Lower Levels Of Anxiety Research Articles

Examining the influence of anxiety and depression on medication adherence among patients diagnosed with acute myocardial infarction

BackgroundEffective medication adherence is vital for managing acute myocardial infarction (AMI) and enhancing patient well-being. This study aimed to evaluate medication adherence levels and associated factors among AMI patients using standardized assessment tools.MethodsEmploying a cross-sectional descriptive design, the study involved 210 patients diagnosed with acute myocardial infarction. Participants completed the General Medication Adherence Scale (GMAS), Hospital Anxiety and Depression Scale (HADS), and provided socio-demographic details.ResultsThe study revealed partial adherence to medications among AMI patients, with mean scores of 24.89 (± 3.64) out of 33. Notably, good adherence was observed in non-adherence due to patient behavior (mean ± SD = 11.8 ± 2.3 out of 15) and additional disease burden (mean ± SD = 8.65 ± 2.21 out of 12), while partial adherence was noted in non-adherence due to financial constraints (mean ± SD = 4.44 ± 1.34 out of 6). Patients reported mild anxiety (mean ± SD = 8.38 ± 2.81) and no depressive symptoms (mean ± SD = 7.43 ± 2.42). Multiple linear regression analysis indicated that employed status, younger age, shorter duration of MI, lower anxiety, and depression levels were associated with higher medication adherence. However, factors such as monthly income, gender, educational level, and marital status did not predict medication adherence.ConclusionThe study highlights the significance of addressing anxiety and depression levels and considering socio-demographic factors when designing interventions to enhance medication adherence among AMI patients. Further research is needed to explore additional determinants of medication adherence and develop tailored interventions to improve patient outcomes post-AMI.

Staying Active, Minding Health: Does Exercise Influence Depression and Anxiety in Herat University's Education Students?

Mental health issues are a major concern for public health worldwide, affecting a large segment of the global population. This study aims to investigate the association between physical activity, depression, and anxiety among students in the Faculty of Education at Herat University. A cross-sectional study was conducted during the fourth quarter of 2023 (October-December) encompassing a 204 sample of male students enrolled in the Faculty of Education at Herat University. We used a 13-item self-administered questionnaire to collect information on the participants’ sociodemographic details and physical activities. We assessed depression and anxiety using the standardized Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder 7-item (GAD-7) questionnaire, respectively. The data was scored and categorized according to the guidelines set for each instrument. Statistical analyses were performed in IBM SPSS Statistics (version 27). Of all participants in this study, 86.3% suffered from various degrees of depression and 71.6% suffered from various degrees of anxiety. A lack of a regular and organized weekly plan involving sports activities was associated with depression (p=0.009) and anxiety (p=0.024). Lack of regular weekly exercise in the past due to physical problems was associated only with anxiety (p=0.023). This study explored how physical activity relates to depression and anxiety in students at Herat University's Faculty of Education. We found that being physically active was linked to both lower depression and anxiety levels. The higher rates of depression and anxiety in our study might be due to social and environmental factors that the other studies didn't account for.

Beyond medications: a multifaceted approach to alleviating comorbid anxiety and depression in clinical settings.

Comorbid anxiety and depression are common and can make the problems more complex and sometimes resistant to pharmacological treatment. In existing research, the diagnoses are often studied separately, and physical activity, healthy nutrition, psychoeducation, and social support have shown good effects. The aim of the present study was to explore the longitudinal effects of a comprehensive treatment on patients with comorbid anxiety and depression in a clinical context. Eighty inpatients (15 men and 65 women) in age range 23-65 years receiving psychiatric treatment in Norwegian clinic participated in the longitudinal study. Treatment was person-centered and was most frequently given for anxiety and depression, e.g., pharmacological treatment and psychotherapy, individually and in groups. In combination with this, physical activity, healthy nutrition, psychoeducation and social support in contacts with authorities and relatives were also a part of treatment. Depression and anxiety were assessed using the Beck Anxiety Inventory and Beck Depression Inventory at three points in time: baseline, at the end of treatment, and 3 months after treatment. The answers were categorized and combined into four groups according to severity of anxiety and depression to measure effects on comorbidity. Mann Whitney U test, Chi-square, Friedmans test, and McNemar test were used to analyze the data. The results showed a significant increase of frequencies in the group with mild anxiety and depression 3 months past treatment compared to baseline. Through the comprehensive, person-centered treatment more patients had low levels of both anxiety and depression 3 months after treatment. We suggest that clinics working with comorbid depression and anxiety patients should add physical activity, nutrition advice, social support, and psychoeducation to the traditional treatment regimes. More research concerning comorbid anxiety and depression are urgent to further expand the treatment possibilities.

