Met faalangst een waardevol leven leiden? Het kan!
Bang om te mislukken
We krijgen constant het gevoel van te moeten presteren. Gewoon goed is vaak niet meer genoeg, het moet alsmaar beter. Dit kan leiden tot stress en angst om te falen. Ook studenten voelen de druk. Naar schatting kampt een op de vijf studenten in Vlaanderen met faalangst. Deze angst heeft een negatieve invloed op het leerproces. Bovendien gaat faalangst gepaard met een minder goede fysieke en mentale gezondheid.
Touwtrekken met je monster
Om deze studenten te helpen heeft de Universiteit Gent de groepstraining ‘Verder met angst’ ontwikkeld. Deze training is gebaseerd op acceptatie en commitment therapie. De filosofie van deze therapie is dat pijnlijke gevoelens en gedachten een waardevol leven niet in de weg hoeven te staan. De volgende metafoor illustreert dit. Stel je jouw angst voor als een groot monster waarmee je aan het touwtrekken bent. Je trekt en je trekt, maar het monster trekt steeds harder. In plaats van al je aandacht en energie te besteden aan het bestrijden van dat monster, kan je ook gewoon het touw loslaten. Het monster is misschien niet weg, maar je hebt nu wel je handen vrij om dingen te doen die voor jou echt van tel zijn. Dit wordt psychologische flexibiliteit genoemd.
Minder faalangst en meer levenskwaliteit
Acceptatie en commitment therapie is onder meer nuttig voor mensen met een depressie of chronische pijn, maar evenzeer voor wie geen psychologische problemen heeft. Wij stelden ons de vraag of acceptatie en commitment therapie, in de vorm van de groepstraining ‘Verder met angst’, ook studenten met faalangst helpt. Om dit te onderzoeken vulden 57 studenten voor en na de training een vragenlijst in over faalangst. We waren tevens geïnteresseerd in de invloed van de training op hun levenskwaliteit, dus hier vulden ze eveneens vragen over in. Daarnaast wilden we weten hoe deze training werkt. Meer bepaald vroegen we ons af of een toename in psychologische flexibiliteit tijdens de training een verandering in faalangst en levenskwaliteit na de training zou voorspellen.
We kwamen tot de bevinding dat de studenten na de training minder faalangst hadden en meer levenskwaliteit ervaarden dan voor de training. Psychologische flexibiliteit bleek hier een belangrijke rol in te spelen. Hoe beter de studenten tijdens de training flexibel leerden omgaan met hun angst, hoe minder vermijdingsgedrag (een component van faalangst) en hoe meer levenskwaliteit ze na de training hadden. Het is dus aangeraden om vaardigheden te ontwikkelen die je op een andere manier naar angst leren kijken.
Je psychologische flexibiliteit vergroten
Maak jij je soms ook zorgen over je prestaties of voel je je wel eens angstig? Hieronder vind je enkele korte oefeningen die je kunnen helpen om veerkrachtiger in het leven te staan.
De volgende keer dat gedachten zoals “ik kan het niet” en “het is niet goed genoeg” je overvallen, stel jezelf dan de vraag of je het de moeite waard vindt om daar energie in te steken. De boodschap is om het gevecht tegen angst los te laten en te gaan voor wat jij écht belangrijk vindt in het leven.
Illustraties door Tim Pacific
Adriaenssens, A. (2016). Perfectionisme tussen de lakens: Faalangst als mediator in de relatie tussen seksueel perfectionisme en seksuele en relationele tevredenheid (Master’s thesis). Retrieved from http://lib.ugent.be/nl/catalog/rug01:002274790
Alkhazaleh, Z. M., & Mahasneh, A. M. (2016). Fear of failure among a sample of Jordanian undergraduate students. Psychology Research and Behavior Management, 9, 53-60. https://doi.org/10.2147/PRBM.S96384
American College Health Association. (2014). National college health assessment: Spring 2014, undergraduate students reference group data report. Retrieved from http://www.acha-ncha.org/docs/ACHA-NCHA-II_ReferenceGroup_DataReport_Sp…
2014.pdf
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author. https://doi.org/10.1176/appi.books.
9780890425596.dsm05
American Psychological Association Division 12: Society of Clinical Psychology. (2017). Website on research-supported psychological treatments. Retrieved from https://www.div12.org/psychological-treatments/treatments
Arch, J. J., & Craske, M. G. (2008). Acceptance and commitment therapy and cognitive behavioral therapy for anxiety disorders: Different treatments, similar mechanisms? Clinical Psychology: Science and Practice, 15(4), 263-279. https://doi.org/10.1111/ j.1468-2850.2008.00137.x
Arch, J. J., Eifert, G. H., Davies, C., Vilardaga, J. C. P., Rose, R. D., & Craske, M. G. (2012). Randomized clinical trial of cognitive behavioral therapy (CBT) versus acceptance and commitment therapy (ACT) for mixed anxiety disorders. Journal of Consulting and Clinical Psychology, 80(5), 750-765. https://doi.org/10.1037/a0028310
Arch, J. J., Wolitzky-Taylor, K. B., Eifert, G. H., & Craske, M. G. (2012). Longitudinal treatment mediation of traditional cognitive behavioral therapy and acceptance and commitment therapy for anxiety disorders. Behaviour Research and Therapy, 50(7), 469-478. https://doi.org/10.1016/j.brat.2012.04.007
Arnett, J. J. (2000). Emerging adulthood: A theory of development from the late teens through the twenties. American Psychologist, 55(5), 469-480. https://doi.org/10.1037/0003-
066x.55.5.469
Arrindell, W. A., & Ettema, J. H. M. (2003). SCL-90: Handleiding bij een multidimensionele psychopathologie-indicator (2nd ed.). Amsterdam, The Netherlands: Pearson.
