Evidence map›Paper›PMID 41877887›Full record

ArticleFrontiers in psychiatry2026

Utilizing artificial intelligence to assess academic exam anxiety, perceived stress, and achievement motivation among college students.

Zuhal Y Hamd, Zamzam A Mohmed, Nouf Alroqaiba, Sherine Mohamed Elzagawy, Hala Abd Ellatif Elsayed, Maha Mahmoud Lashin, Maha Aldera, Amal I Alorainy

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Article in Frontiers in psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zuhal Y HamdDepartment of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Zamzam A MohmedDepartment of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Nouf AlroqaibaDepartment of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Sherine Mohamed ElzagawyDepartment of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Hala Abd Ellatif ElsayedDepartment of Health Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Maha Mahmoud LashinDepartment of Biomedical Engineering, College of Engineering, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Maha AlderaDepartment of Communication Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.
Amal I AlorainyDepartment of Radiological Sciences, College of Health and Rehabilitation Sciences, Princess Nourah bint Abdulrahman University (PNU), Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Exam anxiety is a multidimensional construct combining physiological reactions and affective responses that can hinder academic performance. Academic stress reflects students' perceived pressure related to workload, deadlines, and self-evaluation. Achievement motivation refers to students' drive to attain optimal performance. This study evaluated academic anxiety, perceived stress, and achievement motivation before and after examinations and examined whether artificial intelligence can effectively assess students' psychological states. Methods: A cross-sectional, repeated-measures design was used. Academic institution students completed an online questionnaire assessing exam anxiety, perceived academic stress, and achievement motivation before and after examinations. Data were analysed using SPSS for statistical modelling. In parallel, a fuzzy logic system (FLS) was developed to model students' psychological states and estimate exam anxiety and achievement motivation in relation to perceived stress. Outputs from SPSS and FLS were compared to evaluate concordance. Results: SPSS analysis showed a significant interaction between perceived stress and achievement motivation prior to examinations (b = 0.02, 95% CI: 0.01-0.02, p < 0.001). This moderating effect was not observed after examinations (b = 0.00, 95% CI: -0.01-0.01, p = 0.554). The FLS results were consistent with conventional statistical findings, demonstrating strong agreement in identifying levels of exam anxiety and the role of achievement motivation before exams. Discussion: Achievement motivation moderates the relationship between perceived stress and exam anxiety only in the pre-examination period, highlighting the temporal nature of this interaction. The alignment between SPSS and FLS outcomes suggests that artificial intelligence, particularly fuzzy logic systems, can efficiently evaluate students' academic exam anxiety. These findings support the potential use of AI-based tools for psychological state assessment in educational settings, especially for early identification of students at risk of heightened exam anxiety.

Indexed as

academic anxietyachievement motivationartificial intelligencefuzzy systemperceived stress

Identifiers

PMID41877887
PMCPMC13006666

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.