Audience size and trait anxiety effects upon state anxiety and motor performance.
Explore the source record for details and available documents.
Anxiety↗
SEARCH · Search PubMed
Results for “Performance Anxiety”
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
The 'yips' in golf: a continuum between a focal dystonia and choking.
The definition of the 'yips' has evolved over time. It is defined as a motor phenomenon of involuntary movements affecting golfers. In this paper, we have extended the definition to encompass a continuum from the neurologic disorder of dystonia to the psychologic disorder of choking. In many golfers, the pathophysiology of the 'yips' is believed to be an acquired deterioration in the function of motor pathways (e.g. those involving the basal ganglia) which are exacerbated when a threshold of high stress and physiologic arousal is exceeded. In other golfers, the 'yips' seems to result from severe performance anxiety. Physically, the 'yips' is manifested by symptoms of jerks, tremors or freezing in the hands and forearms. These symptoms can result in: (i) a poor quality of golf performance (adds 4.9 strokes per 18 holes); (ii) prompt use of alcohol and beta-blockers; and (iii) contribute to attrition in golf. Golfers with the 'yips' average 75 rounds per year, although many 'yips'-affected golfers decrease their playing time or quit to avoid exposure to this embarrassing problem. While more investigation is needed to determine the cause of the 'yips', this review article summarises and organises the available research. A small study included in this paper describes the 'yips' phenomenon from the subjective experience of 'yips'-affected golfers. The subjective experience (n = 72) provides preliminary support for the hypothesis suggesting that the 'yips' is on a continuum. Based on the subjective definitions of 72 'yips'-affected golfers, the 'yips' was differentiated into type I (dystonia) and type II (choking). A theoretical model provides a guide for future research on golfers with either type I or type II 'yips'.
Adult↗
An age apart: the effects of intergenerational contact and stereotype threat on performance and intergroup bias.
An experimental study examined the effect of intergenerational contact and stereotype threat on older people's cognitive performance, anxiety, intergroup bias, and identification. Participants completed a series of cognitive tasks under high or low stereotype threat (through comparison with younger people). In line with stereotype threat theory, threat resulted in worse performance. However, this did not occur if prior intergenerational contact had been more positive. This moderating effect of contact was mediated by test-related anxiety. In line with intergroup contact theory, more positive contact was associated with reduced prejudice and reduced ingroup identification. However this occurred in the high threat, but not low threat, condition. The findings suggest that positive intergenerational contact can reduce vulnerability to stereotype threat among older people.
Aged↗
Chemical prosthesis.
The approach to patients suffering from erectile failure includes medical and sexual anamnesis, Doppler ultrasound, Jonas erectiometer and Sacral Latency Test. At present, the use of papaverine directly in corpora cavernosa seems indicated in performance anxiety dysfunctions used together with psycotherapy and in slight arterial deficiencies, diabetes, after destructive pelvic surgery and in neurological lesions. From January 1986 we have performed 150 I.C. injections of papaverine. Experience in 60 patients is described. Seven patients are now self-injecting.
Erectile Dysfunction↗
Anxiety and motor performance in Parkinson's disease.
Previous work has suggested that anxiety disorders are common in patients with Parkinson's disease. To study the relationship between anxiety and response fluctuations in Parkinson's patients further, we compared changes in Spielberger anxiety state scores with changes in parkinsonian disability as determined by the Parkinson's symptom diary (PSD). Anxiety state and PSD scores were obtained in 19 patients with idiopathic Parkinson's disease during on and off periods. Spielberger anxiety state scores were higher during off periods than during on periods (38.8 +/- 12.4 vs. 45.6 +/- 12.4, p < 0.03); further, the magnitude of the change in anxiety state scores was correlated with the change in PSD scores (rs = 0.616, p = 0.006). Spielberger anxiety trait scores were also correlated with disease duration. Our findings support existing data suggesting that anxiety can contribute significantly to morbidity in Parkinson's disease and suggest that anxiety varies with fluctuations in motor performance.
Aged↗
Anxiety and sport performance.
