<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.1 20151215//EN" "http://jats.nlm.nih.gov/publishing/1.1/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" xml:lang="en" article-type="research-article" dtd-version="1.1">
<front>
<journal-meta>
<journal-id journal-id-type="pmc">IJMHP</journal-id>
<journal-id journal-id-type="nlm-ta">IJMHP</journal-id>
<journal-id journal-id-type="publisher-id">IJMHP</journal-id>
<journal-title-group>
<journal-title>International Journal of Mental Health Promotion</journal-title>
</journal-title-group>
<issn pub-type="epub">2049-8543</issn>
<issn pub-type="ppub">1462-3730</issn>
<publisher>
<publisher-name>Tech Science Press</publisher-name>
<publisher-loc>USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">70318</article-id>
<article-id pub-id-type="doi">10.32604/ijmhp.2025.070318</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Understanding Academic Evaluation Anxiety in Portuguese Adolescents: A Psychosocial and Educational Perspective</article-title>
<alt-title alt-title-type="left-running-head">Understanding Academic Evaluation Anxiety in Portuguese Adolescents: A Psychosocial and Educational Perspective</alt-title>
<alt-title alt-title-type="right-running-head">Understanding Academic Evaluation Anxiety in Portuguese Adolescents: A Psychosocial and Educational Perspective</alt-title>
</title-group>
<contrib-group>
<contrib id="author-1" contrib-type="author" corresp="yes">
<name name-style="western"><surname>Reis</surname><given-names>Marta</given-names></name><xref ref-type="aff" rid="aff-1">1</xref><xref ref-type="aff" rid="aff-2">2</xref><xref ref-type="aff" rid="aff-3">3</xref><xref ref-type="aff" rid="aff-4">4</xref><xref ref-type="aff" rid="aff-5">5</xref><email>reispsmarta@gmail.com</email></contrib>
<contrib id="author-2" contrib-type="author">
<name name-style="western"><surname>Noronha</surname><given-names>Catarina</given-names></name><xref ref-type="aff" rid="aff-6">6</xref></contrib>
<contrib id="author-3" contrib-type="author">
<name name-style="western"><surname>Tom&#x00E9;</surname><given-names>Gina</given-names></name><xref ref-type="aff" rid="aff-3">3</xref><xref ref-type="aff" rid="aff-4">4</xref><xref ref-type="aff" rid="aff-5">5</xref></contrib>
<contrib id="author-4" contrib-type="author">
<name name-style="western"><surname>Carvalho</surname><given-names>Marina</given-names></name><xref ref-type="aff" rid="aff-4">4</xref><xref ref-type="aff" rid="aff-6">6</xref></contrib>
<contrib id="author-5" contrib-type="author">
<name name-style="western"><surname>Rodrigues</surname><given-names>Nuno Neto</given-names></name><xref ref-type="aff" rid="aff-7">7</xref></contrib>
<contrib id="author-6" contrib-type="author">
<name name-style="western"><surname>de Matos</surname><given-names>Margarida Gaspar</given-names></name><xref ref-type="aff" rid="aff-3">3</xref><xref ref-type="aff" rid="aff-4">4</xref><xref ref-type="aff" rid="aff-6">6</xref></contrib>
<aff id="aff-1"><label>1</label><institution>Egas Moniz School of Health &#x0026; Science</institution>, <addr-line>Monte da Caparica, 2829-511</addr-line>, <country>Portugal</country></aff>
<aff id="aff-2"><label>2</label><institution>Faculdade de Motricidade Humana, Universidade de Lisboa</institution>, <addr-line>Cruz Quebrada-Dafundo, 1499-002</addr-line>, <country>Portugal</country></aff>
<aff id="aff-3"><label>3</label><institution>ISAMB/Faculdade de Medicina, Universidade de Lisboa</institution>, <addr-line>Lisboa, 1649-028</addr-line>, <country>Portugal</country></aff>
<aff id="aff-4"><label>4</label><institution>CRC-W/FCH, Universidade Cat&#x00F3;lica Portuguesa</institution>, <addr-line>Lisboa, 1649-023</addr-line>, <country>Portugal</country></aff>
<aff id="aff-5"><label>5</label><institution>Faculdade de Ci&#x00EA;ncias da Sa&#x00FA;de, Universidade Europeia</institution>, <addr-line>Lisboa, 1500-210</addr-line>, <country>Portugal</country></aff>
<aff id="aff-6"><label>6</label><institution>Equipa Aventura Social</institution>, <addr-line>Lisboa, 1400-415</addr-line>, <country>Portugal</country></aff>
<aff id="aff-7"><label>7</label><institution>Dire&#x00E7;&#x00E3;o-Geral de Estat&#x00ED;sticas da Educa&#x00E7;&#x00E3;o e Ci&#x00EA;ncia</institution>, <addr-line>Lisboa, 1399-054</addr-line>, <country>Portugal</country></aff>
</contrib-group>
<author-notes>
<corresp id="cor1"><label>&#x002A;</label>Corresponding Author: Marta Reis. Email: <email>reispsmarta@gmail.com</email></corresp>
</author-notes>
<pub-date date-type="collection" publication-format="electronic">
<year>2025</year>
</pub-date>
<pub-date date-type="pub" publication-format="electronic">
<day>31</day><month>10</month><year>2025</year>
</pub-date>
<volume>27</volume>
<issue>10</issue>
<fpage>1457</fpage>
<lpage>1470</lpage>
<history>
<date date-type="received">
<day>13</day>
<month>7</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>08</day>