Association for Contextual Behavioral Science (2017). ACT randomized controlled trials since 1986. Retrieved from https://contextualscience.org/ACT_Randomized_Controlled_ Trials
A-Tjak, J. (2015). Acceptance & commitment therapy: Theorie en praktijk (2nd ed.). Houten, The Netherlands: Bohn Stafleu van Loghum.
A-Tjak, J. G., Davis, M. L., Morina, N., Powers, M. B., Smits, J. A. J., & Emmelkamp, P. M. G. (2014). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84(1), 30-36. https://doi.org/10.1159/000365764
Atkins, P. W., Ciarrochi, J., Gaudiano, B. A., Bricker, J. B., Donald, J., Rovner, G., ... Hayes, S. C. (in press). Departing from the essential features of a high quality systematic review of psychotherapy: A response to Öst (2014) and recommendations for improvement. Behaviour Research and Therapy. https://doi.org/10.1016/j.brat.2017.05.016
Atkinson, J. W. (1957). Motivational determinants of risk-taking behavior. Psychological Review, 64(6), 359-372. https://doi.org/10.1037/h0043445
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., … Bruffaerts, R. (2016). Mental disorders among college students in the WHO World Mental Health Surveys. Psychological Medicine, 46(14), 2955-2970.
https://doi.org/10.1017/S0033291716001665
Baert, S. (2008). De zoektocht naar geschikte meetinstrumenten voor het ontwikkelen van uitkomstenkompassen. Deel 5. In de VVGG-reeks: Uitkomstenmanagement in de geestelijke gezondheidszorg in Vlaanderen. Retrieved from http://www.vvgg.be/media/ docs/Uitkomstenmetingen/VVGG_UM_deel5.pdf
Bagana, E., Raciu, A., & Lupu, L. (2011). Self-esteem, optimism and exams’ anxiety among high school students. Procedia - Social and Behavioral Sciences, 30, 1331-1338. https://doi.org/10.1016/j.sbspro.2011.10.258
Barlow, D. H. (2002). Anxiety and its disorders: The nature and treatment of anxiety and panic (2nd ed.). New York, NY: Guilford Press. https://doi.org/10.1176/appi.ajp.159.8.1453
Batink, T., Jansen, G. & de Mey, H. (2012). Flexibiliteits Index Test (FIT-60). Retrieved from http://www.hoeflexibelbenjij.nl/attachments/File/Flexibiliteits_Index_T… 2015(HQ).pdf
Batink, T., Jansen, G., & de Mey, H. (2013). Development of the Flexibility Index Test (FIT-60) [Poster ACBS Annual World Conference 11]. Retrieved from https://contextualscience.org/files/FIT-60.Batink.pdf
Batink, T., Jansen, G., & Peeters, F. (2015). Nieuwe generatie gedragstherapie, nieuwe generatie meetinstrumenten: Een overzicht van beschikbare ACT-meetinstrumenten. Tijdschrift voor Psychiatrie, 57(10), 739-748.
Batink, T., & Delespaul, P. (2015). Meten van psychologische flexibiliteit: De Flexibiliteits Index Test (FIT-60). Tijdschrift voor Gedragstherapie en Cognitieve Therapie, 4, 310-332.
Beidel, D. C., & Turner, S. M. (1988). Comorbidity of test anxiety and other anxiety disorders in children. Journal of Abnormal Child Psychology, 16(3), 275-287.
https://doi.org/10.1007/BF00913800
Biglan, A., & Hayes, S. C. (1996). Should the behavioral sciences become more pragmatic? The case for functional contextualism in research on human behavior. Applied and Preventive Psychology, 5(1), 47-57. https://doi.org/10.1016/S0962-1849(96)80026-6
Bluett, E. J., Homan, K. J., Morrison, K. L., Levin, M. E., & Twohig, M. P. (2014). Acceptance and commitment therapy for anxiety and OCD spectrum disorders: An empirical review. Journal of Anxiety Disorders, 28(6), 612-624. https://doi.org/10.1016/j.janxdis. 2014.06.008
Bodas, J., & Ollendick, T. H. (2005). Test anxiety: A cross-cultural perspective. Clinical Child and Family Psychology Review, 8(1), 65-88. https://doi.org/10.1007/s10567-005-2342-x
Bögels, S. M., Alden, L., Beidel, D. C., Clark, L. A., Pine, D. S., Stein, M. B., & Voncken, M. (2010). Social anxiety disorder: Questions and answers for the DSM-V. Depression and Anxiety, 27(2), 168-189. https://doi.org/10.1002/da.20670
Bolwerk, A. (2011). “Goedemorgen Kopzorgen” Een pilotstudie naar de effectiviteit van een acceptance-based behavioral therapy (ABBT) voor de preventie van psychische klachten bij jongvolwassenen tussen 17 en 24 jaar (Master’s thesis). Retrieved from http://essay.utwente.nl/60445/
Boone, M. S., & Canicci, J. (2013). Acceptance and commitment therapy (ACT) in groups. In J. Pistorello (Ed.), Mindfulness and acceptance for counseling college students: Theory and practical applications for intervention, prevention, and outreach (pp. 73-93). Oakland, CA: New Harbinger Publications.
