Moderate Support Research Articles

Mitochondrial cytochrome B gene based phylogenetic analysis of Nilgiri langur (Semnopithecus johnii) sampled from Periyar Tiger reserve, Kerala

The Western Ghats, a biodiversity hotspot in peninsular India, serve as a critical habitat for the vulnerable Nilgiri langur (Semnopithecus johnii), endemic to the region. This study explores the phylogenetic placement of S. johnii populations based on the mitochondrial CYTB gene (857 bp) sequences. Briefly, twelve faecal samples were collected from three sites within Periyar Tiger Reserve (PTR), Kerala. The DNA was isolated from the faecal samples and the CYTB gene was amplified and sequenced. The sequences were subjected to phylogenetic analyses using Maximum Likelihood, Bayesian Inference and Neighbour-Joining methods. All the methods revealed a well-supported monophyletic clade comprising PTR sequences and additional S. johnii and S. priam sequences retrieved from NCBI sampled from Aanamalai, Silent Valley and Walayar. The PTR populations clustered into three subclades with moderate support, while one sequence formed a distinct lineage, indicating genetic differentiation within populations. These findings corroborate earlier molecular studies, supporting the classification of S. johnii under the genus Semnopithecus.

Hubungan Dukungan Keluarga dengan Menstrual Distress pada Remaja Putri di Klaten

Being a teenager is like being in the middle of a big transformation from being a kid to becoming a grown-up. Lots of stuff happens during this time, including hormonal, social, psychological, and behavioral adaptations to internal pressures (stressors). Family support is the most effective support system that can help alleviate psychological pressure. In this study, the instruments used were. Family support and MEDI-Q. the research population was selected using the spearman rank. Out of 70 respondents, 18 (25,7%) had strong family support, 50 (71,45) had moderate family support, and 2 (2,9%) had weak family support. Respondents with mild menstrual distress numbered 37 (52,9%), while 31 (44,3%) experienced moderate menstrual distress, and 2 (2,9%) had severe menstrual distress. When we looked at the spearman test results, we found that there was a strong connection between how much support a girl gets from her family and how much she struggles with her period. This means that having a supportive family can make a big difference in how hard it is for a girl to deal with her period Keyword: Family support, distress symptoms, menstrual distress

Effects of oxytocin administration on non-social executive functions in humans: a preregistered systematic review and meta-analysis.

Oxytocin has received considerable research attention for its role in affiliative behaviors, particularly regarding its pro-social effects. More recent evidence has pointed to a broader role of oxytocin signaling, which includes non-social cognitive processes. However, meta-analytic data on oxytocin's effects on non-social cognition is currently limited. We registered plans for a systematic review and meta-analysis on the effects of oxytocin administration on non-social executive functions prior to data collection via a time-stamped protocol. We performed searches in PubMed, Europe PubMed Central, and the Bielefeld Academic Search Engine. We conducted a meta-analysis of 20 effect estimates from 13 eligible studies. Subgroup meta-analyses and a test for publication bias were also performed. We found no overall significant effect of oxytocin administration on non-social executive functions (p = 0.30; Hedges' g = 0.07). However, effect sizes across sub-categories of executive function varied, where the effect of oxytocin administration was the largest for cognitive flexibility (p = 0.02; Hedges' g = 0.2). Publication bias was assessed using Robust Bayesian Meta-Analysis, which yielded moderate support for the absence of publication bias (BFPB = 0.32). Our analysis suggests that oxytocin's effects may extend beyond social cognitive processing as data synthesis provided evidence supporting a role in non-social cognitive flexibility. The data and analysis output from this meta-analysis can be viewed in a point-and-click web application.

Erring on the side of caution: Two failures to replicate the derring effect.

It has been claimed that deliberately making errors while studying, even when the correct answers are provided, can enhance memory for the correct answers, a phenomenon termed the derring effect. Such deliberate erring has been shown to outperform other learning techniques, including copying and underlining, elaborative studying with concept mapping, and synonym generation. To date, however, the derring effect has only been demonstrated by a single group of researchers and in a single population of participants. This article presents two independent, preregistered replication attempts of the derring effect. In Experiment 1, participants studied 36 term-definition concepts in a within-subjects, laboratory study. On error-correction trials, participants were presented with a term-definition concept and were asked to generate an incorrect definition before correcting it. Error-correction trials were compared with copy trials, where participants simply copied the term-definition concepts and underlined the key concepts. Experiment 2 was an online study in which participants studied trivia facts using a similar protocol. Memory for the studied facts was then tested either immediately (Experiments 1 and 2) or after 2 days (Experiment 1). Unlike the original demonstrations of the derring effect, cued-recall performance did not significantly differ between the error-correction and copy conditions, and the Bayes factors provided moderate support for the null hypothesis in both experiments. We discuss potential explanations for our findings and consider them in relation to key theories and the broader literature on the role of errors in learning. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Prevalence of depressive symptom and its associated factors among epilepsy patients in Amhara region, Ethiopia: cross-sectional study