Filial piety belief profiles among Chinese couples: Associations with relationship satisfaction and insecure attachment

AbstractThe present study examined the heterogeneity of Chinese romantic couples' filial piety belief patterns. In addition, we investigated how the configuration of filial piety belief profiles within couples can link to individuals' perceptions of romantic relationship satisfaction and different attachment tendencies. We recruited 297 dyads of Chinese couples currently in heterosexual romantic relationships in the university. The couples completed self‐reported measures of dual filial piety beliefs (reciprocal and authoritarian filial piety), romantic relationship satisfaction, and insecure attachment (attachment anxiety and avoidance). We used latent profile analysis (LPA) to identify couples' dual filial piety belief interaction profiles. Four‐couple profiles emerged: (1) authoritarian couples, (2) balanced couples (while men with slightly higher reciprocal filial piety), (3) balanced couples (while men with lower reciprocal filial piety), and (4) divergent couples (balanced men and non‐filial women). The couples in the four profiles did not show significant differences in their romantic relationship satisfaction, but their attachment styles differed. (1) authoritarian couples experienced the highest levels of attachment anxiety and avoidance; (2) balanced couples experienced relatively lower levels of attachment anxiety and avoidance; and (3) non‐filial women in divergent couple profiles experienced significantly higher levels of attachment avoidance. This was the first study to uncover the possible associations between Chinese young couples' dual filial piety interaction profiles, and their dyadic relationship satisfaction and insecure attachment by adopting the person‐centered approach. We further discussed the theoretical and practical implications of the findings.

Variations in Depression and Anxiety among Jordanian Women Undergoing Mastectomy and Reconstruction Surgery: Impact of Familial Support.

Depression and anxiety are common among breast cancer patients, due to the ongoing mental distress during illness. This study examines the impact of family support on depression and anxiety changes in Jordanian women undergoing mastectomy and reconstruction surgery. We conducted a cross-sectional study to investigate the effect between family support and depression/anxiety levels in women post-mastectomy in Jordan. Participants included breast cancer patients who had undergone mastectomy surgery, meeting specified inclusion criteria. We collected data on socio-demographic variables via a questionnaire between October 2023 and January 2024. Depression and anxiety levels were assessed using the Depression, Anxiety and Stress Scale - 21 Items (DASS-21), while social support was evaluated using the Social Support Survey. A significantly negative correlation was observed between the DASS-21 score and social support, indicating that higher levels of social support were associated with lower levels of depression, anxiety, and stress (p-value: 0.001). Additionally, analyzing the correlation between physical therapy, social support (median scores: 76 vs. 90, p = 0.021), and DASS-21 (median scores: 25 vs. 11, p < 0.001) revealed significant findings. Specifically, individuals who had received physical therapy exhibited significantly lower DASS-21 scores and higher social support scores. Our study underscores the significant role of family support in alleviating depression and anxiety levels among women with breast cancer. Strong family support emerges as a key factor in improving the emotional well-being of these individuals.

The effect of dental treatment using conscious sedation therapy on patient satisfaction

Objectives: This study aimed to investigate the effects of conscious sedation on patient satisfaction with dental treatment. Methods: The survey included questions on the patients’ general characteristics, dental treatment fear, anxiety, and satisfaction, and patient evaluation by an observer. Statistical analyses were performed using SPSS 20.0 ver. and data were analyzed using frequency analysis, independent t-test, Pearson’s correlation coefficient, and multilinear regression analysis. Results: Patients who received conscious sedation therapy showed significantly lower levels of dental fear and anxiety, whereas their dental treatment satisfaction was significantly higher than that of patients who received regular dental treatment (p&lt;0.05). Dental treatment fear, anxiety, satisfaction, and conscious sedation depth were significantly correlated in patients who received conscious sedation therapy (p&lt;0.05). Factors influencing dental treatment satisfaction included age, weight, use of medication, smoking habits, use of conscious sedation therapy, dental treatment fear and anxiety, and conscious sedation depth (p&lt;0.05). Conclusions: Conscious sedation therapy can be an effective method to reduce dental treatment fear and anxiety and improve patient satisfaction.