Brown, B. (2013). De kracht van kwetsbaarheid: Heb de moed om niet perfect te willen zijn. Amsterdam, The Netherlands: A.W. Bruna Uitgevers.
Brown, L. A., Forman, E. M., Herbert, J. D., Hoffman, K. L., Yuen, E. K., & Goetter, E. M. (2011). A randomized controlled trial of acceptance-based behavior therapy and cognitive therapy for test anxiety: A pilot study. Behavior Modification, 35(1), 31-53. https://doi.org/10.1177/0145445510390930
Bruffaerts, R., Bonnewyn, A., Van Oyen, H., Demarest, S., & Demyttenare, K. (2004). Prevalentie van mentale stoornissen in de Belgische bevolking: Resultaten van de European Study on Epidemiology of Mental Disorders (ESEMeD). Tijdschrift voor Geneeskunde, 60(2), 75-85. https://doi.org/10.2143/TVG.60.2.5001777
Cassady, J. C. (2004). The influence of cognitive test anxiety across the learning–testing cycle. Learning and Instruction, 14(6), 569-592. https://doi.org/10.1016/j.learninstruc.2004. 09.002
Cassady, J. C., Mohammed, A., & Mathieu, L. (2004). Cross-cultural differences in test perceptions: Women in Kuwait and the United States. Journal of Cross-cultural Psychology, 35(6), 713-718. https://doi.org/10.1177/0022022104270113
Chamorro-Premuzic, T., Ahmetoglu, G., & Furnham, A. (2008). Little more than personality: Dispositional determinants of test anxiety (the Big Five, core self-evaluations, and self-assessed intelligence). Learning and Individual Differences, 18(2), 258-263. https://doi.org/10.1016/j.lindif.2007.09.002
Cizek, G. J., & Burg, S. S. (2006). Addressing test anxiety in a high-stakes environment: Strategies for classrooms and schools. Thousand Oaks, CA: Corwin Press.
Cleary, M., Walter, G., & Jackson, D. (2011). “Not always smooth sailing”: Mental health issues associated with the transition from high school to college. Issues in Mental Health Nursing, 32(4), 250-254. https://doi.org/10.3109/01612840.2010.548906
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey, NJ: Lawrence Earlbaum Associates.
Conroy, D. E. (2003). Representational models associated with fear of failure in adolescents and young adults. Journal of Personality, 71(5), 757-784. https://doi.org/10.1111/1467-6494.7105003
Conroy, D. E., Kaye, M. P., & Fifer, A. M. (2007). Cognitive links between fear of failure and perfectionism. Journal of Rational-Emotive & Cognitive-Behavior Therapy, 25(4), 237-253. https://doi.org/10.1007/s10942-007-0052-7
Conroy, D. E., Willow, J. P., & Metzler, J. N. (2002). Multidimensional fear of failure measurement: The Performance Failure Appraisal Inventory. Journal of Applied Sport Psychology, 14(2), 76-90. https://doi.org/10.1080/10413200252907752
Cox, R. D. (2009). “It was just that I was afraid”: Promoting success by addressing students' fear of failure. Community College Review, 37(1), 52-80. https://doi.org/10.1177/ 0091552109338390
Datta, P. (2013). Is test anxiety a peril for students with intellectual disabilities? Journal of Intellectual Disabilities, 17(2), 122-133. https://doi.org/10.1177/1744629513484667
Davies, C. D., Niles, A. N., Pittig, A., Arch, J. J., & Craske, M. G. (2015). Physiological and behavioral indices of emotion dysregulation as predictors of outcome from cognitive behavioral therapy and acceptance and commitment therapy for anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 46, 35-43. https://doi.org/10.1016/ j.jbtep.2014.08.002
de Lijster, J., Dierckx, B., Utens, E., Verhulst, F., Zieldorff, C., Dieleman, G., & Legerstee, J. (2016). The age of onset of anxiety disorders in samples from the general population: A meta-analysis. European Psychiatry, 33, S56-S57. https://doi.org/10.1016/j.eurpsy. 2016.01.936
de Vries, J., & van Heck, G. L. (1996). Nederlandse WHOQoL-Bref. Retrieved from http://www.ekgp.ugent.be/pages/nl/vragenlijsten/WHOQoL-NL.pdf
Depreeuw, E. (1995). De waarheid over faalangst: Een stevige theorie voor een daadwerkelijke praktijk. Caleidoscoop, 7(1), 12-15.
Depreeuw, E. (2003). Groepstherapeutische behandeling van faalangst: Leren falen. In T. J. C. Berk, M. P. Bolten, E. Gans, & H. G. Y. Koksma (Eds.), Handboek groepspsychotherapie (C3. 1-48). Houten, The Netherlands: Bohn Stafleu van Loghum.
Depreeuw, E., Eelen, P., & Stroobants, R. (1996). VaSEV: Vragenlijst Studie- en Examenvaardigheden. Lisse, The Netherlands: Swets & Zeitlinger.
Depreeuw, E., Lens, W., & Horebeek, W. V. (1995). A dutch adaptation of the child-rearing styles inventory and a validation of Krohne's two-process model. Anxiety, Stress, & Coping, 8(1), 61-72. https://doi.org/10.1080/10615809508249364
DeVellis, R. F. (2011). Scale development: Theory and applications (3rd ed.). Thousand Oaks, CA: Sage Publications.