BackgroundDepressive symptom is the most common type of psychiatric co-morbidity among persons with epilepsy. Epilepsy patients are identified as at higher risk of suffering depressive symptom explicitly in low- and middle-income countries due to poor mental health care systems and financial burdens. The co-occurrence of depressive symptom among epilepsy patients deteriorates the prognosis of the disease and diminishes the quality of life of both the patients and their families. However, there is limited evidence on the prevalence of depressive symptom and associated factors in Ethiopia. Therefore, this study is intended to assess the prevalence of depressive symptom and associated factors among epilepsy patients attending in Amhara region, Ethiopia.MethodA multi-center institution-based cross-sectional study was done among epilepsy patients attending at Amhara region, Ethiopia. The Hospital Anxiety Depression tool was used to assess depressive symptom. To determine the factors associated with depressive symptom, a binary logistic regression model was used. Adjusted Odds Ratio (AOR) with the 95% Confidence Interval (CI) was reported in the multivariable binary logistic regression analysis.ResultsAbout 406 participants were registered in the study with a response rate of 97.6%. The prevalence of depressive symptom among epilepsy patients was 53.9% [95%CI: 49.1%, 58.8%]. In the multivariable binary logistic regression analysis, taking polytherapy treatment [AOR = 1.87, 95% CI: 1.04, 3.36], perceived stigma [AOR = 5.73, 95%CI: 3.11, 10.55], poor antiepileptic medication adherence [AOR = 3.33, 95%CI: 1.30, 8.54] and having poor [AOR = 5.83, 95%CI: 2.44, 13.90] and moderate social support [AOR = 3.08, 95%CI: 1.34, 7.09] were significantly associated with depressive symptom.ConclusionsThis study revealed that the magnitude of depressive symptom among epilepsy patients in Ethiopia was relatively high and multiple factors determined the likelihood of depressive symptom. Thus, healthcare providers and concerned stakeholders should strengthen comprehensive health education to reduce the magnitude and consequences of depressive symptom among this segment of the population. Moreover, strong social support with special attention should be given to epilepsy patients.

Psychosocial factors correlating self-care management among Jordanian adolescents with type 1 diabetes.

Few studies were conducted to examine the correlation between the anxiety symptoms, depressive symptoms, self-efficacy, and social support variables and type 1 diabetes in developing countries, including Jordan. Thus, this study was conducted to assess the correlation between these psychosocial factors and self-care management among Jordanian adolescents with type 1 diabetes. A cross-sectional, descriptive correlational design was used to perform a study among adolescents with type 1 diabetes (N=351) aged 14-18years who attended primary healthcare centers clinics, and diabetic clinics related to hospitals in Amman Governorate, Jordan. A convenience sampling method was used to recruit participants. The data were collected using self-reported questionnaire during the period from June to December 2023. The results revealed that around 61.0% of the sample were males and 39% female, and 74.9% of the participants experienced type 1 diabetes for more than one year. Only, 4.3% of the participants had the recommended HbA1c (< 7.5%). The participants had high percentage anxiety and depressive symptoms, poor self-efficacy, moderate social support, and low self-care management. There was a correlation between self-efficacy, social support, and self-care management. Also, social support mediated the relationship between self-efficacy and self-care management. However, no relationship existed between anxiety and depressive symptoms and self-care management. Screening for anxiety and depressive symptoms should be a significant element of care for adolescents with type 1 diabetes in outpatient clinics. Policymakers and healthcare professionals including pediatric nurses should develop strategies and education programs on self-care management to enhance self-care practices and management for adolescents with type 1 diabetes.

Is Bone Cement Implantation Syndrome Actually Caused by Cement? A Systematic Review of the Literature Using the Bradford-Hill Criteria.

