Document Type : Original Article
Authors
PhD Candidate in Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
BACKGROUND: Midwifery services help maintain and improve the health of the community. However,
a comprehensive examination reduces students’ psychological well‑being by creating anxiety. For this
purpose, the present study was conducted to determine and compare the effect of two educational
methods based on mindfulness and cognitive emotion strategies on psychological well‑being and
anxiety of eighth‑semester midwifery students before the final clinical trial.
MATERIALS AND METHODS: This study was a quasi‑experimental three‑group study with available
sampling method that was performed on 30 eighth‑semester midwifery students of the School of
Nursing and Midwifery of Isfahan University of Medical Sciences in 2020–2021. Data collection tools
were psychological well‑being and Test Anxiety Questionnaire. Two intervention groups were trained
for eight sessions. The control group did not receive any training program. The data collected by
SPSS version 22 software were analyzed by analytical statistical tests of ANOVA and least significant
difference post hoc test.
RESULTS: The results showed that there was a statistically significant difference between the three
groups in terms of components of test anxiety and psychological well‑being. Furthermore, emotion
regulation training and mindfulness‑based training reduced test anxiety and increased students’
psychological well‑being before the comprehensive test (P = 0.001).
CONCLUSION: It is recommended that educational programs be considered before the comprehensive
examination to promote the mental health and success of these students.
Keywords
Salmalian H, Nasiri Amiri F, et al. Effective factors on successful
comprehensive exam in midwifery students. Med Educ J
2015;3:52‑8.
2. Latas M, Pantić M, Obradović D. Analysis of test anxiety in
medical students. Med Pregl 2010;63:863‑6.
3. Francini PM.The Effects of time constraint on test performance in
an 8-Arm virtual reality maz in high and low test-anxious college
students. [Thesis]. Anselm: Department of Psychology at saint
Colleg; 2004.
4. Schaefer A, Matthess H, Pfitzer G, Köhle K. Mental health and
performance of medical students with high and low test anxiety.
Psychother Psychosom Med Psychol 2007;57:289‑97.
5. Sansgiry SS, Sail K. Effect of students’ perceptions of course load
on test anxiety. Am J Pharm Educ 2006;70:26.
6. Heravi M, Jadid Milani M, Regea N, Valaie N. The effect of
relaxation training on exam driven anxiety level among nursing
students. J Mazandaran Univ Med Sci 2004;14:86‑92.
7. Baldwin DR, Chambliss LN, Towler K. Optimism and stress:
An African‑American college student perspective. Coll Stud J
2003;37:276‑85.
8. Khadivzadeh T, Seif AA, Valaei N. Learning and study strategy
and success rate in university students, Mashhad University of
Medical Sciences, 1999. Res Bull Med Sci 2002;7:35‑42.
9. Gregor A. Examination anxiety, live with it, control it or make it
work for you? School Psychol Int 2005;26:617‑35.
10. Beyrami M, Abdi R. The effect of mindfulness-based techniques
in reduction of students test anxiety. J Educ Sci 2009;2:35-54.
11. Heidari SH, Nejad Gorji M, Liani F. The Role of Psychological
Well‑Being and Emotional Intelligence in Anticipating Student
Test Anxiety. The International Conference on Behavioral Sciences
and Social Studies. The Institute of Managers of the Vida Institute
of Ideas; 2014.
12. Ryff C, Keyes C, Shmotkin D. Optimal well‑being: The empirical
encounter of two tradition. J Pers Soc Psychol 2002;62:1007‑22.
13. Ost LG. Efficacy of the third wave of behavioral therapies:
A systematic review and meta‑analysis. Behav Res Ther
2008;46:296‑321.
14. SegalZV, Williams MG, Teasdale JD. Mindfulnessbased Cognitive
Therapy for Depression. New York: Guilford Press; 2002.
15. Semple RJ, Reid EF, Miller L. Treating anxiety with mindfulness:
An open trial of mindfulness training for anxious children. J Cogn
Psychother 2005;19:372‑92.