Dewulf, D. (2009). Mindfulness voor jongeren. Tielt, Belgium: Uitgeverij Lannoo.
Durand, V., & Barlow, D. H. (2012). Essentials of abnormal psychology (6th ed.). Belmont, CA: Wadsworth, Cengage Learning.
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007). Help-seeking and access to mental health care in a university student population. Medical Care, 45(7), 594-601. https://doi.org/10.1097/mlr.0b013e31803bb4c1
Elliot, A. J., & Thrash, T. M. (2004). The intergenerational transmission of fear of failure. Personality and Social Psychology Bulletin, 30(8), 957-971. https://doi.org/10.1177/ 0146167203262024
Eman, S., Dogar, I. A., Khalid, M., & Haider, N. (2012). Gender differences in test anxiety and examination stress. Journal of Pakistan Psychiatric Society, 9(2), 80-85.
Embse, N. V. D., & Hasson, R. (2012). Test anxiety and high-stakes test performance between school settings: Implications for educators. Preventing School Failure: Alternative Education for Children and Youth, 56(3), 180-187. https://doi.org/10.1080/1045988X. 2011.633285
Ergene, T. (2003). Effective interventions on test anxiety reduction: A meta-analysis. School Psychology International, 24(3), 313-328. https://doi.org/10.1177/01430343030243004
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007). A randomized controlled effectiveness trial of acceptance and commitment therapy and cognitive therapy for anxiety and depression. Behavior Modification, 31(6), 772-799. https://doi.org/10.1177/0145445507302202
Gray, J. A. (1982). The neuropsychology of anxiety. New York, NY: Oxford University Press.
Gregor, A. (2005). Examination anxiety: Live with it, control it or make it work for you? School Psychology International, 26(5), 617-635. https://doi.org/10.1177/ 0143034305060802
Gustafsson, H., Sagar, S. S., & Stenling, A. (in press). Fear of failure, psychological stress, and burnout among adolescent athletes competing in high level sport. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.12797
Hacker, T., Stone, P., & MacBeth, A. (2016). Acceptance and commitment therapy – Do we know enough? Cumulative and sequential meta-analyses of randomized controlled trials. Journal of Affective Disorders, 190, 551-565. https://doi.org/10.1016/j.jad.2015. 10.053
Hagtvet, K. A., & Benson, J. (1997). The motive to avoid failure and test anxiety responses: Empirical support for integration of two research traditions. Anxiety, Stress, and Coping, 10(1), 35-57. https://doi.org/10.1080/10615809708249294
Hall, T. S. (2005). Is test anxiety a form of specific social phobia? (Master’s thesis). Retrieved from http://drum.lib.umd.edu/bitstream/handle/1903/2548/umi-umd-2432.pdf
Harris, R. (2009). De valstrik van het geluk: Hoe kun je stoppen met worstelen en beginnen met leven. Houten, The Netherlands: Bohn Stafleu van Loghum.
Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behavioral and cognitive therapies. Behavior Therapy, 35(4), 639-665. https://doi.org/10.1016/S0005-7894(04)80013-3
Hayes, S. C., & Smith, S. (2006). Uit je hoofd, in het leven: Een werkboek voor een waardevol leven met mindfulness en Acceptatie en Commitment Therapie. Amsterdam, The Netherlands: Uitgeverij Nieuwezijds.
Hayes, S. C., Barnes-Holmes, D., & Roche, B. (Eds.). (2001). Relational frame theory: A post-Skinnerian account of human language and cognition. New York, NY: Plenum Press.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1-25. https://doi.org/10.1016/j.brat.2005.06.006
Hayes, S. C., Masuda, A., & De Mey, H. (2003). Acceptance and Commitment Therapie: Een derde-generatie gedragstherapie. Gedragstherapie, 36(2), 69-96.
Hayes, S. C., Pistorello, J., & Levin, M. E. (2012). Acceptance and commitment therapy as a unified model of behavior change. The Counseling Psychologist, 40(7), 976-1002. https://doi.org/10.1177/0011000012460836
Hayes, S. C., Strosahl, K., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York, NY: Guilford Press.
Hayes, S. C., Villatte, M., Levin, M., & Hildebrandt, M. (2011). Open, aware, and active: Contextual approaches as an emerging trend in the behavioral and cognitive therapies. Annual Review of Clinical Psychology, 7, 141-168. https://doi.org/10.1146/annurev-clinpsy-032210-104449
Herzer, F., Wendt, J., & Hamm, A. O. (2014). Discriminating clinical from nonclinical manifestations of test anxiety: A validation study. Behavior Therapy, 45(2), 222-231. https://doi.org/10.1016/j.beth.2013.11.001
Hinkle, D. E., Wiersma, W., & Jurs, S. G. (2003). Applied statistics for the behavioral sciences (5th ed.). Boston, MA: Houghton Mifflin.
Hodapp, V. (1991). The Test Anxiety Inventory TAI-G: An expanded and modified version with four components [org. Das Prüfungsängstlichkeitsinventar TAI-G: Eine erweiterte und modifizierte Version mit vier Komponenten]. Zeitschrift für Pädagogische Psychologie, 5, 121-130.
