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Open Access 01-12-2024 | Anxiety | Research

The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality

Authors: Ruiying Liu, Qing Qiu, Baojuan Ye

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

The global spread of COVID-19 has brought immense physiological and psychological distress to students, such as test anxiety and poor sleep quality. This study aims to explore the relationship between COVID-19 stress and test anxiety and the mediating roles of intolerance of uncertainty and sleep quality between them.

Methods

A study was conducted in China during the late stage of the pandemic. A total of 936 Chinese art students (age M = 18.51, SD = 2.11, 46.6% female) completed the Coronavirus Stress Measure (CSM), the 12-item Intolerance of Uncertainty (IUS-12), the Brief Version of the Pittsburgh Sleep Quality Index (B-PSQI), and the Test Anxiety Inventory (TAI). A chain mediation model analysis was conducted to examine the mediating effects of intolerance of uncertainty and sleep quality on the association with COVID-19 stress and test anxiety.

Results

COVID-19 stress was positively associated with test anxiety (β = 0.50, p < 0.001). The intolerance of uncertainty and sleep quality partially and serially mediated the relationship between COVID-19 stress and test anxiety (β = 0.01, 95% CI = 0.01 to 0.02).

Conclusion

These findings suggest that art students’ intolerance of uncertainty and sleep quality partially and serially mediate the relation between COVID-19 stress and test anxiety. The results have significant implications for the intervention and prevention of test anxiety, providing additional evidence for the relationship between COVID-19 stress and test anxiety.

Jakovljevic M, Bjedov S, Jaksic N, Jakovljevic I. COVID-19 pandemia and public and global mental health from the perspective of global health security. Psychiatria Danubina. 2020;32(1):6–14. https://doi.org/10.24869/psyd.2020.6.CrossRefPubMed

Sun S, Goldberg SB, Lin D, Qiao S, Operario D. vol 17, 15,. Psychiatric symptoms, risk, and protective factors among university students in quarantine during the COVID-19 pandemic in China (2021). Globalization and Health. 2021; 17(1). https://doi.org/10.1186/s12992-021-00701-8.

Wang C, Tripp C, Sears SF, Xu L, Tan Y, Zhou D, et al. The impact of the COVID-19 pandemic on physical and mental health in the two largest economies in the world: a comparison between the United States and China. J Behav Med. 2021;44(6):741–59. https://doi.org/10.1007/s10865-021-00237-7.CrossRefPubMedPubMedCentral

Monnig MA, Clark SE, Avila JC, Sokolovsky AW, Padovano HT, Goodyear K, et al. COVID-19-Related stressors and Clinical Mental Health Symptoms in a Northe-Ast US Sample. Int J Environ Res Public Health. 2023;20(2). https://doi.org/10.3390/ijerph20021367.

Wang D-k, Liu X-h, Xiao J-h, Chen J, Li X, Yu C, et al. Hope during the COVID-19 epidemic decreased anxiety and depression symptoms mediated by perceived stress: coping style differences among patients with COVID-19. Curr Med Sci. 2022;42(4):885–94. https://doi.org/10.1007/s11596-022-2624-2.CrossRefPubMedPubMedCentral

Gomez-Garcia G, Ramos-Navas-Parejo M, de la Cruz-Campos J-C, Rodriguez- Jimenez C. Impact of COVID-19 on University students: an analysis of its influence on psychological and academic factors. Int J Environ Res Public Health. 2022;19(16). https://doi.org/10.3390/ijerph191610433.

Sun MQ. The Relationship between Social Support and Test Anxiety of Junior High School Students: the Mediating Role of Resilience. [Masters Thesis]. 2021. https://link.cnki.net/doi/10.27859/d.cnki.gxhsf.2021.000194.

Camargo CP, Tempski PZ, Busnardo FF, Martins MA, Gemperli R. Online learning and COVID-19: a meta-synthesis analysis. Clinics. 2020;75. https://doi.org/10.6061/clinics/2020/e2286.

She R, Wong K, Lin J, Leung K, Zhang Y, Yang X. How COVID-19 stress related to schooling and online learning affects adolescent depression and internet gaming disorder: testing conservation of resources theory with sex difference. J Behav Addictions. 2021;10(4):953–66. https://doi.org/10.1556/2006.2021.00069.CrossRef

10.