The moderating effect of religiosity between climate change anxiety and death anxiety among a sample of Lebanese adults

BackgroundAcknowledging the increasing worry over climate change and its psychological effects, the aim of this research is to clarify the dynamics between religiosity, climate anxiety and death anxiety, seeking to figure out the way religiosity mitigates the psychological effects of existential anxieties and climate related anxiety.MethodsUsing Google Forms, a questionnaire was developed and disseminated through a variety of messaging platforms, such as WhatsApp, Instagram, and Facebook Messenger. Through a snowball sampling technique, 763 participants were recruited in this cross-sectional during September 2023.ResultsThe subsequent variables were adjusted in the moderation analysis: age, gender, and place of living. The results suggested that religiosity levels moderated the association between climate anxiety and death anxiety (Beta = 0.02, t = 1.97, p = .05, 95% CI 0.001, 0.035). At low, moderate, and high levels of religiosity, higher climate anxiety was significantly associated with more death anxiety. In addition, at low levels of climate anxiety, individuals with higher levels of religiosity (22.66) had more decreased levels of death anxiety compared to those with lower levels of religiosity (11.99). As climate anxiety levels increase, inverted patterns can be observed, with highly religious individuals showing higher levels of death anxiety than those with lower levels of religiosity. Overall, the relationship between climate anxiety and death anxiety was found to be weakest at low levels of religiosity and strongest at high levels of religiosity.ConclusionOur findings suggest a possible beneficial effect of high religiosity at low levels of climate anxiety. This effect is reversed as climate anxiety starts to increase. Therefore, clinicians and policy-makers should bear in mind these complex interactions when designing strategies to mitigate mental health problems in the context of climate crisis.

A cross-sectional examination of the relationship between learning environment and anxiety among dental hygiene students.

This study's purpose was to determine if the learning environment impacts student anxiety in a dental hygiene program by evaluating the two main learning environments: the dental clinic and the traditional classroom. This study also examined educational tasks and their association with anxiety in each learning environment. A web-based survey was conducted using a convenience sample of dental hygiene students enrolled in a two or four yearCODA-accredited dental hygiene program in the United States. The Beck Anxiety Inventory was used to determine each participant's anxiety levels in both learning environments. Data analysis included descriptive statistics, correlation, and an analysis of variance. According to the Beck Anxiety Inventory scoring, dental hygiene students experience a moderate level of anxiety when learning in the dental clinic and a low level of anxiety when learning in the classroom. Nervousness was the most reported anxiety symptom in both the dental clinic and the traditional classroom. Test results from the Spearman correlation show that all dental clinic and classroom educational tasks have a significant correlation (p<0.01) to a student's anxiety level. Anxiety reported by students did not statistically differ by the year in which they were in the dental hygiene program. Findings suggest anxiety does exist at a moderate level in dental hygiene students. The dental clinic learning environment is associated with greater anxiety among dental hygiene students. Results from this study will be beneficial in understanding how to facilitate student success in a dental hygiene program.

Unravelling the relationship between language anxiety and foreign language speech fluency in a monologue production

ABSTRACT This study investigated the interplay between language anxiety of advanced foreign language learners and their speech fluency measured with temporal indices. Language anxiety levels of 59 university level students of English were identified with the Input, Processing and Output Anxiety Scale (the IPOAS; MacIntyre & Gardner, 1994. The effects of induced anxiety on three stages of cognitive processing in computerized vocabulary learning.’ Studies in Second Language Acquisition 16 (1): 1–17. doi:10.1017/S0272263100012560) and the Post-Session Survey on Anxiety. The former informed about the levels of anxiety experienced at three stages of linguistic processing, hence, input anxiety, internal processing anxiety, and output anxiety. The latter was applied to identify language anxiety levels exhibited during a monologue production, reported as task-specific language anxiety. Speech samples from the performance were analyzed for fluency breakdown (the number of filled and silent pauses), speed of speech (articulation rate), and composite measures (speech rate). The findings revealed that the advanced foreign language learners with higher levels of internal processing anxiety and output anxiety used filled pauses more frequently. Furthermore, the levels of output anxiety and task-specific language anxiety were inversely related to speech and articulation rate. The study also showed statistically significant differences in the production of filled pauses and speech rate between advanced foreign language learners with low and high levels of language anxiety as measured by the IPOAS.