<month>9</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2025 The Authors.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Published by Tech Science Press.</copyright-holder>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This work is licensed under a <ext-link ext-link-type="uri" xlink:type="simple" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<self-uri content-type="pdf" xlink:href="TSP_IJMHP_70318.pdf"></self-uri>
<abstract>
<sec>
<title>Objectives</title>
<p>Academic Evaluation Anxiety is a significant psychological concern among adolescents, with well-documented impacts on academic performance, emotional well-being, and school engagement. In Portugal, recent evidence suggests growing pressure on students to achieve high academic standards, with psychosocial variables such as resilience, perceived support, and school environment playing a crucial role. This study aims to examine the prevalence and psychosocial predictors of Academic Evaluation Anxiety in Portuguese students, and to identify risk and protective factors that inform educational practice.</p>
</sec>
<sec>
<title>Methods</title>
<p>This cross-sectional, quantitative study analysed data from 3083 students (5th to 12th grade) from the 2024 National Study by the Observatory of Psychological Health and Well-Being. Validated instruments were used, including the Depression, Anxiety and Stress Scale-21 items (DASS-21), the Social and Emotional Skills Scale (SSES), the Health Behaviour in School-aged Children (HBSC) psychological symptoms and well-being indices, the Positive Youth Development (PYD) scale, and the School Environment Scale. Statistical analyses included descriptive measures, one-way ANOVAs, and multivariate linear regression.</p>
</sec>
<sec>
<title>Results</title>
<p>Academic Evaluation Anxiety was significantly higher among female students (Mean &#x003D; 2.80, SD &#x003D; 0.93) compared to male students (Mean &#x003D; 2.16, SD &#x003D; 1.10), representing approximately 30% higher mean levels of anxiety in girls (<italic>F</italic> &#x003D; 306.206, <italic>p</italic> &#x003C; 0.001). Resilience (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.38, <italic>p</italic> &#x003C; 0.001), self-confidence (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.07, <italic>p</italic> &#x003D; 0.02), and creativity (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.06, <italic>p</italic> &#x003D; 0.01) emerged as protective factors, whereas cooperation (<italic>&#x03B2;</italic> &#x003D; 0.23, <italic>p</italic> &#x003C; 0.001), teacher relationships (<italic>&#x03B2;</italic> &#x003D; 0.08, <italic>p</italic> &#x003C; 0.001), bullying (<italic>&#x03B2;</italic> &#x003D; 0.07, <italic>p</italic> &#x003C; 0.001), and school environment (<italic>&#x03B2;</italic> &#x003D; 0.05, <italic>p</italic> &#x003D; 0.03) were positively associated with anxiety levels.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Academic Evaluation Anxiety is highly prevalent among Portuguese adolescents, with girls reporting significantly higher levels than boys. Resilience, self-confidence, and creativity act as protective factors, while bullying, teacher relationships, cooperation, and negative school climate increase vulnerability. These findings highlight the need for whole-school strategies that strengthen socio-emotional competencies and create psychologically safe learning environments to support both well-being and academic success.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="author">
<kwd>Academic evaluation anxiety</kwd>
<kwd>adolescents</kwd>
<kwd>resilience</kwd>
<kwd>school environment</kwd>
<kwd>academic stress</kwd>
<kwd>emotional regulation</kwd>
<kwd>Portuguese education</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<label>1</label>
<title>Introduction</title>
<p>Academic Evaluation Anxiety is a widespread phenomenon in school contexts, particularly during adolescence, and is defined as a set of physiological, emotional, and cognitive responses triggered by evaluative academic situations [<xref ref-type="bibr" rid="ref-1">1</xref>,<xref ref-type="bibr" rid="ref-2">2</xref>]. While some degree of anxiety can be adaptive, high Academic Evaluation Anxiety interferes with students&#x2019; learning, well-being, and academic performance [<xref ref-type="bibr" rid="ref-3">3</xref>].</p>
<p>Recent research in the Portuguese educational context highlights the increasing relevance of Academic Evaluation Anxiety as a public health concern in schools, with academic pressure, low emotional regulation, and limited psychological flexibility acting as amplifying factors [<xref ref-type="bibr" rid="ref-4">4</xref>,<xref ref-type="bibr" rid="ref-5">5</xref>]. In addition, lack of social support and poor self-management strategies have been associated with heightened anxiety in academic settings [<xref ref-type="bibr" rid="ref-6">6</xref>,<xref ref-type="bibr" rid="ref-7">7</xref>].</p>
<p>Academic Evaluation Anxiety has been consistently linked to reduced academic achievement, lower self-esteem, school avoidance, and increased psychological distress [<xref ref-type="bibr" rid="ref-8">8</xref>&#x2013;<xref ref-type="bibr" rid="ref-10">10</xref>]. At a neurocognitive level, it impairs working memory, attention, and test performance, particularly when students experience perfectionistic thinking or fear of a negative evaluation [<xref ref-type="bibr" rid="ref-11">11</xref>].</p>