Lee FMM, Koch JMM, Ramakrishnan N. Fine arts students: Mental Health, stress, and Time on Academic Work. J Coll Student Psychother. 2023. https://doi.org/10.1080/87568225.2023.2175755.CrossRef

11.

Ye LX. The relationship between time management tendency and learning devotion in high school art students:mediating role of academic self-efficacy. [Masters Thesis]. Sichuan Normal University; 2018. https://kns.cnki.net/kcms2/article/abstract?v=SDjqx_HoHgv4f78XLaVMgo1ak8kTNZZK4i-gXkxYhKHyh8vjtsNjk6lhD3dZU9P8zYmLDZ5yE78QMgPw4Vel4btpJB4U19ts6IciYLN4xlpauWkwdz_KXRZtbHWWnXSt-7C3N6SOCCA=&uniplatform=NZKPT&language=CHS

12.

Zhang XD, Cao HF. Thinking on art education under the new college entrance examination policy. (C). Educational practice and research. 2022(Z1): 41 – 2 + 57. https://doi.org/10.14160/j.cnki.13-1259/g4-c.2022.z1.036.

13.

Huang CB, Wei YJ. The moderating effect of school atmosphere on the relationship between COVID-19 stress and test anxiety in high school students. Teaching quality management research network forum -- Culture and art innovation subforum. 2023; 410–4. https://sci-hub.se/https://doi.org/10.26914/c.cnkihy.2023.038249.

14.

Adams SK, Mushkat Z, Minkel J. Examining the moderator role of Sleep Quality in the relationship among test anxiety, Academic Success and Mood. Psychol Rep. 2022;125(5):2400–15. https://doi.org/10.1177/00332941211025268.CrossRefPubMed

15.

von der Embse N, Jester D, Roy D, Post J. Test anxiety effects, predictors, and correlates: a 30-year meta-analytic review. J Affect Disord. 2018;227:483–93. https://doi.org/10.1016/j.jad.2017.11.048.CrossRefPubMed

16.

Lazarus RS, Folkman S. Stress, appraisal, and coping. Springer publishing company; 1984.

17.

Dugas MJ, Hedayati M, Karavidas A, Buhr K, Francis K, Phillips NA. Intolerance of uncertainty and information processing: evidence of biased recall and interpretations. Cogn Therapy Res. 2005;29(1):57–70. https://doi.org/10.1007/s10608-005-1648-9.CrossRef

18.

Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Hum Resour Health. 2020;18(1). https://doi.org/10.1186/s12960-020-00544-1.

19.

Ye B, Chen X, Zhang Y, Yang Q. Psychological flexibility and COVID-19 burnout in Chinese college students: a moderated mediation model. J Context Behav Sci. 2022;24:126–33. https://doi.org/10.1016/j.jcbs.2022.04.003.CrossRef

20.

Hu Y, Ye B, Tan J. Stress of COVID-19, anxiety, Economic Insecurity, and Mental Health literacy: a structural equation modeling Approach. Front Psychol. 2021;12. https://doi.org/10.3389/fpsyg.2021.707079.

21.

Liebert RM, Morris LW. Cognitive and emotional components of test anxiety: a distinction and some initial data. Psychol Rep. 1967;20(3):975–8. https://doi.org/10.2466/pr0.1967.20.3.975.CrossRefPubMed

22.

Morris LW, Engle WB. Assessing various coping strategies and their effects on test performance and anxiety. J Clin Psychol. 1981;37(1):165–71. https://doi.org/10.1002/1097-4679(198101)37:1%3C165::aid-jclp2270370133%3E3.0.co;2-8.CrossRefPubMed

23.

Chin ECH, Williams MW, Taylor JE, Harvey ST. The influence of negative affect on test anxiety and academic performance: an examination of the tripartite model of emotions. Learn Individual Differences. 2017;54:1–8. https://doi.org/10.1016/j.lindif.2017.01.002.CrossRef

24.

