Examining the role of negative perfectionism on test anxiety with the mediating role of rumination and psychological hardiness and self-efficacy among university students with panic attack experience

Document Type : Research Paper

Authors

1 Department of Psychology, Faculty of Nursing / Midwifery, Zanjan Branch, Islamic Azad University, Zanjan, Iran.

2 Department of Counseling, Faculty of counseling and Educational sciences, Rudehen Branch, Islamic Azad University, Rudehen, Iran.

3 Ph.D. student, Department of Psychology, Faculty of Education and Psychology,University of Mohaghegh Ardabili, Ardabil, Iran.

4 Department of Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran.

5 Ph.D. student in health psychology, University of Tehran Kish International Campus, Kish, Iran.

10.22038/JFMH.2025.83399.3181

Abstract

Introduction: Students' mental health is at risk due to test anxiety, which is closely connected to their academic performance in educational institutions. This study aims to explore how negative perfectionism contributes to test anxiety, with rumination, psychological hardiness, and self-efficacy serving as mediating factors among male students who have a history of panic attacks.
 
Materials and Methods: This descriptive-correlational research focused on all male university students aged 20 to 30 in Tehran, Iran, from July to October 2023 who had experienced panic attacks. A sample of 158 students who had experienced at least one panic attack was selected using purposive sampling. We used the Rumination Response Scale (RRS), Test Anxiety Questionnaire (TAQ), Terry-Short's Positive and Negative Perfectionism Scale (PANPS), Kobasa's Hardiness Scale (KHS), and General Self-Efficacy Scale (GSE-17). We analyzed the data using JASP version 0.18.1 software, descriptive statistics, and path coefficients.
 
Results: Rumination as a result of negative perfectionism had a significant and positive impact on test anxiety (β= 0.033, P< 0.001). Similarly, negative perfectionism influenced test anxiety positively and significantly through hardiness and self-efficacy (P< 0.001). The direct effect of rumination on test anxiety was significant and positive (β= 0.319, P< 0.001). There was a clear negative relationship between hardiness and test anxiety, (β= -0.239, P= 0.001).
 
Conclusion: The results indicated that factors such as negative perfectionism, rumination, psychological hardiness, and self-efficacy have notable impacts on test anxiety, potentially influencing students' educational experiences.