From the findings summarized in this review, it appears that there is little evidence in support of the inverted-U hypothesis. Available research indicates that there is considerable variability in the optimal precompetition anxiety responses among athletes, which does not conform to the inverted-U hypothesis. Many athletes appear to perform best when experiencing high levels of anxiety and interventions that act to produce quiescence may actually worsen the performance of this group. These findings indicate that there is a need to shift the research paradigm away from theories of anxiety and performance based on task characteristics or group effects and, instead, employ theoretical models that account for individual differences. Hanin's [39, 40] ZOF theory appears to be a good candidate for furthering our knowledge in this area. It was developed on the basis of research with athletes and it explicitly incorporates the concept of individual differences in the anxiety-performance relationship. Most important, because an individual's optimal range of anxiety is precisely defined, the validity of ZOF theory can be directly examined through hypothesis testing, whereas it has been argued that the inverted-U hypothesis is effectively shielded against falsification [84]. Although the findings of ZOF theory indicate that a significant percentage of athletes perform best at high levels of anxiety, Hanin's translated writings do not provide an explanation of why this is so. Further research is clearly indicated, but one explanation for this finding may involve how the athlete interprets or conceptualizes anxiety. For example, Mahoney and Avener [64] found that, although the absolute level of precompetition anxiety was similar between successful and unsuccessful Olympic gymnasts, there were differences in the way the athletes conceptualized the anxiety they were experiencing. The better performers viewed their anxiety as desirable, whereas anxiety was associated with self-doubts and catastrophizing in the unsuccessful gymnasts. Similar differences have been observed in the test anxiety literature where it has been found that poorer test takers perceive their anxiety to be more threatening and debilitating than do better performers [45]. Furthermore, temporal differences in the patterning of anxiety [64], fear responses, or cardiorespiratory measures [28] have been found between successful and unsuccessful performers; this may reflect a difference in the ability to regulate anxiety. It may also be the case that performance is not so much affected by the absolute level of precompetition anxiety as the consistency in the anxiety level across competitions. Athletes may also develop coping strategies that exploit consistent changes in attentional focus that result from elevated anxiety.(ABSTRACT TRUNCATED AT 400 WORDS)
Adult↗
The presence of mathematics and computer anxiety in nursing students and their effects on medication dosage calculations.
AIM: To determine if the presence of mathematical and computer anxiety in nursing students affects learning of dosage calculations. METHOD: The quasi-experimental study compared learning outcomes at differing levels of mathematical and computer anxiety when integrative and computer based learning approaches were used. Participants involved a cohort of second year nursing students (n=97). RESULTS: Mathematical anxiety exists in 20% (n=19) of the student nurse population, and 14% (n=13) experienced mathematical testing anxiety. Those students more anxious about mathematics and the testing of mathematics benefited from integrative learning to develop conditional knowledge (F(4,66)=2.52 at p<.05). Computer anxiety was present in 12% (n=11) of participants, with those reporting medium and high levels of computer anxiety performing less well than those with low levels (F(1,81)=3.98 at p<.05). CONCLUSION: Instructional strategies need to account for the presence of mathematical and computer anxiety when planning an educational program to develop competency in dosage calculations.
Analysis of Variance↗
[Nosology, epidemiology, clinical quantification of erectile dysfunctions].
After a review of the literature and of our own data base this article specifies: the nosology of erectile dysfunction (ED) defined as an inability to achieve enough rigidity for a satisfactory intercourse. This lack of firmness is frequently associated with a loss of libido (37%), performance anxiety (37%), and premature ejaculation (40%). The prevalence of ED in the overall French population, age 18 to 70 years is 39% (11% presenting permanent ED defined as a rate of failure to perform of 50%). This rate increases with age to 52 and 25% respectively. A quantification of the symptomatology is proposed scoring three different aspects of sexual activity during intercourse, erectile activity in absence of intercourse, patient's satisfaction, and partner satisfaction. Figures of normal subjects and patients with ED are presented.
Adult↗
Social phobia: issues in assessment and management.
Social phobia was initially classified with phobic anxiety states and was believed to be quite rare, but it is now gaining due recognition as a widespread and often crippling disorder. The boundaries of social phobia merge into traits of shyness and universal performance anxiety, with symptoms commonly appearing in the teenage years. If left untreated, social phobia is a remarkably persistent condition, leading to potentially lifelong impairment in social development and occupational functioning. It may also give rise to other co-morbid disorders, particularly dysthymia, depression, obsessive-compulsive disorder, other phobic disorders, and substance abuse. Over the years, social phobia has been all too frequently viewed as a somewhat trivial, minor form of psychiatric illness and has received little clinical attention. This erroneous perception is now giving way under the mounting evidence in support of the extensive morbidity and disability associated with social phobia and the probable role of genetic and environmental influences. Furthermore, data from multiple controlled clinical trials reveal that this is a treatable condition, responding to both psychosocial and pharmacologic interventions. Here we examine issues to consider in the differential diagnosis of social phobia, review the goals of treatment, and summarize evidence in support of the effectiveness of individual pharmacologic treatments.
Acetates↗
Effect of virtual reality graded exposure on anxiety levels of performing musicians: a case study.