The effect of independent activities in healthy fitness on the psycho-emotional state of female students of vocational schools in the conditions of marital state

The full-scale war on the territory of our country affected all Ukrainians without exception, including student youth. Therefore, the relevance of studying the problems of the psycho-emotional state of the individual in today's conditions is extremely important. The purpose of the study was to analyze the influence of self-remedial fitness classes on the psycho-emotional state of female students of higher education institutions under martial law. Research methods: theoretical analysis, testing, pedagogical experiment, methods of mathematical analysis and statistics. The article presents the developed methodology of self-improvement fitness classes, which is conventionally divided into three stages. The test results obtained at the end of the study indicate that the psycho-emotional state of female students improved after the implementation of the method of self-remedial fitness classes, in relation to each indicator, namely: the increase in the indicator of low level of anxiety improved by 4.1%, medium and high level of anxiety, respectively, by 2% each . For low and high levels of frustration, in percentage terms, the scores improved by 2% each, and the average scores improved by 5%, respectively. The indicators of low and high levels of aggressiveness respectively improved by a percentage of 2% each, and indicators of medium level of aggressiveness respectively improved by 5%. Regarding the average level of rigidity, the indicators in percentage ratio improved by 1%, respectively, low and high level of rigidity in percentage ratio by 3% each, which ensured the achievement of the set goal. Further scientific research can take place in the area of determining the impact of independent health fitness classes on the level of physical fitness of female students of higher education institutions under martial law.

Unique associations between strategies of coping with COVID-19-related stress and internalizing symptoms in a clinical sample of adolescents

AbstractYouth internalizing symptoms increased significantly during COVID-19, suggesting a need for more knowledge on how to prevent youth mental health problems during future widespread societal health crises. This cross-sectional study examined coping strategies and how these were associated with internalizing problems in a clinical sample of youth during COVID-19. Youth (13–19 years) referred to mental health treatment for internalizing problems were assessed 6–18 months into the pandemic. Participants (N = 160, mean age = 15.8 years, SD = 1.2; 80% female, 5% non-binary) completed the Response to Stress Questionnaire, assessing COVID-19 stress, coping strategies, and involuntary stress responses. Internalizing symptoms were evaluated by the Spence Children’s Anxiety Scale and the Short Mood and Feelings Questionnaire. Results showed that coping strategies were associated with internalizing symptoms, after controlling for sex, age, and COVID-19-related stress. Youth using primary control coping had lower levels of anxiety whereas those using secondary control coping strategies had fewer depressive symptoms and fewer involuntary disengagement responses. Secondary control coping (i.e., adapting to the situations) was the most frequent strategy. The highest COVID-19 stressors reported were insecurity about the future, and having to change, postpone or cancel important plans/events. Thus, in a clinical sample of youth, unique associations were found between the type of coping strategy and levels of anxiety and depressive symptoms. During future pandemics and societal health crises, measures to reduce unpredictability in everyday life and insecurity about the future should be implemented, followed by interventions to support adaptive coping strategies.

Effectiveness of the IKAP Nursing Mode in Improving the Prognosis of Patients after Spontaneous Pneumothorax Single-Hole Thoracoscopy: Retrospective Study