<p>Gender differences have been consistently documented in both national and international studies, with girls reporting higher levels of Academic Evaluation Anxiety than boys [<xref ref-type="bibr" rid="ref-12">12</xref>,<xref ref-type="bibr" rid="ref-13">13</xref>]. These differences may be explained by a combination of biological mechanisms&#x2014;such as heightened hypothalamic&#x2013;pituitary&#x2013;adrenal (HPA) axis reactivity to stress [<xref ref-type="bibr" rid="ref-14">14</xref>]&#x2014;and sociocultural factors, including internalised performance expectations, fear of failure, and greater societal acceptance of emotional expression in girls [<xref ref-type="bibr" rid="ref-15">15</xref>]. In Portugal, where educational attainment is often associated with social mobility and family honour, female students may experience additional pressure to achieve academically, further exacerbating anxiety symptoms [<xref ref-type="bibr" rid="ref-16">16</xref>].</p>
<p>Furthermore, adolescence represents a period of heightened vulnerability due to rapid neurobiological development, identity exploration, and increased exposure to evaluative and competitive academic contexts [<xref ref-type="bibr" rid="ref-17">17</xref>]. These processes may interact with gender norms, leading to distinct coping styles&#x2014;such as greater reliance on relational validation among girls&#x2014;that can influence the intensity and expression of Academic Evaluation Anxiety [<xref ref-type="bibr" rid="ref-1">1</xref>].</p>
<p>Understanding the psychosocial predictors of Academic Evaluation Anxiety is crucial for identifying vulnerable students and informing targeted interventions. Emerging approaches based on Positive Youth Development and mindfulness have shown promising outcomes in mitigating Academic Evaluation Anxiety and promoting coping strategies [<xref ref-type="bibr" rid="ref-18">18</xref>,<xref ref-type="bibr" rid="ref-19">19</xref>]. However, despite the growing literature, there remains a need for large-scale, population-based studies in Portugal that simultaneously examine individual, relational, and contextual predictors of this form of anxiety.</p>
<p>This study seeks to fill existing gaps in the Portuguese context by providing large-scale evidence on the prevalence, predictors, and gender differences in Academic Evaluation Anxiety, integrating individual, relational, and school-environmental factors.</p>
<sec id="s1_1">
<label>1.1</label>
<title>Theoretical Background: Understanding Academic Evaluation Anxiety in Adolescence</title>
<sec id="s1_1_1">
<label>1.1.1</label>
<title>Defining Academic Evaluation Anxiety: A Multidimensional Construct</title>
<p>Academic Evaluation Anxiety is conceptualized as a multidimensional construct comprising three interrelated components: emotionality (physiological arousal), cognitive worry (ruminative thoughts and fear of failure), and behavioural avoidance [<xref ref-type="bibr" rid="ref-20">20</xref>,<xref ref-type="bibr" rid="ref-21">21</xref>]. These components interact to affect how students perceive academic challenges and respond to evaluative situations.</p>
<p>Students with high Academic Evaluation Anxiety tend to overestimate the threat of academic failure while underestimating their capacity to cope, resulting in a cycle of avoidance, disengagement, and self-criticism [<xref ref-type="bibr" rid="ref-22">22</xref>]. These cognitive distortions are exacerbated when self-worth becomes overly tied to academic performance [<xref ref-type="bibr" rid="ref-15">15</xref>].</p>
<p>This multidimensional perspective provides a foundation for understanding how both individual traits (e.g., resilience, self-confidence) and environmental conditions (e.g., school climate, teacher expectations) can shape the onset and intensity of anxiety symptoms. To deepen this understanding, it is important to consider developmental factors that make adolescents particularly susceptible to this form of anxiety.</p>
</sec>
<sec id="s1_1_2">
<label>1.1.2</label>
<title>Developmental Vulnerability in Adolescence</title>
<p>Adolescence is a critical developmental period characterized by heightened emotional sensitivity, identity exploration, and increased exposure to evaluative social contexts [<xref ref-type="bibr" rid="ref-17">17</xref>]. These features make adolescents particularly vulnerable to academic anxiety, especially during transitional phases or in high-stakes academic environments [<xref ref-type="bibr" rid="ref-12">12</xref>].</p>
<p>In Portugal, transitions between basic and secondary education, alongside the pressure to succeed in national exams and secure future opportunities, contribute significantly to anxiety symptoms [<xref ref-type="bibr" rid="ref-4">4</xref>,<xref ref-type="bibr" rid="ref-23">23</xref>]. Research has also shown that retained students and those experiencing academic failure report lower self-esteem and greater psychological vulnerability [<xref ref-type="bibr" rid="ref-23">23</xref>].</p>