Keywords


  1. Mahvash M YM, Mahdian H. [Comparing the effectiveness of mental-grammatical imagery education and uncertainty tolerance education on students' test anxiety]. Sociology of education 2023; 9(1): 392-402. (Persian)
  2. Salari Poor SM, Hajiyakhchali A, Omidiyan M, Behroozy N. [Effects of coloring mandalas on working memory and test anxiety in students]. Research in school and virtual learning 2024; 11(4): 31-42. (Persian)
  3. Khanagar SB, Altuwayjiri RJ, Albarqy NM, Alzahrani GA, Alhusayni HA, Alsaif SY. Prevalence, symptoms, and triggering factors of panic attacks among dental students in Riyadh Saudi Arabia—A cross sectional Survey. Healthcare; 2023: MDPI.
  4. Manjunatha N, Ram D. Panic disorder in general medical practice-A narrative review. J Family Med PrimCare 2022; 11(3): 861-9.
  5. Dudani S, Gangadharan V, Gulati R, Nath N. Exam stress and coping strategies in 2nd year undergraduate medical students-time for introspection. Al Ameen journal of medical sciences 2022; 15(2): 148-53.
  6. Shin J, Lee HJ, Park H, Hong Y, Song YK, Yoon DU, et al. Perfectionism, test anxiety, and neuroticism determines high academic performance: A cross-sectional study. BMC Psychology 2023; 11(1): 410.
  7. Zhang Y, Bai X, Yang W. The chain mediating effect of negative perfectionism on procrastination: An ego depletion perspective. Int J Environ Res Public Health 2022; 19(15): 9355.
  8. Burcaş S, Creţu RZ. Multidimensional perfectionism and test anxiety: A meta-analytic review of two decades of research. Educ Psychol Rev 2021; 33: 249-73.
  9. Baytemir K. Perfectionism, irrational beliefs, need for social approval and gender as predictors of parent exam anxiety. Bartın University Journal of Faculty of Education 2019; 8(1): 161-78.
  10. Eum K, Rice KG. Test anxiety, perfectionism, goal orientation, and academic performance. Anxiety Stress Coping 2011; 24(2): 167-78.
  11. Hassani KSP, Mohammad Khani M. [Prediction of academic failure based on rumination with the mediating role of procrastination and emotion regulation difficulty in second high school period students in Kermanshah City]. Research in school and virtual learning 2023; 11(1): 83-96. (Persian)
  12. Doğan U. The relationship between test anxiety, rumination, and psychological flexibility. Current psychology 2024; 43(3): 2568-77.
  13. Aydın G, Yerin Güneri O. Exploring the role of psychological inflexibility, rumination, perfectionism cognitions, cognitive defusion, and self-forgiveness in cognitive test anxiety. Current psychology 2022; 41(4): 1757-66.
  14. Balali M, Sadeghi J, Homayouni A. [Structural relationships between mathematical academic beliefs and mathematical anxiety mediated by academic hardiness in male high school students in district 4 of Tehran]. Journal of research in educational science 2021; 15: 104-14. (Persian)
  15. Jenaabadi HSA. [The effectiveness of self-encouragement training on students' psychological toughness and social health]. Journal of School Psychology and Institutions 2022; 10(4): 33-44. (Persian)
  16. Kalinin R, Balazsi R, Pentek I, Hantiiu I. Relationship between mental toughness, stress, anxiety and depression. Studia Universitatis Babe-Bolyai Educatio Artis Gymnasticae 2021; 66(1): 17-24.
  17. Hasty LM, Malanchini M, Shakeshaft N, Schofield K, Malanchini M, Wang Z. When anxiety becomes my propeller: Mental toughness moderates the relation between academic anxiety and academic avoidance. Br J Educ Psychol 2021; 91(1): 368-90.
  18. BG O. The influence of mode of study and academic self-efficacy on examination anxiety among undergraduate students of Olabisi Onabanjo University. Faculty of Ssocial science, Olabisi Onabanjo University.
  19. Bergqvist E, Tossavainen T, Johansson M. An analysis of high and low intercorrelations between mathematics self-efficacy, anxiety, and achievement variables: A prerequisite for a reliable factor analysis. Education research international 2020; 2020(1): 8878607.
  20. Yıldız E, Colak T. The effect of the self-efficiency levels of university students in health departments for the anatomy course on exam anxiety. Gehver Nesibe journal of medical and health sciences 2022; 7: 81-90.
  21. Khaleghi M, Sharifi HP, Taghvaei D. [Presenting the exam anxiety model based on thinking styles and learning styles with the mediation of academic self-efficacy]. Journal of research in behavioural sciences 2023; 21(2): 352-60. (Persian)
  22. Cohen J. Statistical power analysis for the behavioral sciences. Oxfordshire, UK: Routledge; 2013.
  23. Treynor W, Gonzalez R, Nolen-Hoeksema S. Rumination reconsidered: A psychometric analysis. Cognit Ther Res 2003; 27: 247-59.
  24. Abbasiabrazgah M, Zargham Hajebi M, Aghayousefi A. [The role of impulse control, cognitive strategies of emotional regulation, tolerance of emotional distress and rumination in predicting self-harm behaviors in adolescents referring to transitory harm reduction centers in Tehran]. Medical journal of Mashhad University of Medical Sciences 2023; 65(6): 2611-22. (Persian)
  25. Sarason IG. Stress, anxiety, and cognitive interference: reactions to tests. J Pers Soc Psychol 1984; 46(4): 929.
  26. Kareshki H, Mohamma Taghizade N, Miri S. [Evaluation of the model of achievement goals in mediate the relationship between test anxiety and positive attributional biases]. Research in cognitive and behavioral sciences 2017; 7(1): 1-16. (Persian)
  27. Terry-Short L, Owens RG, Slade P, Dewey M. Positive and negative perfectionism. Pers Individ Dif 1995; 18(5): 663-8.
  28. Bitaraf S, Shaeeri MR, Hakim Javadi M. [Social phobia, parenting styles, and perfectionism]. Developmental psychology 2010; 7: 75-83. (Persian)
  29. Kobasa SC, Maddi SR, Kahn S. Hardiness and health: a prospective study. J Pers Soc Psychol 1982; 42(1): 168.
  30. Mansouri S, Karimi Sanai P, Rahmannezhad A, Sadeghpour S. [The comparison of life style and hardiness in divorced women in Iran (Tabriz) with Iranian women living in Finland (Helsinki)]. Journal of psychology and psychiatry 2018; 5(1): 65-76. (Persian)
  31. Sherer M. The self-efficacy scale: Construction and validation. USA, University of Alabama; 1982.
  32. Ahmadi Deh Ghotbaddini M. [Relationship among self-efficacy, life expectancy and public health with level of physical activity of drug users]. Scientific quarterly research on addiction 2022; 15: 205-24. (Persian)
  33. Botha M, Panebianco C, Masenge A. The relationship between perfectionism, cognitive rumination, mindfulness and mental health in music students at a South African University. Muziki 2022; 19(1): 3-20.
  34. Ahmadi M, Najafali Ghandehari N. [The mediating role of social support in the relationship between perfectionism and social self-efficacy]. Psychological researches in management 2023; 9(1): 201-24. (Persian)
  35. Lotfi S PGM, Khosravi Z, Khodabakhsh Pirkani R, Mehrienejad SA. [A comparative study of attachment style, psychological toughness, and moral perfectionism in two groups of girls with and without self-injury behaviors]. Women's studies sociological and psychological 2021; 19(2): 92-165. (Persian)
  36. De Rosa L, Miracco MC, Galarregui MS, Keegan EG. Perfectionism and rumination in depression. Current psychology 2023; 42(6): 4851-61.
  37. Huang H, Ding Y, Liang Y, Wan X, Peng Q, Zhang Y, et al. The association between perfectionism and academic procrastination among undergraduate nursing students: The role of self‐efficacy and resilience. Nurs Open 2023; 10(10): 6758-68.