Gu S, He Z, Sun L, Jiang Y, Xu M, Feng G, et al. Effects of Coronavirus-19 Induced loneliness on Mental Health: Sleep Quality and Intolerance for uncertainty as mediators. Front Psychiatry. 2021;12. https://doi.org/10.3389/fpsyt.2021.738003.

25.

Wu D, Yang T, Hall DL, Jiao G, Huang L, Jiao C. COVID-19 uncertainty and sleep: the roles of perceived stress and intolerance of uncertainty during the early stage of the COVID-19 outbreak. BMC Psychiatry. 2021;21(1). https://doi.org/10.1186/s12888-021-03310-2.

26.

Dugas MJ, Gagnon F, Ladouceur R, Freeston MH. Generalized anxiety disorder: a preliminary test of a conceptual model. Behav Res Ther. 1998;36(2):215–26. https://doi.org/10.1016/s0005-7967(97)00070-3.CrossRefPubMed

27.

Hebert EA, Dugas MJ. Behavioral experiments for intolerance of uncertainty: challenging the unknown in the treatment of generalized anxiety disorder. Cogn Behav Pract. 2019;26(2):421–36. https://doi.org/10.1016/j.cbpra.2018.07.007.CrossRef

28.

Oglesby ME, Stentz LA, Portero AK, Kin SL, Schmidt NB. Exaggerated interpretation bias for uncertain information as a predictor of anxiety-related symptoms: a new method of assessment for IU. J Behav Ther Exp Psychiatry. 2019;64:64–71. https://doi.org/10.1016/j.jbtep.2019.02.010.CrossRefPubMed

29.

Ranney RM, Behar E, Bartoszek G. Individuals intolerant of uncertainty: the maintenance of worry and distress despite reduced uncertainty. Behav Ther. 2019;50(3):489–503. https://doi.org/10.1016/j.beth.2018.08.006.CrossRefPubMed

30.

Hong CJ, Wu SM. Mechanisms of mindfulness on test anxiety and evaluation of intervention effect on college students with anxiety tendency. Chin J Health Psychol. 2020;05780–4. https://doi.org/10.13342/j.cnki.cjhp.2020.05.034. https://sci-hub.se/.

31.

Huntley C, Young B, Tudur Smith C, Jha V, Fisher P. Testing times: the association of intolerance of uncertainty and metacognitive beliefs to test anxiety in college students. BMC Psychol. 2022;10(1). https://doi.org/10.1186/s40359-021-00710-7.

32.

Li G, Zhou J, Yang G, Li B, Deng Q, Guo L. The impact of intolerance of uncertainty on test anxiety: student athletes during the COVID-19 pandemic. Front Psychol. 2021;12. https://doi.org/10.3389/fpsyg.2021.658106.

33.

Lin L-y, Wang J, Ou-yang X-y, Miao Q, Chen R, Liang F-x, et al. The immediate impact of the 2019 novel coronavirus (COVID-19) outbreak on subjective sleep status. Sleep Med. 2021;77:348–54. https://doi.org/10.1016/j.sleep.2020.05.018.CrossRefPubMed

34.

Ye B, Wu D, Wang P, Im H, Liu M, Wang X, et al. COVID-19 stressors and poor sleep quality: the mediating role of rumination and the moderating role of emotion regulation strategies. Int J Behav Med. 2022;29(4):416–25. https://doi.org/10.1007/s12529-021-10026-w.CrossRefPubMed

35.

Dongol E, Shaker K, Abbas A, Assar A, Abdelraoof M, Saady E, et al. Sleep quality, stress level and COVID-19 in university students; the forgotten dimension. Sleep Sci. 2022;15:347–54. https://doi.org/10.5935/1984-0063.20210011.CrossRefPubMedPubMedCentral

36.

Jahrami H, BaHammam AS, Bragazzi NL, Saif Z, Faris M, Vitiello MV. Sleep problems during the COVID-19 pandemic by population: a systematic review and meta-analysis. J Clin Sleep Med. 2021;17(2):299–313. https://doi.org/10.5664/jcsm.8930.CrossRefPubMedPubMedCentral

37.

Lee K, Sayre B, Martin S, James TA, Duarte A. Covid-19-Stress Associated with worse sleep quality, particularly with increasing age. Journals of Gerontology Series B-Psychological sciences and Social sciences. 2023; 78(7): 1163–8. https://doi.org/10.1093/geronb/gbac173.