<p>Understanding these developmental dynamics sets the stage for examining how demographic and psychosocial factors intersect with academic demands. One of the most consistent demographic correlates identified in the literature is gender.</p>
</sec>
<sec id="s1_1_3">
<label>1.1.3</label>
<title>Gender Differences and Sociocultural Pressures</title>
<p>Girls consistently report higher levels of Academic Evaluation Anxiety than boys, both in Portugal and internationally [<xref ref-type="bibr" rid="ref-12">12</xref>,<xref ref-type="bibr" rid="ref-13">13</xref>]. This may reflect both biological stress sensitivity and cultural norms around emotional expression and academic perfectionism. This gender gap has been attributed to a combination of biological mechanisms&#x2014;such as heightened hypothalamic&#x2013;pituitary&#x2013;adrenal (HPA) axis reactivity to stress&#x2014;and sociocultural expectations that promote academic perfectionism, fear of failure, and greater acceptance of emotional expression among girls [<xref ref-type="bibr" rid="ref-14">14</xref>,<xref ref-type="bibr" rid="ref-15">15</xref>].</p>
<p>In the Portuguese context, educational attainment is highly valued and often linked to social mobility and family expectations [<xref ref-type="bibr" rid="ref-16">16</xref>]. These sociocultural pressures may result in increased self-monitoring, fear of failure, and internalized stress&#x2014;particularly among high-performing female students [<xref ref-type="bibr" rid="ref-7">7</xref>].</p>
<p>These sociocultural pressures may result in increased self-monitoring, fear of failure, and internalised stress&#x2014;particularly among high-performing female students [<xref ref-type="bibr" rid="ref-7">7</xref>].</p>
</sec>
<sec id="s1_1_4">
<label>1.1.4</label>
<title>Integrating Individual, Relational, and Contextual Predictors</title>
<p>Existing research suggests that Academic Evaluation Anxiety does not emerge solely from individual predispositions; rather, it reflects the interaction of personal skills, relational dynamics, and broader school conditions. For example, resilience and creativity may serve as protective buffers, whereas negative peer interactions (e.g., bullying) or performance-contingent relationships with teachers can heighten anxiety. School climate also plays a pivotal role, with supportive environments fostering psychological safety and hostile climates exacerbating stress [<xref ref-type="bibr" rid="ref-6">6</xref>,<xref ref-type="bibr" rid="ref-7">7</xref>].</p>
<p>This integrated perspective underpins the present study&#x2019;s focus on identifying not only risk factors but also protective mechanisms, recognising that effective intervention must operate at multiple levels of the school ecosystem. These theoretical considerations directly informed the study design and the formulation of its hypotheses, presented in the <xref ref-type="sec" rid="s1_2">Section 1.2</xref> &#x201C;Aims of the Study&#x201D;.</p>
</sec>
</sec>
<sec id="s1_2">
<label>1.2</label>
<title>Aims of the Study</title>
<p>The present study aims to understand and characterize Academic Evaluation Anxiety among Portuguese students by examining its prevalence and identifying key psychological symptoms, emotional competences, and perceived academic demands that act as risk or protective factors, in order to develop informed and actionable guidelines for educational intervention.</p>
<p>The present study addresses this gap by: (1) examining the prevalence of Academic Evaluation Anxiety among Portuguese adolescents; (2) identifying psychosocial risk and protective factors at the individual, relational, and school-environment levels; and (3) exploring gender differences in these associations. Based on previous research, we hypothesised that: (<bold>Hypothesis 1</bold>) girls would report significantly higher levels of Academic Evaluation Anxiety than boys; (<bold>Hypothesis 2</bold>) resilience, self-confidence, and creativity would be negatively associated with anxiety levels; and (<bold>Hypothesis 3</bold>) bullying, poorer school climate, and performance-contingent relationships with teachers would be positively associated with anxiety.</p>
</sec>
</sec>
<sec id="s2">
<label>2</label>
<title>Methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Data Source</title>
<p>The second National Study of the Psychological Health and Well-being Observatory [<xref ref-type="bibr" rid="ref-24">24</xref>] began in October 2023 with the aim of monitoring the psychological health and well-being of different groups within the school ecosystem. This included students from preschool to 12th grade, as well as parents/guardians, teachers, school leaders, psychologists, and other professionals. In January 2024, school clusters were randomly selected by NUTS III regions and subsequently contacted by email or telephone. The questionnaires were administered online between 23 January and 9 June 2024, under the coordination of teachers and psychologists appointed by each school or school cluster.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Participants</title>
