Anxiety before exams in college: A single-case study

This study presents a cognitive-behavioral therapy applied to a 20 year old female college student with high levels of test anxiety. In addition to the clinical interview, the following questionnaires were administered: Self-Assessment Questionnaire, Achievement Anxiety Test, Study Habits Self Report, State-Trait Anxiety Inventory, and Self-Esteem Scale, Based on this assessment, the main objective was to reduce anxiety levels prior to exams and the specific objectives were the removal of distorted thoughts and avoidance behaviors, as well as improving studying skills and increasing self-esteem. The intervention was carried out in thirteen treatment sessions in which several cognitive-behavioral techniques were used: psychoeducation, cognitive restructuring, systematic desensitization, problem solving strategies and assertiveness. On completion of the treatment, a notable reduction of anxiety levels and a successful academic performance were found. In addition, patient scores improved throughout the follow-up. These results support the efficacy of cognitive- behavioral therapy in the treatment of test anxiety. (PsycINFO Database Record (c) 2016 APA, all rights reserved) (Source: journal abstract)