Hofmann, S. G., & Asmundson, G. J. G. (2008). Acceptance and mindfulness-based therapy: New wave or old hat? Clinical Psychology Review, 28(1), 1-16. https://doi.org/10.1016/ j.cpr.2007.09.003
Hofmann, S. G., Wu, J. Q., & Boettcher, H. (2014). Effect of cognitive-behavioral therapy for anxiety disorders on quality of life: A meta-analysis. Journal of Consulting and Clinical Psychology, 82(3), 375-391. https://doi.org/10.1037/a0035491
Hunt, J., & Eisenberg, D. (2010). Mental health problems and help-seeking behavior among college students. Journal of Adolescent Health, 46(1), 3-10. https://doi.org/10.1016/ j.jadohealth.2009.08.008
Huntley, C. D., Young, B., Jha, V., & Fisher, P. L. (2016). The efficacy of interventions for test anxiety in university students: A protocol for a systematic review and meta-analysis. International Journal of Educational Research, 77, 92-98. https://doi.org/10.1016/ j.ijer.2016.03.001
Joiner, T. E. (1996). A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research, 20(5), 521-539. https://doi.org/10.1007/BF02227911
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(7), 865-878. https://doi.org/10.1016/ j.cpr.2010.03.001
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041-1056. https://doi.org/10.1016/j.cpr.2011.04.006
Keyes, C. L., Dhingra, S. S., & Simoes, E. J. (2010). Change in level of positive mental health as a predictor of future risk of mental illness. American Journal of Public Health, 100(12), 2366-2371. https://doi.org/10.2105/ajph.2010.192245
Kieffer, K. M., Cronin, C., & Gawet, D. L. (2006). Test and study worry and emotionality in the prediction of college students' reasons for drinking: An exploratory investigation. Journal of Alcohol and Drug Education, 50(1), 57-81.
Kiekens, G., Claes, L., Demyttenaere, K., Auerbach, R. P., Green, J. G., Kessler, R. C., ... Bruffaerts, R. (2016). Lifetime and 12‐month nonsuicidal self‐injury and academic performance in college freshmen. Suicide and Life-Threatening Behavior, 46(5), 563-576. https://doi.org/10.1111/sltb.12237
King, N. J., Mietz, A., Tinney, L., & Ollendick, T. H. (1995). Psychopathology and cognition in adolescents experiencing severe test anxiety. Journal of Clinical Child Psychology, 24(1), 49-54. https://doi.org/10.1207/s15374424jccp2401_6
Klaassen, C., Vreugdenhil, B., & Veugelers, W. (2013). Maatschappelijke veranderingen en doelen van docenten. Retrieved from http://www.kortlopendonderzoek.nl/ onderwijs_pdf/OS103_Maatschappelijke veranderingen.pdf
Lamont, R. A., Swift, H. J., & Abrams, D. (2015). A review and meta-analysis of age-based stereotype threat: Negative stereotypes, not facts, do the damage. Psychology and Aging, 30(1), 180-193. https://doi.org/10.1037/a0038586
Landy, L. N., Schneider, R. L., & Arch, J. J. (2015). Acceptance and commitment therapy for the treatment of anxiety disorders: A concise review. Current Opinion in Psychology, 2, 70-74. https://doi.org/10.1016/j.copsyc.2014.11.004
Lang, P. J. (1968). Fear reduction and fear behavior: Problems in treating a construct. In J. M. Schlien (Ed.), Research in psychotherapy (pp. 90-102). Washington, DC: American Psychiatric Association. https://doi.org/10.1037/10546-004
Lau, J. Y., Eley, T. C., & Stevenson, J. (2006). Examining the state-trait anxiety relationship: A behavioural genetic approach. Journal of Abnormal Child Psychology, 34(1), 19-27. https://doi.org/10.1007/s10802-005-9006-7
Lens, W., & Depreeuw E. (1998). Studiemotivatie en faalangst nader bekeken: Tussen moeten en kunnen staat willen. Leuven, Belgium: Leuvense Universitaire Pers.
Levin, M. E., Hildebrandt, M. J., Lillis, J., & Hayes, S. C. (2012). The impact of treatment components suggested by the psychological flexibility model: A meta-analysis of laboratory-based component studies. Behavior Therapy, 43(4), 741-756. https://doi.org/ 10.1016/j.beth.2012.05.003
Levin, M. E., MacLane, C., Daflos, S., Seeley, J. R., Hayes, S. C., Biglan, A., & Pistorello, J. (2014). Examining psychological inflexibility as a transdiagnostic process across psychological disorders. Journal of Contextual Behavioral Science, 3(3), 155-163. https://doi.org/10.1016/j.jcbs.2014.06.003
Levin, M. E., Pistorello, J., Seeley, J. R., & Hayes, S. C. (2014). Feasibility of a prototype web-based acceptance and commitment therapy prevention program for college students. Journal of American College Health, 62(1), 20-30. https://doi.org/10.1080/ 07448481.2013.843533
Liew, J., Lench, H. C., Kao, G., Yeh, Y. C., & Kwok, O. M. (2014). Avoidance temperament and social-evaluative threat in college students' math performance: A mediation model of math and test anxiety. Anxiety, Stress, and Coping, 27(6), 650-661. https://doi.org/ 10.1080/10615806.2014.910303
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford Press.