Debate surrounding the use of cemented femoral components in hip arthroplasty persists. A proposed risk of cement fixation is bone cement implantation syndrome (BCIS), a phenomenon characterized by intraoperative hypotension, hypoxia, and/or cardiovascular collapse. The purpose of this study was to analyze the literature to determine if enough evidence exists to support a causal relationship between cement and BCIS. A systematic review of articles on BCIS published from 2010 to 2023 was performed. Using the Bradford-Hill criteria, a set of nine epidemiological principles developed to evaluate the relationship between exposure and outcome, two reviewers independently reviewed the articles and determined the level of support for each criterion and the overall cement-BCIS relationship. Based on 52 eligible articles, there was little to no support for five criteria: strength of association, specificity, dose-response relationship, coherence, and experiment. There was moderate support for temporality and plausibility and strong support for consistency and analogy. Although intraoperative hypotension, hypoxia, and/or cardiovascular collapse may manifest during cemented surgeries, their occurrence is not exclusive to cement utilization and can be attributed to multiple other potential causes. Furthermore, the diagnosis and timeline of BCIS are highly ambiguous, and the clinical relevance of non-fatal BCIS is unclear. There appears to be insufficient evidence to conclusively establish a causal link between cement and BCIS. Orthopaedic surgeons and anesthesiologists should exercise caution when attributing intraoperative complications solely to cement usage and consider alternative explanations. The term "BCIS' itself may be a misnomer, as this phenomenon may occur in the absence of cement. Until there is stronger evidence to establish a causal link between cement use and BCIS, avoidance of BCIS does not appear to be a strong argument against cementation.

Validity and reliability of the Japanese version of the ACE tool for assessing evidence-based medicine competencies in medical practitioners and students: An evaluation in an online setting

Introduction Evidence-based medicine (EBM) competency is crucial for healthcare professionals; however, validated tools to assess EBM skills in Japanese are scarce. This study aimed to develop and validate a Japanese version of the Assessing Competency in EBM (ACE) tool. Methods We translated the ACE tool into Japanese, following international standards, and distributed it online to 99 healthcare professionals and students. The participants completed demographic questions and the Japanese version of the ACE tool. A subset also completed the retest and Fresno test. Internal consistency was assessed using Cronbach's alpha, test-retest reliability using the intraclass correlation coefficient (ICC), and construct validity using a confirmatory factor analysis and correlation with the Fresno test. Results The Japanese version of the ACE tool showed a low internal consistency (Cronbach's alpha = 0.31, 95% CI: 0.09-0.49), but an acceptable test-retest reliability (ICC = 0.64, 95% CI: 0.40-0.81). A confirmatory factor analysis provided moderate support for the structure of the tool (SRMR = 0.092, RMSEA = 0.048, CFI = 0.852). The tool demonstrated a moderate correlation with the Fresno test (r = 0.35). The median completion time was 847 s (IQR, 577-1,249 s). Conclusion Although the Japanese version of the ACE tool showed some promising aspects, including a quick administration and partial validity, its low internal consistency suggests that refinement is needed before it can be confidently used in Japanese medical education settings. Future studies should focus on improving the tool's reliability, potentially through in-person administration, to develop a robust EBM assessment tool in the Japanese healthcare context.

DISCRIMINATION, SOCIAL RELATIONSHIPS, AND ACCELERATED AGING AMONG MIDDLE-AGED AND OLDER AFRICAN AMERICANS

Abstract This study addresses the limited exploration of the interplay between racial discrimination, social relationships and cellular aging among African Americans. Utilizing latent class analysis, distinct risk and protective profiles were defined by perceptions of discrimination, social support, and negative interactions among middle-aged and older African Americans. Findings revealed four distinct profiles, demonstrating significant heterogeneity in experiences of discrimination, social relationships, and susceptibility to molecular stress among African Americans. The largest profile (32.09%) was characterized by high everyday and major discrimination, low family and friend support, and minimal strain. The second profile (25.37%) had wide variation, including moderate everyday discrimination, high major discrimination, very low family support, moderate friend support, moderate family and high friend strain. The smallest profile (19.4%) was characterized by high everyday and major discrimination, high family support, moderate friend support, and high strain from family and friends. Respondents in this profile had significantly elevated molecular stress compared to the reference profile (23.13%), which was characterized by low discrimination, high support, and high strain from family and friends. Regression analysis revealed that African Americans with more health conditions were more likely to belong to the high-risk profile than the reference profile. This study identified a subgroup of African Americans with an elevated risk of accelerated aging, marked by substantial racial discrimination and ambivalent social relationships. Findings provide insights into health disparities by identifying genes activated in response to discrimination and the potential influence of social factors in mitigating or exacerbating the effects of racial discrimination on cellular aging.

