Related Experiment Video
Updated: Aug 26, 2025

Using Practice Testing, Public Speaking, and Source Monitoring to Examine the Influences of Learning Strategies and Stress on Episodic Memory
Published on: June 14, 2019
Test Anxiety Does Not Predict Exam Performance When Knowledge Is Controlled For: Strong Evidence Against the
Maria Theobald1,2, Jasmin Breitwieser1,2, Garvin Brod1,2,3
1Leibniz Institute for Research and Information in Education (DIPF), Frankfurt, Germany.
Test anxiety did not impact medical students' exam performance beyond their existing knowledge. However, high test anxiety was linked to slower knowledge acquisition during study.
Area of Science:
- Educational Psychology
- Cognitive Psychology
- Medical Education
Background:
- Test anxiety is a common concern among students, potentially affecting academic performance.
- Previous research suggests a link between test anxiety and poorer exam outcomes.
- The specific mechanisms by which test anxiety might impair performance, such as retrieval interference, remain debated.
Purpose of the Study:
- To investigate whether test anxiety predicts poorer exam performance in medical students, independent of their knowledge level.
- To explore the relationship between test anxiety and knowledge acquisition during exam preparation.
- To test the hypothesis that test anxiety interferes with knowledge retrieval during high-stakes exams.
Main Methods:
- Analysis of data from 309 medical students using a digital learning platform for exam preparation.
- Assessment of knowledge levels through log files and mock exams.
- Utilizing ambulatory assessment data to track knowledge gains during the preparation phase.
Main Results:
- Test anxiety did not predict exam performance when controlling for students' assessed knowledge levels.
- Higher trait test anxiety was associated with smaller gains in knowledge throughout the exam preparation period.
- No evidence was found to support the idea that test anxiety hinders the retrieval of learned material during exams.
Conclusions:
- The study's findings do not support the hypothesis that test anxiety directly impairs knowledge retrieval during exams.
- Test anxiety may primarily affect the learning process itself, leading to reduced knowledge acquisition over time.
- Further research should explore interventions to mitigate the impact of test anxiety on learning and academic success.
Related Concept Videos
Controls in Experiments
Stereotype Threat and Self-fulfilling Prophecies
Reliability and Validity
The Scientific Method
Blind Procedures
What is an Experiment?