<p>For the present study, a total of 3083 students from lower and upper secondary education participated (2nd and 3rd cycles and secondary education). Of these, 49.5% identified as male and 50.5% as female, with a mean age of 13.64 years (SD &#x003D; 2.53), ranging from 9 to 20 years old. Regarding school grade distribution: 11.7% were in 5th grade, 13.6% in 6th grade, 13.7% in 7th grade, 12.7% in 8th grade, 14.3% in 9th grade, 10.6% in 10th grade, 12.9% in 11th grade, and 10.6% in 12th grade (see <xref ref-type="table" rid="table-1">Table 1</xref>).</p>
<table-wrap id="table-1">
<label>Table 1</label>
<caption>
<title>Frequencies by gender and school grade</title>
</caption>
<table>
<colgroup>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th colspan="2">Grade/Gender</th>
<th>N</th>
<th>Frequency</th>
</tr>
</thead>
<tbody>
<tr>
<td rowspan="2">Gender</td>
<td>Male</td>
<td>1493</td>
<td>49.5%</td>
</tr>
<tr>
<td>Female</td>
<td>1524</td>
<td>50.5%</td>
</tr>
<tr>
<td></td>
<td>5th grade</td>
<td>359</td>
<td>11.7%</td>
</tr>
<tr>
<td/>
<td>6th grade</td>
<td>418</td>
<td>13.6%</td>
</tr>
<tr>
<td/>
<td>7th grade</td>
<td>421</td>
<td>13.7%</td>
</tr>
<tr>
<td></td>
<td>8th grade</td>
<td>392</td>
<td>12.7%</td>
</tr>
<tr>
<td>School grade</td>
<td>9th grade</td>
<td>442</td>
<td>14.3%</td>
</tr>
<tr>
<td/>
<td>10th grade</td>
<td>327</td>
<td>10.6%</td>
</tr>
<tr>
<td/>
<td>11th grade</td>
<td>396</td>
<td>12.9%</td>
</tr>
<tr>
<td/>
<td>12th grade</td>
<td>326</td>
<td>10.6%</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Measures</title>
<p>The full description of the instrument can be found in the study report [<xref ref-type="bibr" rid="ref-24">24</xref>], and for this in-depth study, the following questions were used: gender, grade, HBSC symptoms of psychological distress scale, HBSC who-5 perceived quality of life, SSES scale | socio-emotional skills, including the Academic Evaluation Anxiety; DASS scale, PYD scale | positive development, and school environment scale.</p>
<p>Brief descriptions of the key instruments are provided below for clarity: HBSC Psychological Distress Scale&#x2014;measures frequency of psychosomatic complaints (e.g., headaches, difficulty sleeping) in the past six months; responses range from 0 (&#x201C;rarely or never&#x201D;) to 4 (&#x201C;almost every day&#x201D;), &#x03B1; &#x003D; 0.83; HBSC WHO-5 Well-being Index&#x2014;assesses positive well-being with items such as &#x201C;I have felt cheerful and in good spirits&#x201D; rated from 0 (&#x201C;at no time&#x201D;) to 5 (&#x201C;all of the time&#x201D;), &#x03B1; &#x003D; 0.87; SSES&#x2014;Academic Evaluation Anxiety subscale&#x2014;evaluates feelings of tension and worry in evaluative situations (e.g., &#x201C;I feel nervous before a test&#x201D;), using a 0&#x2013;4 Likert scale, &#x03B1; &#x003D; 0.88; DASS-21&#x2014;measures depression, anxiety, and stress over the previous week, using a 0&#x2013;3 scale; Depression &#x03B1; <sc>&#x003D;</sc> 0.91; Anxiety &#x03B1; &#x003D; 0.86; Stress &#x03B1; &#x003D; 0.88; PYD Scale&#x2014;assesses positive youth development across competence, confidence, connection, and contribution, using a 0&#x2013;4 scale, &#x03B1; &#x003D; 0.89; School Environment Scale&#x2014;measures students&#x2019; perceptions of safety, relationships, and support within the school, &#x03B1; &#x003D; 0.85. All instruments have demonstrated good psychometric properties in previous Portuguese validation studies, with Cronbach&#x2019;s alpha values ranging from 0.74 to 0.91.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Procedure</title>
<p>Ethical approval was obtained from the National Data Protection Commission and the Ethics Committee of the Faculdade de Medicina, Universidade de Lisboa. Participation was voluntary, and informed consent was obtained from parents/guardians for students under 18, and directly from students aged 18 or older. All participants were assured of confidentiality and anonymity, and no personally identifiable information was collected. Data were stored securely in encrypted files accessible only to the research team.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Data Analysis</title>
<p>The dependent variable in all analyses was Academic Evaluation Anxiety. Independent variables included demographic factors (gender, grade), socio-emotional skills (SSES subscales), well-being, psychological distress, DASS-21 subscales, positive youth development dimensions, bullying, and school environment.</p>
<p>Statistical analyses were conducted using SPSS version 29 (IBM Corp., Armonk, NY, USA). Descriptive statistics (means, standard deviations, frequencies) were used to characterise the sample. Group differences in Academic Evaluation Anxiety were analysed using one-way ANOVAs. Before inferential analyses, data were screened for accuracy, missing values, and outliers. Assumptions of normality (Shapiro-Wilk test, skewness, kurtosis) and homogeneity of variance (Levene&#x2019;s test) were assessed. For regression models, multicollinearity was evaluated using tolerance and Variance Inflation Factor (VIF) values, with all VIF scores below 2 indicating acceptable levels. Potential confounding variables (gender, grade) were included as control variables in the multivariate regression. Effect sizes were calculated (&#x03B7;<sup>2</sup> for ANOVAs, standardized &#x03B2; for regression analyses), and the level of statistical significance was set at <italic>p</italic> &#x003C; 0.05.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>AI Use in Writing Support</title>
