PMID- 16814744 OWN - NLM STAT- MEDLINE DCOM- 20080108 LR - 20181201 IS - 0005-7967 (Print) IS - 0005-7967 (Linking) VI - 45 IP - 3 DP - 2007 Mar TI - A randomised placebo-controlled trial of a self-help Internet-based intervention for test anxiety. PG - 483-96 AB - Test anxiety is widespread and associated with poor performance in academic examinations. The Internet, not well-proven for the treatment of anxiety, should be able to deliver highly accessible Cognitive Behavior Therapy (CBT). This study sought to test the hypothesis that CBT, available on the Internet, could reduce test anxiety. Ninety university students were randomly allocated to CBT or a control program, both on the Internet. Before and after treatment, the participants completed the Test Anxiety Inventory (TAI), an Anxiety Hierarchy Questionnaire (AHQ), the Exam Problem-Solving Inventory (EPSI), the General Self-Efficacy Scale (GSES) and the Heim reasoning tests (AH) as a measure of test performance. Of the CBT and control groups 28% and 35%, respectively, withdrew. According to the TAI, 53% of the CBT group showed a reliable and clinically significant improvement with treatment but only 29% of the control group exhibited such a change. On the AHQ, 67% of the CBT group and 36% of the control group showed a clinically significant improvement, more than two standard deviations above the mean of the baseline, a change in favour of CBT. Both groups improved on the GSES, in state anxiety during exams retrospectively assessed, and on the AH tests. The improvement on the AH tests was probably a practice effect and not a reflection of a change in capacity for academic testing. This study thus supports use of CBT on the Internet for the treatment of test anxiety. FAU - Orbach, Gili AU - Orbach G AD - Child Psychiatry, St. Georges Team, Lanesborough Wing, St. Georges Hospital, Blackshaw Road, London SW17 0QT, UK. FAU - Lindsay, Stan AU - Lindsay S FAU - Grey, Susan AU - Grey S LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20060630 PL - England TA - Behav Res Ther JT - Behaviour research and therapy JID - 0372477 SB - IM MH - Adult MH - Anxiety/psychology/*therapy MH - Cognitive Behavioral Therapy/instrumentation/*methods MH - Female MH - Humans MH - *Internet MH - Male MH - Test Anxiety Scale MH - Therapy, Computer-Assisted/instrumentation/*methods MH - Treatment Outcome EDAT- 2006/07/04 09:00 MHDA- 2008/01/09 09:00 CRDT- 2006/07/04 09:00 PHST- 2005/08/17 00:00 [received] PHST- 2006/04/14 00:00 [revised] PHST- 2006/04/14 00:00 [accepted] PHST- 2006/07/04 09:00 [pubmed] PHST- 2008/01/09 09:00 [medline] PHST- 2006/07/04 09:00 [entrez] AID - S0005-7967(06)00090-8 [pii] AID - 10.1016/j.brat.2006.04.002 [doi] PST - ppublish SO - Behav Res Ther. 2007 Mar;45(3):483-96. doi: 10.1016/j.brat.2006.04.002. Epub 2006 Jun 30.