16. Baer RA. Mindfulness‑Based Treatment Approaches: Clinicians
Guide to Evidence Base and Application. USA: Academic Press
is an imprint of Elsevier; 2006.
17. Pasandideh R, Abolmaaly KH. The effectiveness of mindful
cognitive therapy on enhancement of overall well‑being. J Behav
Clin Psychol 2016;10:7‑16.
18. Ghribnavaz S, Moghadasin M, Nouri R. Relationship between
metacognition believes and exam anxiety: Mediating role of
cognitive emotion regulation. J Cogn Psychol 2018;5:1‑15.
19. Szczygie D, Buczny J, Bazinska R. Emotion regulation and
emotional information processing: The moderating effect of
emotional awareness. Pers Individ Dif 2012;52:433‑7.
20. Capa Aydin Y. High School Student Emotion and Emotional
Regulation during Test Taking. Department of Educational
Science Middle East Technical University Ankara, Turkey; 2009.
21. Haghighat S, DashtBozorgi Z, Arabsalari Z, Ashoori J. Pridiction
of anxiety based on schemas and positive and negative cognitive
emotion regulation strategies. J Anal Cogn Psychol 2016;7:43‑54.
22. Baezzat F, Sadeghi M, Eizadifard R, Robenzadeh S. Validation
and standardization of Persian version of Friedben test anxiety
scale (FTA). Psychol Stud 2012;8:29.
23. Khanjani M, Shahidi SH, Fath‑Abadi J, Mazaheri MA, Shokri O.
Factor structure and psychometric properties of the Ryff’s scale
of Psychological well‑being, short form (18‑item) among male
and female students. J Behav Clin Psychol 2014;8:27‑36.
24. Beirami M, Hashemi T, Mirnasab M, Kolyaei L. Effectiveness
of social problem solving training on the components of social
competence in students victim of bullying. Soc Cogn 2018;7:51‑72.
25. Manavipour D, Darabi M. The effect of mindfulness training on
problem solving styles and test anxiety in students. Soc Cogn
2018;7:41‑53.
26. Arab Ghaeni M, Hashemian K, Mojtabaei M, Majd Ara E,
Aghabeiki A. The effect of mindfulness training (MBSR) on the
increasing assertiveness among anxious students. Stud Med Sci
2017;28:119‑29.
27. Ghadampour E, Amirian L, Roshannia S, Adavi H. The effect
of mindfulness based on cognitive therapy on psychological
well‑being and academic stress in high school students. J Educ
Scholast Stud 2020;8:65‑82.
28. Aghababaei S, Taghavi M. Effectiveness of mindfulness‑based cognitive therapy on mothers’ psychological well‑being of
children with Autism and reduction of symptoms these children.
Shenakht J Psychol Psychiatry 2020;6:88‑100.
29. Rahmani F, Hashemniyan K. The effectiveness of cognitive
emotion regulation on reduction of depression and anxiety
symptoms of adolescences. J Psychol Stud 2016;12:47‑62.
30. Alidoosti F, Jangi F, Shojaeifar S. The effectiveness of emotion
regulation training based on Gross model on emotion regulation,
anxiety and depression in mothers of children with intellectual
disability. Fam Psychol 2020;7:69‑80.
31. Beyrami M, Hashemi T, Bakhshipour A, Alilou MM, Eghbali A.
Comparison of the effect of two methods of emotion regulation
training and mindfulness‑based cognitive therapy on
psychological distress and cognitive emotion regulation strategies
of mothers of mentally retarded children. J Mod Psychol Res
2015;9:43‑59.
32. Ashkani F, Heydari H. Effects of emotional adjustment on
psychological welfare and attributional styles of students
with learning disabilities in primary school. J Learn Disabil
2014;4:6‑22.
33. Moradikia H, Arjmandnia AA, Ghobari Bonab B. Effectiveness
of emotion regulation training on psychological well‑being of
mothers of students with intellectual disability. J Pediatr Nurs
2016;3:51‑60.
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