<p>During the preparation of this manuscript, the authors utilized ChatGPT (OpenAI, GPT-4o, June 2025 version) for language polishing, including suggestions of synonyms and improvements in clarity and style. The tool was not used for data analysis, interpretation of results, or generation of scientific content. All sections of the manuscript were critically reviewed, revised, and approved by the authors, who take full responsibility for the final content.</p>
</sec>
</sec>
<sec id="s3">
<label>3</label>
<title>Results</title>
<p><xref ref-type="table" rid="table-2">Table 2</xref> presents descriptive statistics for the variables used in the study, including the number of participants (N), means, standard deviations (SDs), and observed ranges. Overall, students reported a moderate mean level of Academic Evaluation Anxiety (Mean &#x003D; 2.49, SD &#x003D; 1.05), with higher average scores in socio-emotional skills such as cooperation (Mean &#x003D; 2.91) and optimism (Mean &#x003D; 2.70), and lower scores in bullying (Mean &#x003D; 0.45). Well-being levels, as measured by the WHO-5 index, were moderate (Mean &#x003D; 15.70), while stress, anxiety, and depression scores from the DASS-21 were generally low to moderate. These descriptive patterns provide an initial overview of potential protective and risk factors associated with Academic Evaluation Anxiety.</p>
<table-wrap id="table-2">
<label>Table 2</label>
<caption>
<title>General descriptions</title>
</caption>
<table>
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th align="center">Item</th>
<th align="center">N</th>
<th align="center">Mean/%</th>
<th align="center">Standard Deviation (SD)</th>
<th align="center">Max</th>
<th align="center">Min</th>
</tr>
</thead>
<tbody>
<tr>
<td>Social and Emotional Skills Scale (SESS)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Optimism</td>
<td>3033</td>
<td>2.70</td>
<td>0.77</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Emotional control</td>
<td>3020</td>
<td>2.15</td>
<td>0.73</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Resilience/Resistance</td>
<td>3015</td>
<td>2.05</td>
<td>0.86</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Confidence/Trust</td>
<td>3011</td>
<td>2.12</td>
<td>0.73</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Curiosity</td>
<td>3000</td>
<td>2.63</td>
<td>0.69</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Sociability</td>
<td>2998</td>
<td>2.48</td>
<td>0.72</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Persistence/Perseverance</td>
<td>3003</td>
<td>2.59</td>
<td>0.70</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Creativity</td>
<td>2989</td>
<td>2.53</td>
<td>0.66</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Energy</td>
<td>2980</td>
<td>2.37</td>
<td>0.70</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Cooperation</td>
<td>2980</td>
<td>2.91</td>
<td>0.64</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Self-control</td>
<td>2981</td>
<td>2.50</td>
<td>0.65</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Relation with teachers</td>
<td>2964</td>
<td>2.32</td>
<td>0.78</td>
<td>3</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Test anxiety</td>
<td>2971</td>
<td>2.49</td>
<td>1.05</td>
<td>4</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Bullying</td>
<td>2962</td>
<td>0.45</td>
<td>0.68</td>
<td>3</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Sense of school belonging</td>
<td>2969</td>
<td>2.47</td>
<td>0.53</td>
<td>4</td>
<td>1</td>
</tr>
<tr>
<td>HBSC_WHO-5 well-being index</td>
<td>2961</td>
<td>15.70</td>
<td>5.04</td>
<td>25</td>
<td>0</td>
</tr>
<tr>
<td>HBSC (Symptoms index)</td>
<td>2966</td>
<td>6.48</td>
<td>5.02</td>
<td>20</td>
<td>0</td>
</tr>
<tr>
<td>Depression, Anxiety and Stress Scale-21 items (DASS-21)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Stress</td>
<td>2883</td>
<td>4.93</td>
<td>4.46</td>
<td>21</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Depression</td>
<td>2913</td>
<td>4.21</td>
<td>4.53</td>
<td>21</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Anxiety</td>
<td>2734</td>
<td>3.84</td>
<td>4.18</td>
<td>21</td>
<td>0</td>
</tr>
<tr>
<td>Positive Youth Development (PYD) scale</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Competence</td>
<td>2981</td>
<td>14.34</td>
<td>4.75</td>
<td>24</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Confidence (self-confidence)</td>
<td>2993</td>
<td>15.13</td>
<td>5.46</td>
<td>24</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Connection</td>
<td>2997</td>
<td>18.81</td>
<td>5.74</td>
<td>30</td>
