Evidence map›Paper›PMID 42253539›Full record

ArticleFrontiers in psychology2026

The impact of multiple factors on medical students' test anxiety: the mediating role of psychological resilience.

Jing Chen, Fei Chen, Shuang Qiu

Abstract read
In one paragraph

Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jing ChenThe Fifth Clinical College, Hubei University of Medicine, Shiyan, China.
Fei ChenThe Fifth Clinical College, Hubei University of Medicine, Shiyan, China.
Shuang QiuHubei University of Medicine, Shiyan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study examined the influence of academic stress, social support, and perfectionism on test anxiety among medical students, as well as the mediating role of psychological resilience. Drawing on Control-Value Theory and Resilience Theory, the study explored how internal protective resources respond to academic, environmental, and personality-related factors. Methods: A structured questionnaire was administered to medical students from three medical universities in China through a convenience sampling approach. A total of 1,067 valid responses were collected. SPSS 26.0 was utilized to perform statistical analyses and explore the associations among the variables. Result: The results showed that academic stress and maladaptive perfectionism were significantly positively related to test anxiety, whereas social support and adaptive perfectionism were significantly negatively related to it. Psychological resilience was found to mediate the relationships between the predictor variables and test anxiety. Specifically, the mediation effect accounted for 18.889% (academic stress), 56% (social support), 30.588% (adaptive perfectionism), and 12.658% (maladaptive perfectionism) of the total effects, respectively. Conclusion: The findings highlighted the central role of psychological resilience in mitigating the negative impact of academic stress and maladaptive perfectionism on test anxiety, while also strengthening the positive influence of social support and adaptive perfectionism. These outcomes suggested that strategies designed to cultivate resilience may help alleviate test anxiety and enhance both psychological health and academic performance among medical students.

Indexed as

academic stressperfectionismpsychological resiliencesocial supporttest anxiety

Identifiers

PMID42253539
PMCPMC13233473

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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.