Little, R. J. (1988). A test of missing completely at random for multivariate data with missing values. Journal of the American Statistical Association, 83(404), 1198-1202. https://doi.org/10.2307/2290157
Loerinc, A. G., Meuret, A. E., Twohig, M. P., Rosenfield, D., Bluett, E. J., & Craske, M. G. (2015). Response rates for CBT for anxiety disorders: Need for standardized criteria. Clinical Psychology Review, 42, 72-82. https://doi.org/10.1016/j.cpr.2015.08.004
Lowe, P. A., & Lee, S. W. (2008). Factor structure of the Test Anxiety Inventory for Children and Adolescents (TAICA) scores across gender among students in elementary and secondary school settings. Journal of Psychoeducational Assessment, 26(3), 231-246. https://doi.org/10.1177/0734282907303773
Luoma, J. B., & Platt, M. G. (2015). Shame, self-criticism, self-stigma, and compassion in acceptance and commitment therapy. Current Opinion in Psychology, 2, 97-101. https://doi.org/10.1016/j.copsyc.2014.12.016
Luoma, J. B., Hayes, S. C., & Walser, R. D. (2007). Learning ACT: An acceptance and commitment therapy skills training manual for therapists. Oakland, CA: New Harbinger Publications.
Martin, A. J., & Marsh, H. W. (2003). Fear of failure: Friend or foe? Australian Psychologist, 38(1), 31-38. https://doi.org/10.1080/00050060310001706997
McDonald, A. S. (2001). The prevalence and effects of test anxiety in school children. Educational Psychology, 21(1), 89-101. https://doi.org/10.1080/01443410020019867
McGregor, H. A., & Elliot, A. J. (2005). The shame of failure: Examining the link between fear of failure and shame. Personality and Social Psychology Bulletin, 31(2), 218-231. https://doi.org/10.1177/0146167204271420
Misra, R., & McKean, M. (2000). College students' academic stress and its relation to their anxiety, time management, and leisure satisfaction. American Journal of Health Studies, 16(1), 41-51.
Morris, L. W., & Liebert, R. M. (1970). Relationship of cognitive and emotional components of test anxiety to physiological arousal and academic performance. Journal of Consulting and Clinical Psychology, 35(3), 332-337. https://doi.org/10.1037/h0030132
Neff, K. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85-101. https://doi.org/10.1080/15298860309032
Neuderth, S., Jabs, B., & Schmidtke, A. (2009). Strategies for reducing test anxiety and optimizing exam preparation in German university students: A prevention-oriented pilot project of the University of Würzburg. Journal of Neural Transmission, 116(6), 785-790. https://doi.org/10.1007/s00702-008-0123-7
Nicholson, D. R., Cody, M. W., & Beck, J. G. (2015). Anxiety in musicians: On and off stage. Psychology of Music, 43(3), 438-449. https://doi.org/10.1177/0305735614540018
Nieuwenbroek, A. (1991). Faalangst, vijand van veel leerlingen. Caleidoscoop, 3(5), 4-6.
Niles, A. N., Wolitzky-Taylor, K. B., Arch, J. J., & Craske, M. G. (2017). Applying a novel statistical method to advance the personalized treatment of anxiety disorders: A composite moderator of comparative drop-out from CBT and ACT. Behaviour Research and Therapy, 91, 13-23. https://doi.org/10.1016/j.brat.2017.01.001
Núñez-Peña, M. I., Suárez-Pellicioni, M., & Bono, R. (2016). Gender differences in test anxiety and their impact on higher education students’ academic achievement. Procedia - Social and Behavioral Sciences, 228, 154-160. https://doi.org/10.1016/j.sbspro.2016.07.023
OECD (2017). PISA 2015 results (Volume III): Students’ well-being. Paris, France: OECD Publishing. https://doi.org/10.1787/9789264273856-en
Onyeizugbo, E. U. (2010). Self-efficacy, gender and trait anxiety as moderators of test anxiety. Electronic Journal of Research in Educational Psychology, 8(1), 299-312.
Oostdam, R., & Meijer, J. (2003). Influence of test anxiety on measurement of intelligence. Psychological Reports, 92(1), 3-20. https://doi.org/10.2466/pr0.2003.92.1.3
Öst, L. G. (2014). The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105-121. https://doi.org/10.1016/j.brat.2014.07.018
Piemontesi, S. E., Heredia, D. E., Furlan, L. A., Rosas, J. S., & Martínez, M. (2012). Test anxiety and coping styles with academic stress in university students. Anales de Psicología/Annals of Psychology, 28(1), 89-96.
Pinto, R. A., Kienhuis, M., Slevison, M., Chester, A., Sloss, A., & Yap, K. (2017). The effectiveness of an outpatient acceptance and commitment therapy group programme for a transdiagnostic population. Clinical Psychologist, 21(1), 33-43. https://doi.org/ 10.1111/cp.12057
Proost, K., & Syroit, J. (2011). Faalangst bij sollicitanten: Waarom is het belangrijk voor organisaties om hiermee rekening te houden? Methoden, Technieken en Analyses, 104(I.2.5.2), 701-714.