<td>0</td>
</tr>
<tr>
<td>&#x2003;Contribution</td>
<td>2976</td>
<td>8.87</td>
<td>4.42</td>
<td>20</td>
<td>0</td>
</tr>
<tr>
<td>Environment at school</td>
<td>2858</td>
<td>17.03</td>
<td>5.96</td>
<td>28</td>
<td>0</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>There are statistically significant differences between the genders in the level of Academic Evaluation Anxiety (<italic>F</italic> &#x003D; 306.206, <italic>p</italic> &#x003C; 0.001), with female students (Mean &#x003D; 2.80, SD &#x003D; 0.93) presenting a higher level of Academic Evaluation Anxiety compared to male students (2.16 &#x00B1; 1.1) (see <xref ref-type="table" rid="table-3">Table 3</xref>).</p>
<table-wrap id="table-3">
<label>Table 3</label>
<caption>
<title>Differences between gender and the level of Academic Evaluation Anxiety (<italic>ANOVA</italic>)</title>
</caption>
<table>
<colgroup>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Gender</th>
<th>N</th>
<th>Mean</th>
<th>Standard Deviation (SD)</th>
<th>F</th>
<th><italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td>Male</td>
<td>1431</td>
<td>2.16</td>
<td>1.1</td>
<td rowspan="2">306.206</td>
<td rowspan="2">&#x003C;0.001&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td>Female</td>
<td>1484</td>
<td>2.80</td>
<td>0.93</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-3fn1" fn-type="other">
<p>Note: &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>Considering the differences between the grades in relation to the average level of Academic Evaluation Anxiety, illustrated in <xref ref-type="table" rid="table-4">Table 4</xref>, there are no statistically significant differences.</p>
<table-wrap id="table-4">
<label>Table 4</label>
<caption>
<title>Differences between grades and Academic Evaluation Anxiety (<italic>ANOVA</italic>)</title>
</caption>
<table>
<colgroup>
<col/>
<col/>
<col/>
<col/>
<col/>
<col/>
</colgroup>
<thead>
<tr>
<th>Grade</th>
<th>N</th>
<th>Mean</th>
<th>Standard Deviation (SD)</th>
<th>F</th>
<th><italic>p</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td>5th grade</td>
<td>329</td>
<td>2.41</td>
<td>1.13</td>
<td rowspan="8">1.125</td>
<td rowspan="8">0.344 (n.s.)</td>
</tr>
<tr>
<td>6th grade</td>
<td>408</td>
<td>2.51</td>
<td>0.98</td>
</tr>
<tr>
<td>7th grade</td>
<td>415</td>
<td>2.53</td>
<td>0.98</td>
</tr>
<tr>
<td>8th grade</td>
<td>381</td>
<td>2.40</td>
<td>1.04</td>
</tr>
<tr>
<td>9th grade</td>
<td>428</td>
<td>2.49</td>
<td>1.04</td>
</tr>
<tr>
<td>10th grade</td>
<td>318</td>
<td>2.51</td>
<td>1.10</td>
</tr>
<tr>
<td>11th grade</td>
<td>377</td>
<td>2.57</td>
<td>1.09</td>
</tr>
<tr>
<td>12th grade</td>
<td>321</td>
<td>2.47</td>
<td>1.10</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-4fn1" fn-type="other">
<p>Note: n.s., no significance.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>A multiple linear regression analysis was conducted to identify the variables most strongly associated with Academic Evaluation Anxiety (<xref ref-type="table" rid="table-5">Table 5</xref> and <xref ref-type="fig" rid="fig-1">Fig. 1</xref>). The adjusted model was statistically significant, <italic>F</italic> (26.2208) &#x003D; 46.93, <italic>p</italic> &#x003C; 0.001, explaining 34.8% of the variance in the dependent variable (<italic>R</italic><sup>2</sup> &#x003D; 0.348). All predictors in the model showed acceptable multicollinearity values, with VIF scores ranging from 1.02 to 1.78, well below the commonly accepted threshold of 5.</p>
<table-wrap id="table-5">
<label>Table 5</label>
<caption>
<title>Academic evaluation anxiety (Linear Regression)</title>
</caption>
<table>
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th align="center">Sense of belonging to school</th>
<th align="center">B</th>
<th align="center">SE</th>
<th align="center">&#x03B2;</th>
<th align="center"><italic>t</italic></th>
<th align="center"><italic>p</italic></th>
<th align="center">R<sup>2</sup></th>
<th align="center">F (26.2208)</th>
</tr>
</thead>
<tbody>
<tr>
<td>Constant</td>
<td>2.384</td>
<td>0.193</td>
<td></td>
<td>12.366</td>
<td>&#x003C;0.001</td>
<td></td>
<td></td>
</tr>
<tr>
<td><bold>Grade</bold></td>
<td>0.03</td>
<td>0.01</td>
<td>0.06</td>
<td>&#x2212;3.15</td>
<td><bold>0.002</bold></td>
<td rowspan="29">0.348</td>
<td rowspan="29">46.929&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td><bold>Gender</bold></td>
<td>&#x2212;0.22</td>
<td>0.04</td>
<td>&#x2212;0.11</td>
<td>5.24</td>
<td><bold>&#x003C;0.001</bold></td>
</tr>
<tr>
<td>Social and Emotional Skills Scale (SESS)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Optimism</td>
<td>0.05</td>
<td>0.04</td>
<td>0.04</td>
<td>1.28</td>
<td>0.20</td>
</tr>
<tr>
<td>&#x2003;Emotional control</td>
<td>&#x2212;0.07</td>
<td>0.04</td>
<td>&#x2212;0.05</td>
<td>&#x2212;1.76</td>
<td>0.08</td>
</tr>
<tr>
<td>&#x2003;<bold>Resilience/Resistance</bold></td>
<td>&#x2212;0.46</td>
<td>0.03</td>
<td>&#x2212;0.38</td>
<td>&#x2212;14.47</td>
<td><bold>&#x003C;0.001</bold></td>
</tr>
<tr>
<td>&#x2003;Confidence/Trust</td>
<td>0.05</td>
<td>0.03</td>
<td>0.03</td>
<td>1.45</td>
