A longitudinal study of the intrusiveness of cognitions in test anxiety

Medical students who had to undergo an important set of examinations were asked to fill out two questionnaires, the first early in the term, the second 1 or 2 wk before the exams. Students whose anxiety increased substantially between the two questionnaire administrations reported that their thoughts had become more intrusive on a number of parameters including distress, frequency and dismissability. Subjects whose anxiety increased only moderately or not at all reported correspondingly smaller changes in intrusiveness. There was considerable stability in reported cognitions over time, but changes in anxiety were related to changes in reports of thought content. The perceived probability of negative outcomes did not vary over time. These results indicate that changes in anxiety levels over time are related to several parameters of intrusiveness as well as thought content.