38.

Ram-Vlasov N, Tzischinsky O, Green A, Shochat T, Creativity, Habitual Sleep Patterns Among Art and Social Sciences Undergraduate Students. Psychol Aesthet Creativity Arts. 2016;10(3):270–7. https://doi.org/10.1037/aca0000062.CrossRef

39.

de Bruin EJ, van Run C, Staaks J, Meijer AM. Effects of sleep manipulation on cognitive functioning of adolescents: a systematic review. Sleep Med Rev. 2017;32:45–57. https://doi.org/10.1016/j.smrv.2016.02.006.CrossRefPubMed

40.

Grima NA, Bei B, Mansfield D. Insomnia theory and assessment. Australian J Gen Pract. 2019;48(4):193–7. https://doi.org/10.31128/ajgp-12-18-4780.CrossRef

41.

Short MA, Louca M. Sleep deprivation leads to mood deficits in healthy adolescents. Sleep Med. 2015;16(8):987–93. https://doi.org/10.1016/j.sleep.2015.03.007.CrossRefPubMed

42.

Nguyen V, Zainal V, Newman NH. Why Sleep is Key: poor sleep quality is a mechanism for the bidirectional relationship between Major Depressive Disorder and generalized anxiety disorder across 18 years. J Anxiety Disord. 2022;90. https://doi.org/10.1016/j.janxdis.2022.102601.

43.

Talbot LS, McGlinchey EL, Kaplan KA, Dahl RE, Harvey AG. Sleep deprivation in adolescents and adults: changes in Affect. Emotion. 2010;10(6):831–41. https://doi.org/10.1037/a0020138.CrossRefPubMedPubMedCentral

44.

Lin R-M, Xie S-S, Yan Y-W, Yan W-J. Intolerance of uncertainty and adolescent sleep quality: the mediating role of worry. Pers Indiv Differ. 2017;108:168–73. https://doi.org/10.1016/j.paid.2016.12.025.CrossRef

45.

Liu QQ. The Relationship among Adolescents’ Neuroticism, Pre-test Sleep Quality and Irritable Bowel Syndrome.[ Masters Thesis]. 2018. https://kns.cnki.net/kcms2/article/abstract?v=aGn3Ey0ZxcBIccEdL_6Ap313_-jezL4hTPI5L4iMWS8UJ48Ur95owtxbwvf9x1sO79B8h6MDRe3JCJtMaJNeP6GiTM6LG0PSQQNCP2VJ5jJRINjlLHVJKo_NrtL6AJ7sf6sCxFWdhq4Ii8hAIV7IcA==&uniplatform=NZKPT&language=CHS.

46.

Xu X, Xia M, Pang W. Family socioeconomic status and Chinese high school students’ test anxiety: serial mediating role of parental psychological control, learning resources, and student academic self-efficacy. Scand J Psychol. 2021;62(5):689–98. https://doi.org/10.1111/sjop.12750.CrossRefPubMed

47.

Zhang RJ, An L. The Effect of personality traits on test anxiety: analysis of the multiple Mediating effects. Psychol Sci. 2016;39(03):614–20. https://doi.org/10.16719/j.cnki.1671-6981.20160316.CrossRef

48.

Arslan G, Yildirim M, Tanhan A, Bulus M, Allen K-A. Coronavirus stress, Optimism-Pessimism, psychological inflexibility, and Psychological Health: Psychometric properties of the coronavirus stress measure. Int J Mental Health Addict. 2021;19(6):2423–39. https://doi.org/10.1007/s11469-020-00337-6.CrossRef

49.

Wu LJ, Wang JN, Qi XD. Validity and reliability of the intolerance of uncertainty Scale-12 in middle school students. Chin Mental Health J. 2016;30:700–5. https://doi.org/10.3969/j.issn.1000-6729.2016.09.012.CrossRef

50.

Carleton RN, Norton PJ, Asmundson GJG. Fearing the unknown: a short version of the intolerance of uncertainty scale. J Anxiety Disord. 2007;21(1):105–17. https://doi.org/10.1016/j.janxdis.2006.03.014.CrossRefPubMed

51.