Putwain, D. W., Connors, L., & Symes, W. (2010). Do cognitive distortions mediate the test anxiety–examination performance relationship? Educational Psychology, 30(1), 11-26. https://doi.org/10.1080/01443410903328866
Putwain, D., & Best, N. (2012). Do highly test anxious students respond differentially to fear appeals made prior to a test? Research in Education, 88(1), 1-10. https://doi.org/ 10.7227/rie.88.1.1
Richardson, A. S., Bergen, H. A., Martin, G., Roeger, L., & Allison, S. (2005). Perceived academic performance as an indicator of risk of attempted suicide in young adolescents. Archives of Suicide Research, 9(2), 163-176. https://doi.org/10.1080/ 13811110590904016
Riggs, S. A., & Han, G. (2009). Predictors of anxiety and depression in emerging adulthood. Journal of Adult Development, 16(1), 39-52. https://doi.org/10.1007/s10804-009-9051-5
Ringeisen, T., & Raufelder, D. (2015). The interplay of parental support, parental pressure and test anxiety–gender differences in adolescents. Journal of Adolescence, 45, 67-79. https://doi.org/10.1016/j.adolescence.2015.08.018
Rojiani, R., Santoyo, J. F., Rahrig, H., Roth, H. D., & Britton, W. B. (2017). Women benefit more than men in response to college-based meditation training. Frontiers in Psychology, 8, Article 551. https://doi.org/10.3389/fpsyg.2017.00551
Sagar, S. S., & Stoeber, J. (2009). Perfectionism, fear of failure, and affective responses to success and failure: The central role of fear of experiencing shame and embarrassment. Journal of Sport & Exercise Psychology, 31(5), 602-627. https://doi.org/10.1123/ jsep.31.5.602
Salmela-Aro, K., & Nurmi, J. E. (2007). Self-esteem during university studies predicts career characteristics 10 years later. Journal of Vocational Behavior, 70(3), 463-477. https://doi.org/10.1016/j.jvb.2007.01.006
Salmela-Aro, K., Tolvanen, A., & Nurmi, J. E. (2009). Achievement strategies during university studies predict early career burnout and engagement. Journal of Vocational Behavior, 75(2), 162-172. https://doi.org/10.1016/j.jvb.2009.03.009
Sattler, S., & Wiegel, C. (2013). Cognitive test anxiety and cognitive enhancement: The influence of students’ worries on their use of performance-enhancing drugs. Substance Use & Misuse, 48(3), 220-232. https://doi.org/10.3109/10826084.2012.751426
Schaefer, A., Matthess, H., Pfitzer, G., & Köhle, K. (2007). Mental health and performance of medical students with high and low test anxiety [org. Seelische Gesundheit und Studienerfolg von Studierenden der Medizin mit hoher und niedriger Prüfungsängstlichkeit]. Psychotherapie, Psychosomatik, Medizinische Psychologie, 57(7), 289-297. https://doi.org/10.1055/s-2006-951974
Schmalt, H. D. (2005). Validity of a short form of the Achievement-Motive Grid (AMG-S): Evidence for the three-factor structure emphasizing active and passive forms of fear of failure. Journal of Personality Assessment, 84(2), 172-184. https://doi.org/10.1207/ s15327752jpa8402_07
Schulenberg, J. E., Bryant, A. L., & O'Malley, P. M. (2004). Taking hold of some kind of life: How developmental tasks relate to trajectories of well-being during the transition to adulthood. Development and Psychopathology, 16(4), 1119-1140. https://doi.org/ 10.1017/s0954579404040167
Segal, Z. V., Williams, J. M. G., & Teasdale, J. T. (2001). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York, NY: Guilford Press.
Serin, N. B., Serin, O., & Özbaş, L. F. (2010). Predicting university students’ life satisfaction by their anxiety and depression level. Procedia - Social and Behavioral Sciences, 9, 579-582. https://doi.org/10.1016/j.sbspro.2010.12.200
Spencer, S. J., Logel, C., & Davies, P. G. (2016). Stereotype threat. Annual Review of Psychology, 67, 415-437. https://doi.org/10.1146/annurev-psych-073115-103235
Spielberger, C. D. (1985). Anxiety, cognition, and affect: A state–trait perspective. In A. H. Tuma & J. D. Maser (Eds.), Anxiety and the anxiety disorders. Hillsdale, NJ: Erlbaum.
Stevens, S. A. (2000). Test anxiety and beliefs about testing in college students with and without learning disabilities. Doctoral Dissertations 1896 - February 2014. Paper 1277. Retrieved from http://scholarworks.umass.edu/dissertations_1/1277
Stinissen, H. (2002). Vlaamse doorlichting van de Vlaamse tests beoordeeld in ‘Documentatie van tests en testresearch in Nederland’. Retrieved from http://www.vlaamsforumdiagnostiek.be/uploads/7/3/6/4/3641965/vlaamse_do…
Stöber, J., & Pekrun, R. (2004). Advances in test anxiety research. Anxiety, Stress, and Coping, 17(3), 205-211. https://doi.org/10.1080/1061580412331303225
Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2013). Acceptance and commitment therapy in the treatment of anxiety: A systematic review. Clinical Psychology Review, 33(8), 965-978. https://doi.org/10.1016/j.cpr.2013.07.002
Swain, J., Hancock, K., Hainsworth, C., & Bowman, J. (2015). Mechanisms of change: Exploratory outcomes from a randomised controlled trial of acceptance and commitment therapy for anxious adolescents. Journal of Contextual Behavioral Science, 4(1), 56-67. https://doi.org/10.1016/j.jcbs.2014.09.001
Tektaş, O. Y., Paulsen, F., & Sel, S. (2013). Test anxiety among German medical students and its impact on lifestyle and substance abuse. Medical Teacher, 35(11), 969. https://doi.org/10.3109/0142159x.2013.786813
Teleblok. (2013). 25 jaar in cijfers. Retrieved from http://www.teleblok.be/sites/default/ files/uploads/lore_boogaerts_teleblok.pdf
Trimbos-instituut. (2013). Multidisciplinaire richtlijn angststoornissen (3rd ed.). Retrieved from https://assets-sites.trimbos.nl/docs/cc5b0f4e-9398-452d-8792-1453a38bf0…
Trompetter, H. R., Lamers, S. M. A., Westerhof, G. J., Fledderus, M., & Bohlmeijer, E. T. (2017). Both positive mental health and psychopathology should be monitored in psychotherapy: Confirmation for the dual-factor model in acceptance and commitment therapy. Behaviour Research and Therapy, 91, 58-63. https://doi.org/10.1016/ j.brat.2017.01.008
Twohig, M. P., Abramowitz, J. S., Bluett, E. J., Fabricant, L. E., Jacoby, R. J., Morrison, K. L., ... Smith, B. M. (2015). Exposure therapy for OCD from an acceptance and commitment therapy (ACT) framework. Journal of Obsessive-Compulsive and Related Disorders, 6, 167-173. https://doi.org/10.1016/j.jocrd.2014.12.007
Universiteit Gent. (2012). Studentenpsychologen activiteitenverslag 2007-2012. Unpublished report.
