimposes a speech bubble containing a self-instructional text to be connected to the user's face and confirmed the interface facilitates the user's internalization of the text through online experiments. The contribution of this paper is to provide a novel interface design for computer-assisted self-instructional training.
... According to the post-test results, CBT appeared to significantly reduce test anxiety. It was observed that the effectiveness of CBT in reducing test anxiety in the present study corresponds to the results reported in previous research (Ergene, 2003;Goldfried et al., 1978;Hembree, 1988;Huntley, et al., 2019;Koruklu et al., 2006;Meichenbaum, 1972). ...
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The aim of our study is to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Mindfulness-Based Acceptance Intervention (MBA) in decreasing the anxiety of students, which negatively impacts academic achievement. A mixed-methods design was employed in the study. The experimental part is a quasi-experimental one including the pre-test, post-test, and control group. Data were collected by through a semi-structured interview to reveal the effectiveness of the experimental part. According to the results of the study, it was concluded that the experimental group scores decreased significantly compared to the control group. However, no significant difference was found between the experimental groups. In the qualitative part of the study, a case study was employed to reveal the outcomes achieved by the participants in the group sessions. The data was analyzed using descriptive statistics. The results indicated that MBA was effective in recuing test anxiety along with CBT.
... On-task thoughts were not related to math performance, and coping self-statements were negatively related to performance. This finding, that neither on-task nor coping self-statements were associated with better task performance, is surprising given previous reports of improvement using coping self-statements in the treatment of test-anxious adults (e.g., Holroyd, 1976;Meichenbaum, 1972). One possibility is that the cross-sectional correlational nature of the current study obscured any improvement in performance that might have occurred chronologically after the occurrence of a coping self-statement. ...
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... Perusal of the current test anxiety treatment literature indicates that the worryemotionality distinction is a major conceptual tool used in designing treatment approaches (e.g., Meichenbaum, 1972;Reister, Stockton, & Maultsby, 1977;Spielberger, Anton, & Bedell, 1976). The aim generally is to design treatments that simultaneously reduce both the discomfort of emotionality and the cognitive interference of worry. ...
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Reviews the literature generated by R. M. Liebert and L. W. Morris's (1967) 2-component conceptualization of anxiety, specifically test anxiety, and other related theoretical and research programs. It is concluded (a) that the inverse relationship between anxiety and various performance variables under appropriate conditions is attributable primarily to the worry–performance relationship, supporting a cognitive–attentional view of performance deficits; (b) that the 2 components are probably aroused and maintained by different aspects of stressful situations; certainly worry may or may not be accompanied by the emotional component; and (c) that efforts to apply the distinction to the development of more effective treatment techniques have been productive. Recent advances in assessment are noted, and a revised worry–emotionality questionnaire is presented, along with the factor-analytic evidence on which it is based. A social learning position is used to provide further theoretical perspective. (2½ p ref)
... The self-control treatment used in Holroyd et al. contained peutic procedures (Beck, 1976;Goldfried, Decenteceo, & Weinberg, 1974;Meichenbaum, 1977) to teach individuals to identify their reactions to stress and to use effective cognitive coping skills. Similar treatment procedures have been found effective not only for the treatment of clinical problems such as specific anxieties (Di Lorcto, 1971;Goldfried, Linehan, & Smith, 1978;Holroyd, 1976;Meichenbaum, 1972;Meichenbaum, Gilmore, & Fedoravicious, 1971;Kanter & Goldfried, Note 1), depression (Rush, Beck, Kovacs, & Hollon, 1977), stuttering (Moleski & Tosi, 1976), and unassertive behavior (Thorpe, 1975;Wolfe & Fodor, 1977;Linehan & Goldfried, Note 2) but also for providing individuals with skills for coping with laboratory (Meichenbaum, Turk, & Burnstein, 1975) and real-life (Langer, Janis, & Wolfer, 1975) stressors. ...
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Instructions for giving the tests, principles of construction, standardization, and qualitative and quantitative evaluation of test responses are included. (PsycINFO Database Record (c) 2012 APA, all rights reserved)