Working from Home and Parental Childcare Division: Evidence from Two Years of the COVID-19 Pandemic

Abstract We investigate the dynamics of gendered parental childcare division across the coronavirus disease 2019 pandemic up until spring 2022. We employ unique data from a German (bi)monthly survey based on a random sample from administrative data (IAB-HOPP) and find dynamics toward a more equal division. Up to April 2021, drivers are couples with already care-involved fathers, while later on, couples with a strongly traditional division drive these changes. The latter shift emerges in parental constellations where fathers unilaterally gain working-from-home possibilities. Our results give moderate support for optimism but also point to an ambiguous role of working from home.

Public perceptions of the US innovation system: moderate support but compelling need for reform

Abstract Science and innovation policy in the USA often frame publics as the beneficiaries of new technologies, but little research has yet engaged publics on their views of the innovation system (IS)—the combined efforts of government, industry, and universities to produce and promote new technologies. Based on a national public survey (n = 3,010), we identify three dimensions of public judgments about the IS with public policy implications: (1) US publics hold moderate confidence in the IS to produce benefits for them and to respond to public input; (2) they are slightly more critical of innovation-related environmental harm and the accrual of benefits to large corporations; and (3) they strongly support reforms to ensure safe, responsible, and affordable technological innovation. Multivariate regressions indicate variance of judgments by social location and worldviews, finding equity and justice aspects particularly salient in views on the IS. We discuss implications for innovation policy.

Social Support and The Risk of Aggressive Behavior among Adolescents in Cirebon City

Aggressive behavior among adolescents, such as brawls, has become increasingly prevalent, particularly in school environments. This study investigates the relationship between social support and the risk of aggressive behavior among adolescents at SMK Muhammadiyah Cirebon City. Utilizing a descriptive correlation design with a cross-sectional approach, the study involved 152 students, with 60 respondents selected through proportional random sampling. Data collection utilized a reliable social support questionnaire and a risk of aggressive behavior questionnaire. The analysis revealed that 65.0% of respondents received moderate social support, while 61.7% were at risk of aggressive behavior. Notably, a significant and very strong negative correlation was found between social support and the risk of aggressive behavior (p = 0.000, ? = 0.05, r = -0.886). This indicates that higher levels of social support are associated with a substantially lower risk of aggressive behavior. The study recommends implementing counseling programs to enhance social support for students at risk of aggression.

Stakeholder analysis of banning unhealthy product advertisement in Iran

BackgroundThe advertising of unhealthy products, including unhealthy foods, drugs with abuse potential, certain cosmetic products and services, and tobacco, has raised significant public health concerns due to its role in increasing consumption and contributing to the rise of non-communicable diseases. Policy development and enforcement in this area necessitate an in-depth analysis of the relevant stakeholders. This study aims to examine the stakeholders involved in regulating the advertisement of unhealthy products in Iran, providing critical evidence for shaping advertising regulations and reducing the societal consumption of such products.MethodsThis qualitative study, conducted in 2022, involved 18 experts experienced in the area of unhealthy product advertisement in Iran. Participants were selected through purposive and snowball sampling methods. The stakeholders' roles, power, positions, and interests were analyzed using Schmeer's guidelines.Results17 stakeholders were identified as relevant to the ban on unhealthy product advertisements, of whom 14 were classified as active and three as inactive. Key stakeholders included radio and television broadcasters, the Ministries of Health, Culture, and Industry, as well as political institutions. The Ministry of Health (MOHME) emerged as a leading advocate for the ban, while the Ministries of Culture and Industry, along with political institutions, were identified as possessing significant power with moderate support for the policy. In contrast, broadcasters and social media platforms were powerful opponents of the ban.ConclusionsThe study underscores the pivotal role of stakeholders with high power and medium interest in the success of policies aimed at banning unhealthy product advertisements. Key challenges included conflicts of interest, insufficient penalties for organizations violating advertising regulations, organizational disputes, limited human and financial resources, lack of clear implementation guidelines, weak community engagement, and inadequate oversight. Engaging key stakeholders effectively could mitigate these obstacles and facilitate more effective health policy interventions in the future.

