... As such, test anxiety has been suggested to occur along a continuum, and rather than some individuals indicating that test anxiety is always present, students may differ in their expe- riences of test anxiety (McDonald, 2001). Test anxiety is associ- ated with a number of negative outcomes such as overanxious disorder and other types of anxiety disorders (e.g., social pho- bia), and mental health difficulties (e.g., specific phobia, depres- sion; King, Mietz, Tinney, & Ollendick, 1995;LeBeau et al., 2010), low self-esteem (Pekrun, 2000), lower grades and aca- demic performance (Eum & Rice, 2011;Segool, Carlson, Goforth, Von der Embse, & Barterian, 2013), grade retention (Hembree, 1988), and dropout ( Chapell et al., 2005;Tobias, 1979). Furthermore, effects of test anxiety can increase in sever- ity if not treated at a young age (Swanson & Howell, 1996). ...