ArticleBMC psychology2022
Testing times: the association of intolerance of uncertainty and metacognitive beliefs to test anxiety in college students.
Article in BMC psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 35 citations in OpenAlex.
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- Generalized Anxiety Disorder Symptoms in Adolescents: The Relative Contribution of Intolerance of Uncertainty and Metacognitive Beliefs.Child psychiatry and human development · 2026Article
- Factors associated with adverse pregnancy outcome and psychological outcomes during re-pregnancy: a cross-sectional study.Frontiers in psychology · 2026Article
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- Metacognition mediates the relationship between anxiety and smartphone addiction in university students.Scientific reports · 2025Article
- Immersive Virtual Reality and AI (Generative Pretrained Transformer) to Enhance Student Preparedness for Objective Structured Clinical Examinations: Mixed Methods Study.JMIR serious games · 2025Article
- How does uncertainty avoidance affect employee voice behavior through the dual-path ways of work engagement and psychological security?BMC psychology · 2025Article
- The role of anxiety factors in predicting smartphone addiction mediated by metacognition among university students: a two-stage SEM-ANN approach.BMC psychology · 2025Article
- The relationship between uncertainty and fear of disease progression among newly diagnosed cancer patients: the mediating role of intolerance of uncertainty.BMC psychiatry · 2024Article
- The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality.BMC public health · 2024Article
- The association between intolerance of uncertainty and academic burnout among university students: the role of self-regulatory fatigue and self-compassion.Frontiers in public health · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTest anxiety has a detrimental effect on test performance but current interventions for test anxiety have limited efficacy. Therefore, examination of newer psychological models of test anxiety is now required. Two transdiagnostic psychological models of emotional disorders that can account for anxiety are the intolerance of uncertainty model (IUM) and the Self-Regulatory Executive Function (S-REF) model. Intolerance of uncertainty, the stable disposition to find uncertainty distressing, is central to the IUM, while beliefs about thinking, metacognition, are central to the S-REF model. We tested for the first time the role of both intolerance of uncertainty and metacognitive beliefs in test anxiety.
methodsA cross-sectional design was used, with college students (n = 675) completing questionnaires assessing their test anxiety, intolerance of uncertainty, and metacognitive beliefs. Hierarchical linear regressions examined if intolerance of uncertainty and metacognitive beliefs were associated with test anxiety, after controlling for age and gender.
resultsFemales reported significantly more test anxiety than males. Partial correlations, controlling for gender, found intolerance of uncertainty and metacognitive beliefs were significantly and positively correlated with test anxiety. Hierarchical linear regressions found metacognitive beliefs explained an additional 13% of variance in test anxiety, after controlling for intolerance of uncertainty. When the order of entry was reversed, intolerance of uncertainty was only able to explain an additional 2% of variance, after controlling for metacognitive beliefs. In the final regression model, gender, intolerance of uncertainty and the metacognitive belief domains of 'negative beliefs about the uncontrollability and danger of worry' and 'cognitive confidence' were all significantly associated test anxiety, with 'negative beliefs about the uncontrollability and danger of worry' having the largest association.
conclusionsBoth intolerance of uncertainty and metacognitive beliefs are linked to test anxiety, but results suggest metacognitive beliefs have more explanatory utility, providing greater support for the S-REF model. Modification of intolerance of uncertainty and metacognitive beliefs could alleviate test anxiety and help students fulfil their academic potential.
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