title: A randomized control study of psychological intervention to reduce anxiety, amotivation and psychological distress among medical students.
abstract: BACKGROUND
  Test anxiety aggravates psychological distress and reduces the motivation among graduate students. This study aimed to identify psychological intervention for test anxiety, which reduces the level of psychological distress, amotivation and increases the intrinsic and extrinsic motivation among medical students.
  
  
  METHODS
  Westside test anxiety scale, Kessler Perceived Stress Scale and Academic Motivation Scale were used to measure test anxiety, psychological distress and motivation on 436 1(st) year medical students. Out of 436 students, 74 students who exhibited moderate to high test anxiety were randomly divided into either experimental or waiting list group. In this true randomized experimental study, 32 participants from the intervention group received five sessions of psychological intervention consist of psychoeducation, relaxation therapy and systematic desensitization. Thirty-three students from waiting list received one session of advice and suggestions.
  
  
  RESULTS
  After received psychological intervention participants from the intervention group experienced less anxiety, psychological distress, and amotivation (P < 0.01) and high intrinsic and extrinsic motivation (P < 0.01) in the postassessment compared with their preassessment scores.
  
  
  CONCLUSIONS
  Overall psychological intervention is effective to reduce anxiety scores and its related variables.
authors.affiliation: Division of Psychology and Behavioural Sciences, International Medical University, 57000 Kuala Lumpur, Malaysia.
authors.forename: Coumaravelou
authors.initials: C
authors.lastname: Saravanan
authors.affiliation: Department of Pharmacy, International Medical University, 57000 Kuala Lumpur, Malaysia.
authors.forename: Rajiah
authors.initials: R
authors.lastname: Kingston
keywords: Anxiety; motivation; psychological distress
references.citation: Med Pregl. 2010 Nov-Dec;63(11-12):863-6
references.pmid: 21553469
references.citation: BMC Med. 2009 Dec 16;7:79
references.pmid: 20015347
references.citation: Encephale. 2004 Jan-Feb;30(1):1-15
references.pmid: 15029071
references.citation: J Pak Med Assoc. 2008 Apr;58(4):167-70
references.pmid: 18655422
references.citation: Depress Anxiety. 2007;24(2):103-11
references.pmid: 16845642
references.citation: Kaohsiung J Med Sci. 2008 Mar;24(3 Suppl):S54-8
references.pmid: 18364288
references.citation: Malays J Med Sci. 2008 Apr;15(2):18-23
references.pmid: 22589620
references.citation: Br J Educ Psychol. 2011 Mar;81(Pt 1):161-77
references.pmid: 21391968
references.citation: Alcohol Clin Exp Res. 2010 Jul;34(7):1235-45
references.pmid: 20477768
references.citation: J Learn Disabil. 2007 Jul-Aug;40(4):360-76
references.pmid: 17713134
references.citation: Psychol Med. 2002 Aug;32(6):959-76
references.pmid: 12214795
references.citation: Contemp Educ Psychol. 2000 Jan;25(1):54-67
references.pmid: 10620381
references.citation: Med Teach. 2013 Nov;35(11):969
references.pmid: 23607520
references.citation: J Clin Psychol. 2004 Aug;60(8):853-65
references.pmid: 15241813
references.citation: Postgrad Med J. 2013 Jun;89(1052):311-5
references.pmid: 23468555