Sancho-Domingo C, Luis Carballo J, Coloma-Carmona A, Buysse DJ. Brief version of the Pittsburgh Sleep Quality Index (B-PSQI) and measurement invariance across gender and age in a Population-based sample. Psychol Assess. 2021;33(2):111–21. https://doi.org/10.1037/pas0000959.CrossRefPubMed

52.

Liu X, Tang M, Hu L, Wang A, Wu H, Zhao G, Gao C, Li W. Reliability and validity of the Pittsburgh sleep quality index. Chinese journal of psychiatry. 1996; 103–107. https://kns.cnki.net/kcms2/article/abstract?v=aGn3Ey0ZxcCRb9k_lAg2tGLxeKf8b56OZaIZqDneuNH3je65PYeQwTsJmpONrzLVvI0b3qgtQs4-jVEGNjDC14anfboVN7E7qnSmpWWD8ntQmQZD_zx62PJttHm6ZdEsm6fU4xqAGnE=&uniplatform=NZKPT&language=CHS

53.

Ye RM, Tom Rocklin. A cross-cultural study of test anxiety. Psychol Sci Bull. 1988;0327–31. https://doi.org/10.16719/j.cnki.1671-6981.1988.03.005.

54.

Wang C. The Reliability and Validation of Chinese Version Test Anxiety Inventory in College Students. Chinese Journal of Clinical Psychology. 2003; 69–70. https://kns.cnki.net/kcms2/article/abstract?v=aGn3Ey0ZxcBcEfuwkQFCQxmajOuVddtuJ8Qy1jBGvyHSodxaL7s9WOthFdMkkkrjITA5muDQm3HsnKbcmMGjKK3gdX4AV1LKNOasycBaE0QBVXv7s7NsyMHXuP8UunPk1SCpGPQ3fNo=&uniplatform=NZKPT&language=CHS.

55.

Lt H, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equation Modeling: Multidisciplinary J. 1999;6(1):1–55. https://doi.org/10.1080/10705519909540118.CrossRef

56.

Bolin JH. Introduction to Mediation, Moderation, and conditional process analysis: a regression-based Approach. J Educ Meas. 2014;51(3):335–7. https://doi.org/10.1111/jedm.12050.CrossRef

57.

Podsakoff PM, MacKenzie SB, Lee JY, Podsakoff NP. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879–903. https://doi.org/10.1037/0021-9010.88.5.879.CrossRefPubMed

58.

Fan XL, Peng CZ, Peng L, Study on TAI Assessment Standard and Its Reliability and Validity. Chinese Journal of Clinical Psychology. 2004(01): 58 – 9. https://kns.cnki.net/kcms2/article/abstract?v=Skeo7MzZydYCryTqTlE7TWJw27CWwJGo3B6vP3O_78eyKBgAKOaHYviKtvCzVASw0u0DF1MBHVpeBBdWbEG55Jhg2Ux6-L3ab31MlQ8MPr-_gQhKQBxc4Eoj3SreDfAAjGZqSWk3Xgw=&uniplatform=NZKPT&language=CHS.

59.

Liu LQ, Zhong Y, Chen YN, Wang N. The relationship among test anxiety, parental anxiety and parental consciousness of senior high school students. Mod Prim Secondary Educ. 2013;0663–6. https://doi.org/10.16165/j.cnki.22-1096/g4.2013.06.008.

60.

Qian NN. Research on Factors and Countermeasures of High School Students Test Anxiety. [Masters Thesis]. 2014. https://kns.cnki.net/kcms2/article/abstract?v=Skeo7MzZydYkjIGDMjaauEHBp0kRkQ6LIa__4R4anspAYsNPnNecdAUN8fQ64KADxLmsoFFLLxeZ4KW7fzHdPKvHMWdBN_7m55WhSKv2VaC0haO1RtxWMuGSuwMlhhVVgTZyL-mJTUwVmTcGQmYAPQ==&uniplatform=NZKPT&language=CHS.

61.

Lazarus RS. Psychological stress and the coping process. New York: McGraw-Hill; 1966.

62.