This study examined the effect of computer generated virtual reality graded exposure on the physiological and psychological responses of performing musicians. Three upper division undergraduate saxophonists, two female and one male, performed while immersed in four virtual environments each designed to gradually increase the expected anxiety level of the performer. Heart rates and subjective measurements were taken throughout the exposure period. Results of this study indicated that virtual reality graded exposure did elicit physiological and psychological indications of increased anxiety in musical performance environments designed for that purpose. Findings also corroborated previous research that found gender to be a predictor of heart rate during performance.
Adult↗
Three approaches to the recognition of affective disorders in family practice: clinical, pharmacological, and self-rating scales.
No single approach to the recognition of affective disorders worked in a ten percent sample of a family practice population, screened in the summer of 1975. Among 298 adults followed prospectively for two years, about six percent developed an affective disorder (3.8 percent anxiety, 1.9 percent depression, and 0.4 percent episodes of both). The sex ratio was predominantly female (2.7:1). Most of the cases were recognized by clinical problem lists, but 23 percent of the cases would have been missed without a computerized search of prescribed drug profiles. Self-rating tests (Zung for depression and Reeder for anxiety) performed poorly at predicting cases prospectively, and unimpressively in retrospect. The burden of these disorders is considerable, with a prevalence in this population of at least 19 percent. Of these cases, 22 percent had "mixed" episodes of depression, anxiety, and combinations seen at various visits. Criteria for diagnosis need to be clarified for more precise diagnosis, proper medication, as well as better estimates of incidence and patient load.
Adult↗
Factors affecting performance on the American Board of Surgery in-training examination.
BACKGROUND: Surgical programs use the American Board of Surgery In-Training Examination (ABSITE) in several ways, including for promotion and retention decisions. The purpose of this study was to identify the combination of factors that explain residents' successful performance on the ABSITE. METHODS: Fifty-one surgical residents completed questionnaires, and information was gathered about their previous ABSITE performance, anxiety, probationary status, amount of study, amount of sleep before examination, confidence, and attendance at conference. RESULTS: An analysis of the data for those with experience taking the examination (n = 34) indicated that the combination of conference attendance (26.3%), previous performance (16.5%), probationary status (10.4%), amount of sleep (9.8%), and amount of study (8%) were significant in explaining a total of 71% of the variance in ABSITE scores. Amount of study (+0.32, P = 0.011), confidence (+0.36, P = 0.005), and conference attendance (+0.51, P = 0.001) were significantly correlated with ABSITE performance. CONCLUSIONS: Several factors contribute to residents' successful ABSITE performance. These findings may lead to improved examination performance and application of knowledge, both during residency and throughout their career.
Educational Measurement↗
Short-term use of sildenafil in the treatment of unconsumated marriages.
The aim of this study is to evaluate the effectiveness of short-term sildenafil use in the management of unconsummated marriages diagnosed to be mainly psychogenic in origin. This retrospective study included 35 patients evaluated within an Andrology clinic. Patients underwent a complete medical and sexual history as well as a focused physical examination. Investigations were ordered as necessary following a goal-directed approach. Education about the male and female genital anatomy and the sexual response cycle was carried out, as well as a detailed explanation about the concepts of performance anxiety, vaginismus and the mode of action of sildenafil. Sildenafil on demand therapy was initiated for 1 month and the duration extended as needed. Of 35 patients included in our study, 32 (91%) were able to achieve vaginal intromission and perform sexually. In all, 23 patients needed the sildenafil (66%) for less than 1 month, five (14%) for up to 3 months and four (11%) for more than 3 months. Three patients (9%) were unsuccessful. Treatment failures were managed by intracavernous injection therapy, combined with psychosexual therapy, depending on the cause. We conclude sildenafil use is effective as a short-term treatment option in the management of unconsummated marriages.
Adult↗
The effect of knowledge of learning styles on anxiety and clinical performance of nurse anesthesiology students.
This study examined how students' knowledge of their learning styles affected their anxiety and clinical performance. In a graduate program of nurse anesthesiology with a sample size of 43 students, results indicated that, over time, students who were aware of their learning styles demonstrated less anxiety than those who were not. Knowledge of learning styles also improved clinical performance in the cognitive and affective domains. Recommendations for schools of nurse anesthesiology are discussed.
Anxiety↗
Acute threat to the social self: shame, social self-esteem, and cortisol activity.