Purpose: This study aimed to evaluate the effectiveness of the information-knowledge-attitude-practice (IKAP) nursing mode in improving the prognosis of patients after spontaneous pneumothorax single-hole thoracoscopy. Methods: A retrospective analysis was conducted on the clinical data of patients with spontaneous pneumothorax who underwent single-hole thoracoscopy from June 2020 to June 2023. Among these patients, 59 received traditional nursing care and 52 received care under the IKAP nursing mode. Data on patient demographics, intraoperative variables, rehabilitation time, complications, adverse events, pain scores, quality of life, psychological status, and sleep quality 72 hours after surgery were collected and compared between the two groups. Results: Compared with the traditional nursing group, the IKAP nursing group exhibited significantly shorter chest tube retention time (55.46 ± 9.26 hours vs. 60.74 ± 10.13 hours; p = 0.005), gas stop escape time (50.92 ± 8.73 hours vs. 55.13 ± 7.68 hours; p = 0.009), and overall hospitalization time (4.15 ± 1.53 days vs. 5.17 ± 2.46 days; p = 0.009); significantly lower rates of pleural infection (1.92% vs. 16.95%; p = 0.008) and bleeding events (1.92% vs. 16.95%; p = 0.008); and lower pain scores at 12 hours (4.56 ± 1.57 vs. 5.19 ± 1.14; p = 0.020) and 72 hours after surgery (2.84 ± 0.48 vs. 3.07 ± 0.45; p = 0.010). The patients under the IKAP nursing care also exhibited statistically significant improvements in somatization (81.72 ± 3.98 vs. 79.53 ± 4.02, p = 0.005) and emotion management (81.14 ± 5.26 vs. 78.10 ± 4.78, p = 0.002) compared with those under traditional nursing. Significantly lower levels of anxiety (10.37 ± 2.21 vs. 11.82 ± 2.53, p = 0.002), depression (9.37 ± 2.06 vs. 10.61 ± 2.35, p = 0.004), and stress (21.68 ± 4.16 vs. 23.54 ± 4.78, p = 0.032) were observed under the IKAP nursing mode compared with those under traditional nursing at 72 hours post-surgery. The IKAP nursing group exhibited better sleep quality as measured by the Pittsburgh sleep quality index (PSQI) score (7.94 ± 1.56 vs. 8.64 ± 1.95, p = 0.041) but longer sleep duration (7.45 ± 1.37 vs. 6.72 ± 1.29, p = 0.005) compared with the traditional nursing group. Conclusion: Compared with traditional nursing, the IKAP nursing mode demonstrated favorable outcomes including shorter rehabilitation times, reduced rates of postoperative complications, and improved pain management, emotion management, and sleep quality. This comprehensive and patient-centered approach shows potential to optimize the postoperative care, outcomes, and overall prognosis of patients undergoing thoracoscopy for spontaneous pneumothorax. Owing to its retrospective nature, the potential for selection bias and confounding variables in this work cannot be discounted. Future prospective studies with large and diverse cohorts are warranted to validate these findings.

Physical activity and sleep quality among pregnant women during the first and second trimesters are associated with mental health and adverse pregnancy outcomes

BackgroundAppropriate physical activity (PA) and good sleep are beneficial to maternal and fetal health. This paper sought to explore the associations of PA and sleep quality among healthy women at the first and second trimesters of pregnancy on mental health and pregnancy outcomes.MethodsTotally 268 healthy pregnant women were retrospectively analyzed as study subjects, 134 each in the first trimester (FT) and second trimester (ST). Their baseline clinical data were obtained respectively at two stages of pregnancy. The PA/sleep quality of subjects were assessed through the Pregnancy Physical Activity Questionnaire-Chinese version (PPAQ-C)/Pittsburgh Sleep Quality Index (PSQI) scale. The mental health was assessed via the Hospital Anxiety and Depression Scale (HADS). The correlations of PA and sleep quality with mental health were analyzed using Spearman correlation analysis. Pregnancy outcomes of all subjects, associations of moderate intensity (MI) PA and sleep quality with adverse pregnancy outcomes, and independent influencing factors for adverse outcomes were analyzed.ResultsPregnant women in the ST group exhibited higher levels of MI, worse sleep quality, and lower levels of anxiety and depression than those in the FT group. Anxiety and depression were negatively correlated with MI but positively linked with PSQI scores at the first and second trimesters. MI ≥ 7.5 MET-h/week and good sleep quality were associated with a reduced incidence of adverse pregnancy outcomes.ConclusionMI ≥ 7.5 MET-h/week and good sleep quality at the first and second trimesters of pregnancy benefit mental health and markedly reduce the occurrence of adverse pregnancy outcomes.