PSYCHOSOCIAL FACTORS RELATED TO POSTPARTUM BLUES IN DAU DISTRICT, MALANG REGENCY

The postpartum period is a vulnerable period for women due to adaptation to their role as new mothers. This phase requires adjustment because failure to adapt will lead to mental health problems, such as postpartum blues. This study analyzes the psychosocial factors of postpartum blues in Dau district. This research is quantitative research with a cross-sectional design. Data analysis used the Chi-square test. Most respondents had an introverted personality type (56.5%), did not experience anxiety or were normal (39.1%), and had moderate social support (47.8%). The results of the Chi-square test on postpartum blues with personality type showed p-value=0.264 (p&gt;0.05), with anxiety during the postpartum period showing p-value =0.016 (p&lt;0.05), with social support showing p- value =0.020 (p&lt;0.05). There is no significant relationship between postpartum blues and personality type. There is a significant relationship between postpartum blues with postpartum anxiety and social support.

Evaluating the impact of financial worry on mental health: a cross-sectional study among Kenyan radiographers

BackgroundPsychological distress is a major public health concern that has many influencing factors. One of them is the financial capability of an individual. Despite the integral role of radiographers in healthcare delivery, there is limited literature about radiographers in Kenya and more so regarding their mental well-being. A descriptive cross-sectional study was conducted to evaluate the effect of perceived financial worry on mental health among Kenyan radiographers.MethodsData was collected from registered radiographers in Kenya through an online survey conducted between December 2023 and January 2024. Multivariable binary logistic regression was used to evaluate the association between financial worry and psychological distress.ResultsOut of the 2055 radiographers invited to participate in the survey, 245 responded (11.92% response rate). The gender distribution of the respondents was 39.2% female and 60.8% male, closely mirroring the latest data on registered radiographers (37.3% female and 62.7% male). Most respondents in our study were under 30 years old (56.7%). The majority of radiographers (62.4%) reported poor social support. Additionally, most radiographers experienced some level of financial concern across various issues, with an average financial worry score of 16.75 (standard deviation: 4.97; minimum 3, maximum 24). A significant proportion (36.7%) also showed signs of psychological distress. Individuals with higher levels of financial worry were noted to be more likely to experience psychological distress after adjusting for the socioeconomic and health-related variables (adjusted odds ratio, AOR 1.20, 95% confidence interval, CI 1.10–1.31, p < 0.001). Furthermore, individuals with at least moderate social support (AOR: 0.39; 95% CI 0.18–0.86, p = 0.019) and larger families (AOR: 0.11; 95% CI 0.02–0.78, p = 0.027) were less likely to experience psychological distress compared to their peers.ConclusionsA significant number of radiographers reported experiencing financial worry which was associated with an increased likelihood of psychological distress. This emphasizes the need for policies and mechanisms to address financial worry and psychological distress to have a more resilient medical workforce in Kenya.

Tectobasidium (incertae sedis, Basidiomycota), a new genus for T. chlamydosporum, comb. nov., and T. cornutum, sp. nov

AbstractA new genus, Tectobasidium, is described to accommodate T. chlamydosporum, comb. nov. (= Achroomyces chlamydosporus), and T. cornutum, sp. nov. Both species possess two-celled basidia and cylindrical basidiospores, as well as characteristic, thick-walled and cyanophilous chlamydospores. Tectobasidium spp. develop in the living basidiocarps of other basidiomycetes (Helicogloea and Myxarium) as intrahymenial fungi. No signs of the parasitic habit have been detected for them, although a mycoparasitic strategy cannot be completely ruled out. nc LSU rDNA-based phylogenetic inference places Tectobasidium at the very base of the subphylum Ustilaginomycotina, with moderate (BI) or strong (ML) support. Due to the lack of additional DNA, ultrastructural, and cultural data, we leave the suprageneric classification of Tectobasidium unresolved.

Latent profile analysis of family and school supports among Chinese adolescents in stepfamilies.

Divorce and remarriage rates have increased dramatically in China, and more children live in stepfamilies. There remain valuable opportunities to understand the various family and school assets that support the well-being of Chinese youth amid family structural transitions, such as the transition to stepfamily life. Using latent profile analysis, the current study seeks to identify patterns of youth support using seven family-related variables and two school-related variables as indicators among a sample of Chinese youth (N = 269; = 14 years; 129 females and 117 males) residing with a parent and stepparent. Four profiles were identified: low support, academic focus/low support, moderate support, and high support. Results further demonstrated that youth in the moderate support profile had significantly better well-being outcomes compared to youth in the low support or academic focus/low support profiles; demographic characteristics such as low SES families and parents with lower education backgrounds were associated with the low support profile; and stepfamilies with stepfathers were overrepresented in the moderate support profile, whereas stepfamilies with stepmothers were overrepresented in the low support and academic focus/low support profiles. These findings can inform the development of interventions intended to bolster the well-being of Chinese adolescents in stepfamilies.