OBJECTIVE: Our Social Self Preservation Theory asserts that situations which threaten the "social self" (ie, one's social value or standing) elicit increased feelings of low social worth (eg, shame), decrements in social self-esteem, and increases in cortisol, a hormone released by the hypothalamic-pituitary-adrenal axis. To test our theoretical premise, cognitive, emotional, and physiological responses to the performance of laboratory stressor tasks were compared in participants who performed these tasks in the presence or absence of social-self threat. METHODS: Pre- and poststressor emotion, self-esteem, heart rate, blood pressure, and salivary cortisol were compared in 81 participants randomly assigned to complete speech and mental arithmetic stress tasks with social evaluation present (n = 41) or absent (n = 40). RESULTS: As hypothesized, participants in the social evaluation condition exhibited greater increases in shame and greater decrements in social self-esteem. Other psychological states (eg, anxiety, performance self-esteem) did not show differential changes as a function of the social context. Salivary cortisol increased in social evaluation condition participants but did not increase in participants who performed the same tasks in the absence of social evaluation. Cortisol increases were greater in participants who experienced greater increases in shame and greater decreases in social self-esteem under social-self threat. CONCLUSION: Threat to the social self is an important elicitor of shame experience, decreases in social self-esteem and cortisol increases under demanding performance conditions. Cortisol changes may be specifically tied to the experience of emotions and cognitions reflecting low self-worth in this context.
Adolescent↗
Use of medications to enhance memory in a large community sample of 60-64 year olds.
BACKGROUND: There are no existing epidemiological data on use of medications to enhance memory. METHOD: A community survey was carried out in Canberra and Queanbeyan, Australia, of an electoral roll sample of 2551 adults aged 60-64 years. Data collected included self-reports of using medications to enhance memory, tests of memory and other cognitive functions, anxiety, depression, physical health and use of other medications. RESULTS: 2.8% of the sample reported using medications to enhance memory, the main ones being gingko biloba, vitamin E, bacopa (brahmi), and folic acid/B vitamins. Users were more likely to be female, to have subjective memory problems and to use other psychotropic medications. However, they did not differ in memory performance, anxiety, depression or physical health. DISCUSSION: Some older people are using complementary medications to improve their memory or prevent memory loss, despite the lack of strong evidence for their effectiveness. These people show no objective evidence of memory impairment.
Aged↗
Management of honeymoon impotence.
INTRODUCTION: Honeymoon impotence can be defined as the failure to be successfully involved in sexual intercourse at the beginning of marriage, particularly in the first few nights. While its exact causes are not yet elucidated, many studies recognize this problem as related to performance anxiety. AIM: The aim of this study was to report the outcome of management of patients with honeymoon impotence. METHODS AND MAIN OUTCOME MEASURES: This study included 100 consecutive patients presenting to our department complaining of failed sexual intercourse since the beginning of their marriage. History taking, completion of the abridged form of the International Index of Erectile Function (IIEF-5) questionnaire, and combined intracavernous injection and stimulation and nocturnal penile tumescence monitoring were performed. Penile duplex was performed to elucidate vascular insufficiency. All psychogenic patients with erectile dysfunction (ED) were treated with sildenafil and sex therapy. All organic ED patients were treated either with sildenafil alone or combined therapy with either intracavernous prostaglandin E1 or vacuum constriction device. RESULTS: Seventy-four patients had psychogenic ED and 26 patients had vasculogenic ED. All psychogenic ED patients were treated successfully with sildenafil and sex therapy. Twenty-two patients with vasculogenic ED were treated successfully with sildenafil or combined therapy, while four patients needed venous surgery. Minimal side effects of all treatment modalities occurred throughout the study. CONCLUSIONS: Management of honeymoon impotence requires profound diagnosis of its causative factors. Treating physicians in areas with high prevalence of this condition should be ready to manage this problem with vigilant systematic overture. A combined approach of sildenafil and sex therapy proved highly effective in treatment of honeymoon impotence of psychogenic origin; however, controlled studies are needed. Other patients showing functional erectile abnormalities should be treated accordingly.
Adult↗
Teaching interviewing skills to medical students: the issue of 'countertransference'.
The study reported here revealed a very high incidence of unrecognized feelings toward the patient ("countertransference") and potentially harmful associated behaviors in a group of medical students at the midpoint of their training. Fifteen students were studied individually by the author during a clinical interview each student conducted with a patient. Typically, unrecognized feelings were fear of harming the patient, fear of loss of control, performance anxiety, and fears unique to the individual student (such as fear of cancer in self). One or more of these feelings were present in 14 of the students. Interview behaviors that were potentially deleterious were present in 13 students; avoidance and/or overcontrol of the psychosocial aspects of the interview accounted for 11 of these instances, while two students exhibited behaviors unique to the student. Although these students all had demonstrated adequate interviewing skills previously, the unrecognized feelings were, in each of the 13 instances, related to impaired interview performance. These data suggest the need for interviewing instructors to teach medical students about the concept of counter-transference in addition to interviewing techniques.
Adult↗