Risk avoidance and social anxiety in adolescence: Examination of event-related potentials and theta-dynamics on the Balloon Risk Avoidance Task

Adolescents are at relatively high-risk for developing anxiety, particularly social anxiety. A primary hallmark of social anxiety is the impulse to avoid situations that introduce risk. Here, we examined the neural and behavioral correlates of risk avoidance in adolescents (N=59) 11 to 19 years of age. The Balloon Risk Avoidance Task was used with concurrent electroencephalography to measure event-related potentials (frontal P2; late slow-wave; N2, feedback-related negativity, FRN; posterior P3) and oscillatory dynamics (midfrontal theta, 4–7 Hz) in response to unsuccessful and successful risk avoidance conditions. Social anxiety was measured using the Social Phobia and Anxiety Inventory for Children. Results indicated that, across the whole sample, youth exhibited smaller P3, larger FRN, and larger theta responses to unsuccessful risk avoidance. Youth reporting high (compared to low) levels of social anxiety exhibited larger P2, slow-wave, and FRN responses to unsuccessful, compared to successful, risk avoidance. Further, greater social anxiety was associated with reduced theta responses to successful avoidance. Youth with higher levels of social anxiety showed smaller theta responses to both conditions compared to those with low levels of social anxiety. Taken together, the ERP-component differences and weakened theta power in socially anxious youth following unsuccessful avoidance are informative neural correlates for socially anxious youth during risk avoidance.

Effective innovative technological methods or a threat to students’ cognitive abilities and psychological state? VR headsets in online chemistry learning

ABSTRACT The purpose of this study was to introduce a method of teaching chemistry through virtual reality headsets via online platforms and to further assess the participants’ cognitive abilities and psychological states throughout the learning process. The experiment included 50 respondents. The respondents were divided beforehand into a control group and an experimental group. The former group was taught remotely through the Zoom app, while the latter was taught online through VR technology. The experimental group experienced lower levels of depression and anxiety than the control group, with p-values of 0.008 and 0.004 (p < 0.01), respectively. Memory and visuospatial skills improved significantly in the experimental group, with p-values of 0.038 (p < 0.05) and 0.01 (p < 0.01), respectively. Cognitive ability criteria such as concentration and abstract thinking were also higher in the experimental group after VR training, with p-values of 0.014 (p < 0.05) and 0.006 (p < 0.01), respectively. However, there was no statistically significant difference in academic performance between the groups throughout the experiment, with a p-value of 0.553.

Lowering Anxiety of Students Towards Science Using a Culturally Responsive Pedagogy: A Test of the Efficacy of Culturo-Techno-Contextual Approach

Culturo-Techno-Contextual Approach (CTCA) is a culturally responsive teaching strategy that empowers African students to learn science meaningfully in the digital age. CTCA integrates culture, technology, and locational context to enhance students' comprehension of scientific concepts. This study examined the effectiveness of CTCA in reducing students learning anxiety towards science concept. A pretest-posttest, non-equivalent group design was adopted. The sample comprised 121 senior secondary II students (equivalent to grade 11) from two purposively selected schools in Lagos State. The Nutrition Anxiety Scale, which had a reliability coefficient of 0.70, was used data collection. The treatment period lasted four weeks following the pretest. The experimental group was taught using the CTCA, while the control group received conventional lecture-based instruction. The results revealed that those students who were taught using the culturo-techno-contextual approach had a significantly lower level of anxiety than the comparison group [F (1, 198) = 16.54; p &lt; 0.05]. A statistically significant difference was not found based on gender [F(1,49)=.49; P &gt;0.05]. Therefore, within the limitations of this study, it was concluded that CTCA is an effective teaching approach for lowering anxiety towards science. It is recommended that CTCA be adopted in teaching scientific concepts.

Understanding the relations between achievement goals and self-regulated learning: a multiple goal perspective

The primary objective was to investigate the relations between college students’ achievement goals and their engagement in self-regulated learning using a person-centered approach. College students (N = 364) completed surveys that assessed mindset, self-efficacy, anxiety, achievement goals, and self-regulated learning. Latent profile analyses identified three types of achievement goal profiles: high all, high approach, and low performance. Results showed that self-efficacy and anxiety were significantly associated with the achievement goal profiles. Students who reported high levels of self-efficacy but low levels of anxiety were more likely to endorse the high approach profile. In addition, we found significant mean-level differences across the achievement goal profiles for students’ reported engagement in self-regulated learning concurrently (time management, procrastination) and later in the semester (motivational regulation, environment management). Students in the high approach profile demonstrated the most adaptive pattern of self-regulated learning. Overall, findings provide support for a multiple goal perspective that endorsing both mastery-approach and performance-approach goals can be beneficial.