Relationship between resilience, social support and psychological well-being in nursing students.

Nursing students face significant academic stress, often surpassing that of other disciplines, due to exposure to diverse clinical settings and challenging patient conditions. This stress can lead to psychological issues like anxiety and depression, impacting their well-being. This study aimed to assess resilience and social support levels among 160 Generic BS Nursing students in five Public and Private nursing education institutions of Lahore, Pakistan and explore their relationship with psychological well-being by using a cross-sectional correlational study. A p-value of 0.05 was considered significant. Results showed 47.5% of participants were aged 17-21, and 52.55% were older than 22. Most (88.8%) were female. Resilience scores were low-to-moderate (mean: 66.50 ± 14.7), psychological well-being was moderate (mean: 56.35 ± 18.98) and social support was low (mean: 5.07 ± 1.21). Notably, no significant differences were found between third and fourth-year students. This study highlighted the positive relationship between resilience, social support and psychological well-being among nursing students. Resilience plays a vital role in mitigating stress's adverse effects, and strong support from family and friends contributes to positive psychological health.

The association between salivary oxytocin, age, and puberty in children with and without OCD

The oxytocin system has been thought to contribute to obsessive-compulsive disorder (OCD). Few studies, only involving adults, have investigated this hypothesis and have found inconsistent results regarding oxytocin system activity and OCD. We investigated whether salivary oxytocin concentrations differed between children and adolescents with and without OCD and qualified our comparative analysis by investigating the possible covariates age, pubertal stage, and sex. Participants included 113 children and adolescents (8–17 years) with OCD and 88 children and adolescents without any previous or current psychiatric disorder and their parents (254 parents included). Salivary oxytocin concentrations were measured in children and parents with enzyme-linked immunosorbent assay (ELISA). Statistical analyses were performed using frequentist and Bayesian approaches. We found no evidence of a difference in mean salivary oxytocin concentrations between children and adolescents with and without OCD. Bayesian analysis indicated anecdotal to moderate support for the null hypothesis. We found an association between oxytocin and age and between oxytocin and pubertal stage, which by visual inspection of plots and post-hoc tests indicated nonlinear relationships. We found no association between oxytocin concentration and sex. Our findings do not suggest elevated oxytocin concentrations in pediatric OCD. Nonlinear changes in oxytocin across development show the importance of accounting for hormonal and behavioral changes during puberty.

A psychological reaction of higher education students to the new national exit exam in the case of Dilla University, 2023.

Test anxiety is an emotional state characterized by physiological and behavioral responses linked to the fear of poor exam results. It can result in a significant impact in the overall academic achievement of students. Addressing the contributing factors of the problem is better to intervene in the academic challenges of students and create a conducive learning environment. Thus, this study investigated the association between test anxiety and the newly implemented national exit exam program among prospective graduate students at Dilla University in 2023. A community-based cross-sectional design was employed, involving 357 participants recruited from August 15 to September 14, 2023. Data collection utilized structured questionnaires combined with interviews. The Westside Test Anxiety Inventory (WTAI) assessed test anxiety levels. Epi Info version 7 facilitated data entry, with subsequent analysis conducted using SPSS version 25. A p < 0.05 was used to determine statistical significance in the multivariate logistic regression model. The prevalence of test anxiety associated with the national exit exam among prospective graduates at Dilla University was 68.9% (95% CI: 63.9-73.7%). The analysis identified significant associations between test anxiety and several factors: non-formal educational background of parents (AOR = 2.84, 95% CI: 2.12-4.65), moderate social support (AOR = 0.24, 95% CI: 0.12-0.46), and poor coping mechanisms (AOR = 3.67, 95% CI: 2.45-5.67). This study revealed a substantial prevalence of test anxiety among graduating students about the national exit exam. The findings suggest that factors such as limited social support and inadequate coping mechanisms contribute to test anxiety. Targeted interventions, including social support programs, counseling services, coping mechanism training, parental education, and support for students with lower academic performance, may be beneficial in mitigating test anxiety.