Deniz ME. Self-compassion, intolerance of uncertainty, fear of COVID-19, and well-being: a serial mediation investigation. Pers Indiv Differ. 2021;177. https://doi.org/10.1016/j.paid.2021.110824.

63.

Dugas MJ, Brillon P, Savard P, Turcotte J, Gaudet A, Ladouceur R, et al. A randomized clinical trial of cognitive-behavioral therapy and Applied Relaxation for adults with generalized anxiety disorder. Behav Ther. 2010;41(1):46–58. https://doi.org/10.1016/j.beth.2008.12.004.CrossRefPubMed

64.

Coiro MJ, Asraf K, Tzischinsky O, Hadar-Shoval D, Tannous-Haddad L, Wolfson AR. Sleep quality and COVID-19-related stress in relation to mental health symptoms among Israeli and U.S. adults. Sleep Health. 2021;7(2):127–33. https://doi.org/10.1016/j.sleh.2021.02.006.CrossRefPubMed

65.

Zhao X, Lan M, Li H, Yang J. Perceived stress and sleep quality among the non- diseased general public in China during the 2019 coronavirus disease: a moderated mediation model. Sleep Med. 2021;77:339–45. https://doi.org/10.1016/j.sleep.2020.05.021.CrossRefPubMed

66.

Kahn M, Sheppes G, Sadeh A. Sleep and emotions: bidirectional links and underlying mechanisms. Int J Psychophysiol. 2013;89(2):218–2. https://doi.org/10.1016/j.ijpsycho.2013.05.010.CrossRefPubMed

67.

Werner A, Kater M-J, Schlarb AA, Lohaus A. Sleep and stress in times of the COVID-19 pandemic: the role of personal resources. Appl Psychology-Health Well Being. 2021;13(4):935–51. https://doi.org/10.1111/aphw.12281.CrossRef

68.

Suardiaz-Muro M, Ortega-Moreno M, Morante-Ruiz M, Monroy M, Ruiz MA, Martin-Plasencia P, et al. Sleep quality and sleep deprivation: relationship with academic performance in university students during examination period. Sleep Biol Rhythms. 2023;21(3):377–83. https://doi.org/10.1007/s41105-023-00457-1.CrossRefPubMedPubMedCentral

69.

Goldstein AN, Walker MP. The Role of Sleep in Emotional Brain Function. In: Cannon TD, Widiger T, editors. Annual Review of Clinical Psychology, Vol 10. Annual Review of Clinical Psychology. 102014. pp. 679–708. https://doi.org/10.1146/annurev-clinpsy-032813-153716.

70.

Wu JQ, Appleman ER, Salazar RD, Ong JC. Cognitive behavioral therapy for Insomnia Comorbid with Psychiatric and Medical conditions a Meta-analysis. Jama Intern Med. 2015;175(9):1461–72. https://doi.org/10.1001/jamainternmed.2015.3006.CrossRefPubMed

71.

Meeten F, Dash SR, Scarlet ALS, Davey GCL. Investigating the effect of intolerance of uncertainty on catastrophic worrying and mood. Behav Res Ther. 2012;50(11):690–8. https://doi.org/10.1016/j.brat.2012.08.003.CrossRefPubMed

72.

Wainer H, Robinson DH. Shaping up the practice of null hypothesis significance testing. Educational Researcher. 2003;32(7):22–30. https://doi.org/10.3102/0013189x032007022.CrossRef

73.

Gall MD, Gall JP, Borg WR. Educational research: an introduction (8. utg.). AE Burvikovs, Red) USA: Pearson. 2007.

74.

Prentice DA, Miller DT. When small effects are impressive. Psychol Bull. 1992;112:160–4. https://doi.org/10.1037/0033-2909.112.1.160.CrossRef

75.

Ellis PD. The essential guide to effect sizes: statistical power, meta-analysis, and the interpretation of research results. Cambridge University Press; 2010.

Title: The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality
Authors: Ruiying Liu
Qing Qiu
Baojuan Ye
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Anxiety
COVID-19
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-024-18684-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The relationship between COVID-19 stress and test anxiety in art students: the chain mediating roles of intolerance of uncertainty and sleep quality

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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