Exploring how demographic, adjustment, and online learning readiness related factors shape international students’ online learning anxiety: a hierarchical regression analysis

Online education transforms many aspects of teaching and learning in higher education. International students studying abroad already face considerable stress and negative emotions, and the transition to online learning can further intensify their learning anxiety. This study systematically investigated the factors associated with international students’ online learning anxiety by integrating demographic, adjustment, and online learning readiness-related factors. A sample of 380 Chinese students studying in South Korea was investigated. A three-step hierarchical multivariate regression revealed that doctoral students demonstrated significantly lower learning anxiety levels compared to freshmen. Adjustment-related factors explained significant additional variance in online learning anxiety, with length of stay, social support and language proficiency emerging as significant predictors. Online learning readiness-related factors were found to be the most powerful predictors in explaining learning anxiety, with self-directed learning, learner control, computer/internet self-efficacy and online communication self-efficacy being significant predictors. The findings were discussed, and future research implications were suggested.

PENGEMBANGAN MODUL AJAR MATEMATIKA MATERI TRIGONOMETRI BERBASIS COGNITIVE LOAD THEORY UNTUK MEMINIMALISIR MATHEMATIC ANXIETY SISWA FASE E

This research aims to: 1) determine the process of developing teaching module, 2) determine the validity of teaching modules, 3) determine the practicality of teaching modules, and 4) determine the effectiveness of teaching modules. In general, the development of this CLT-based teaching module is to find out whether the taching module can minimize students’ mathematical anxiety.The research follows a development model, specifically the Plomp development model which consists of 5 phase, 1) preliminary phase, 2) design phase, 3) realization phase, 4) test, evaluation and revision phase, 5) implementation phase. The developed teaching module focuses on trigonometry material for phase E students at MAN Se-Tulungagung. Data collection methods include validation, objective observation, and questionnaires. Practicality data were obtained from teacher questionnaires, while effectiveness data were derived from students’ mathematical anxiety questionnaires. Based on data analysis, the following results were obtained: 1.) The validation score for the teaching module was 3.754, categorizing it as valid. 2.) The practicality score for the teaching module was 4.02, indicating high practicality. 3.) The teaching module effectively minimized mathematical anxiety, as evidenced by anxiety levels in experimental classes compared to control classes. Control classes using conventional learning showed higher anxiety levels, with MAN 3 Tulungagung at 2,89 (‘anxious’), MAN 2 Tulungagung at 2.615 (‘anxious’), and MAN 1 Tulungagung at 2.204 (‘anxious’). Meanwhile, experimental classes, after using the teaching module, showed lower anxiety levels: MAN 3 Tulungagung at 1.98 (‘moderate anxiety’), MAN 2 Tulungagung at 1.96 (‘moderate anxiety’), and MAN 1 Tulungagung at 1.44 (‘moderate anxiety’)

Anxiety and fear of cancer recurrence as predictors of subsequent pain interference in early cancer survivorship: Exploring the moderating roles of cognitive and emotional factors.

Following treatment, cancer survivors often experience pain that negatively impacts their quality of life. Although both anxiety and fear of cancer recurrence (FCR) have been shown to exacerbate pain interference, less is known about either the temporal relationship between anxiety/FCR and pain interference or modifiable cognitive/emotional factors that might moderate that relationship among cancer survivors. This longitudinal study aims to advance our understanding of the impact of both anxiety and FCR following primary cancer treatment on subsequent pain interference. We also examined potentially modifiable moderators (i.e., cancer-related illness beliefs and emotion regulation difficulties) of the relationship between anxiety/FCR and subsequent pain interference. Adults (N = 397; 67% female; Mage = 59.1 years) diagnosed with breast, colorectal, or prostate cancer completed self-report measures at baseline (average of 2.5 months following treatment completion) and at 6-month follow-up. Both greater anxiety and FCR not only predicted subsequent pain interference, but also predicted increases in pain interference over time. Additionally, complex interaction patterns were observed between anxiety and the potential moderators on pain interference. Specifically, lower Personal Control beliefs and higher Consequences beliefs were associated with greater pain interference for those with lower levels of anxiety/FCR. Emotion regulation difficulties also moderated the anxiety-pain interference link (i.e., was more strongly associated with greater pain interference at lower levels of anxiety), but not the FCR-pain link. Chronicity beliefs did not interact with anxiety or FCR in predicting pain interference. This study advances our understanding of the role of anxiety/FCR on pain interference over time as well as potential psychological treatment targets for individuals at greater risk for longer-term pain following cancer treatment.