Vancauwenbergh, V. (2012). Prevalentie en aanpak van faalangst: Evaluatie van een faalangsttraining (Master’s thesis). Retrieved from http://scriptiebank.be/scriptie/2012/ prevalentie-en-aanpak-van-faalangst-evaluatie-van-een-faalangsttraining
Verhaeghe, P. (2012). De neoliberale waanzin: Flexibel, efficiënt en gestoord. Brussels, Belgium: VUB Press - Academic and Scientific Publishers.
Vermeersch, B., & Heylen, K. (2015, October 22). "MindMates" helpt studenten met emotionele problemen. De Redactie. Retrieved from http://deredactie.be/cm/vrtnieuws/ binnenland/1.2475412
Vignoli, E. (2015). Career indecision and career exploration among older French adolescents: The specific role of general trait anxiety and future school and career anxiety. Journal of Vocational Behavior, 89, 182-191. https://doi.org/10.1016/j.jvb.2015.06.005
Villatte, J. L., Vilardaga, R., Villatte, M., Vilardaga, J. C. P., Atkins, D. C., & Hayes, S. C. (2016). Acceptance and commitment therapy modules: Differential impact on treatment processes and outcomes. Behaviour Research and Therapy, 77, 52-61. https://doi.org/ 10.1016/j.brat.2015.12.001
Vlaams Ministerie van Onderwijs en Vorming (2017). Hoger onderwijs in cijfers: Academiejaar 2016-2017. Retrieved from http://onderwijs.vlaanderen.be/nl/nl/ onderwijsstatistieken/themas-onderwijsstatistieken/hoger-onderwijs-in-cijfers
Watkins, E. (2010). Cognitive-behaviour therapy for depressive rumination. Unpublished manuscript, University of Exeter, United Kingdom. Retrieved from https://www.psychologytoday.com/files/attachments/84564/cbtfordepressiv…
Weiner, B. A., & Carton, J. S. (2012). Avoidant coping: A mediator of maladaptive perfectionism and test anxiety. Personality and Individual Differences, 52(5), 632-636. https://doi.org/10.1016/j.paid.2011.12.009
Wennberg, K., Pathak, S., & Autio, E. (2013). How culture moulds the effects of self-efficacy and fear of failure on entrepreneurship. Entrepreneurship & Regional Development, 25(9-10), 756-780. https://doi.org/10.1080/08985626.2013.862975
Wetenschappelijk Instituut Volksgezondheid. (2013). Gezondheidsenquête 2013: Geestelijke gezondheid. Retrieved from https://hisia.wiv-isp.be
Whitaker Sena, J. D., Lowe, P. A., & Lee, S. W. (2007). Significant predictors of test anxiety among students with and without learning disabilities. Journal of Learning Disabilities, 40(4), 360-376. https://doi.org/10.1177/00222194070400040601
Wolitzky-Taylor, K. B., Arch, J. J., Rosenfield, D., & Craske, M. G. (2012). Moderators and non-specific predictors of treatment outcome for anxiety disorders: A comparison of cognitive behavioral therapy to acceptance and commitment therapy. Journal of Consulting and Clinical Psychology, 80(5), 786-799. https://doi.org/10.1037/a0029418
Wong, S. S. (2008). The relations of cognitive triad, dysfunctional attitudes, automatic thoughts, and irrational beliefs with test anxiety. Current Psychology, 27(3), 177-191. https://doi.org/10.1007/s12144-008-9033-y
World Health Organization. (1992). The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva, Switzerland: Author.
Yildirim, I. (2007). Depression, test anxiety and social support among Turkish students preparing for the university entrance examination. Eurasian Journal of Educational Research (EJER), 29, 171-184.
Yu, L., Norton, S., & McCracken, L. M. (2017). Change in “self-as-context” (“perspective-taking”) occurs in acceptance and commitment therapy for people with chronic pain and is associated with improved functioning. The Journal of Pain, 18(6), 664-672. https://doi.org/10.1016/j.jpain.2017.01.005
Zeidner, M. (1998). Test anxiety: The state of the art. New York, NY: Plenum.
Zettle, R. D. (2003). Acceptance and commitment therapy (ACT) vs. system desensitization in treatment of mathematics anxiety. The Psychological Record, 53(2), 197-215. https://doi.org/10.1007/bf03395440