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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">BJMHR0403005</article-id>
      <title-group>
        <article-title>Increasing Levels of Test Anxiety and Psychological Distress with Advancing Years of Medical Education</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Aziz</surname>
            <given-names>Nusrat</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Serafi</surname>
            <given-names>Abdul Halim</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">Department of Physiology, Faculty of Medicine, Umm Al-Qura University, Makkah, Kingdom of Saudi Arabia</aff>
      <aff id="aff2">Department of Physiology, Faculty of Medicine, 
Umm Al-Qura University, Makkah 24382</aff>
      <pub-date pub-type="epub" iso-8601-date="2017-03-01">
        <month>03</month>
        <day>01</day>
        <year>2017</year>
      </pub-date>
      <volume>4</volume>
      <issue>3</issue>
      <abstract>
        <p>A cross-sectional study was conducted on 411 female students (age group of 19-24 years) in second to sixth year of medical education at Umm Al-Qura University, Saudi Arabia to assess test anxiety and psychological distress among students during examinations and with the duration of the course. The study employed questionnaires from â€˜Westside Test Anxiety scaleâ€™ and â€˜Kessler Psychological Distress scale (K10)â€™ and the scores obtained were used to estimate the level of test anxiety and depression among students. Overall, there was high prevalence of test anxiety (53.04%) and psychological distress (82.50%) among students before examinations, with a significant (p</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>medical students</kwd>
        <kwd>test anxiety</kwd>
        <kwd>psychological distress</kwd>
        <kwd>clinical</kwd>
        <kwd>preclinical</kwd>
      </kwd-group>
    </article-meta>
  </front>
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