<td>0.15</td>
</tr>
<tr>
<td>&#x2003;Curiosity</td>
<td>0.07</td>
<td>0.04</td>
<td>0.05</td>
<td>1.87</td>
<td>0.06</td>
</tr>
<tr>
<td>&#x2003;Sociability</td>
<td>&#x2212;0.08</td>
<td>0.04</td>
<td>&#x2212;0.05</td>
<td>&#x2212;1.96</td>
<td>0.05</td>
</tr>
<tr>
<td>&#x2003;Persistence/Perseverance</td>
<td>&#x2212;0.04</td>
<td>0.04</td>
<td>&#x2212;0.02</td>
<td>&#x2212;1.01</td>
<td>0.31</td>
</tr>
<tr>
<td>&#x2003;<bold>Creativity</bold></td>
<td>&#x2212;0.09</td>
<td>0.04</td>
<td>&#x2212;0.06</td>
<td>&#x2212;2.61</td>
<td><bold>0.01</bold></td>
</tr>
<tr>
<td>&#x2003;Energy</td>
<td>&#x2212;0.07</td>
<td>0.04</td>
<td>&#x2212;0.05</td>
<td>&#x2212;1.67</td>
<td>0.10</td>
</tr>
<tr>
<td>&#x2003;<bold>Cooperation</bold></td>
<td>0.38</td>
<td>0.05</td>
<td>0.23</td>
<td>8.54</td>
<td><bold>&#x003C;0.001</bold></td>
</tr>
<tr>
<td>&#x2003;Self-control</td>
<td>0.02</td>
<td>0.04</td>
<td>0.01</td>
<td>0.46</td>
<td>0.65</td>
</tr>
<tr>
<td>&#x2003;<bold>Bullying</bold></td>
<td>0.11</td>
<td>0.03</td>
<td>0.07</td>
<td>3.49</td>
<td><bold>&#x003C;0.001</bold></td>
</tr>
<tr>
<td>&#x2003;Sense of belonging to school</td>
<td>&#x2212;0.10</td>
<td>0.05</td>
<td>&#x2212;0.05</td>
<td>&#x2212;1.84</td>
<td>0.07</td>
</tr>
<tr>
<td>&#x2003;<bold>Relations with Teachers</bold></td>
<td>0.11</td>
<td>0.03</td>
<td>0.08</td>
<td>3.91</td>
<td><bold>&#x003C;0.001</bold></td>
</tr>
<tr>
<td>HBSC_WHO-5 well-being index</td>
<td>&#x2212;0.01</td>
<td>0.01</td>
<td>&#x2212;0.04</td>
<td>&#x2212;1.41</td>
<td>0.16</td>
</tr>
<tr>
<td>HBSC (Symptoms Index)</td>
<td>0.00</td>
<td>0.01</td>
<td>&#x2212;0.01</td>
<td>&#x2212;0.39</td>
<td>0.70</td>
</tr>
<tr>
<td>Depression, Anxiety and Stress Scale-21 items (DASS-21)</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Stress</td>
<td>0.02</td>
<td>0.01</td>
<td>0.07</td>
<td>1.86</td>
<td>0.06</td>
</tr>
<tr>
<td>&#x2003;Depression</td>
<td>&#x2212;0.01</td>
<td>0.01</td>
<td>&#x2212;0.03</td>
<td>&#x2212;0.78</td>
<td>0.44</td>
</tr>
<tr>
<td>&#x2003;Anxiety</td>
<td>0.00</td>
<td>0.01</td>
<td>0.00</td>
<td>&#x2212;0.02</td>
<td>0.99</td>
</tr>
<tr>
<td>Positive Youth Development (PYD) scale</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td></td>
</tr>
<tr>
<td>&#x2003;Competence</td>
<td>0.00</td>
<td>0.01</td>
<td>0.00</td>
<td>&#x2212;0.15</td>
<td>0.88</td>
</tr>
<tr>
<td>&#x2003;<bold>Confidence (self-confidence)</bold></td>
<td>&#x2212;0.01</td>
<td>0.01</td>
<td>&#x2212;0.07</td>
<td>&#x2212;2.40</td>
<td><bold>0.02</bold></td>
</tr>
<tr>
<td>&#x2003;Connection</td>
<td>0.01</td>
<td>0.01</td>
<td>0.04</td>
<td>1.47</td>
<td>0.14</td>
</tr>
<tr>
<td>&#x2003;Contribution</td>
<td>0.00</td>
<td>0.01</td>
<td>0.01</td>
<td>0.77</td>
<td>0.44</td>
</tr>
<tr>
<td><bold>School Environment</bold></td>
<td>&#x2212;0.01</td>
<td>0.00</td>
<td>&#x2212;0.05</td>
<td>2.15</td>
<td><bold>0.03</bold></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-5fn1" fn-type="other">
<p>Note: &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001. Bold text indicates that the <italic>p</italic>-value is &#x003C;0.05, meaning that it is statistically significant.</p>
</fn>
</table-wrap-foot>
</table-wrap><fig id="fig-1">
<label>Figure 1</label>
<caption>
<title>Academic evaluation anxiety (only with statistically significant variables) (Linear regression model). Red: risk factors; green: protective factors. &#x002A;<italic>p</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>p</italic> &#x003C; 0.01, &#x002A;&#x002A;&#x002A;<italic>p</italic> &#x003C; 0.001</title>
</caption>
<graphic mimetype="image" mime-subtype="tif" xlink:href="IntJMentHealthPromot-27-70318-f001.tif"/>
</fig>
<p>Among the predictors, resilience/resistance emerged as the strongest protective factor (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.38, <italic>p</italic> &#x003C; 0.001), indicating that students with higher resilience scores reported substantially lower levels of Academic Evaluation Anxiety. Creativity (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.06, <italic>p</italic> &#x003D; 0.010) and self-confidence (<italic>&#x03B2;</italic> &#x003D; &#x2212;0.07, <italic>p</italic> &#x003D; 0.020) also acted as protective factors, albeit with smaller effect sizes.</p>
<p>In contrast, cooperation was the most prominent risk factor (<italic>&#x03B2;</italic> &#x003D; 0.23, <italic>p</italic> &#x003C; 0.001), followed by relationships with teachers <italic>(&#x03B2;</italic> &#x003D; 0.08, <italic>p</italic> &#x003C; 0.001) and bullying (<italic>&#x03B2;</italic> &#x003D; 0.07, <italic>p</italic> &#x003C; 0.001). Interestingly, school environment showed a small but significant positive association with anxiety (<italic>&#x03B2;</italic> &#x003D; 0.05, <italic>p</italic> &#x003D; 0.030), suggesting that even in generally supportive contexts, certain environmental dynamics may contribute to evaluative stress.</p>
<p>Gender differences remained significant in the multivariate model, with female students reporting higher anxiety scores than male students (<italic>&#x03B2;</italic> &#x003D; 0.11, <italic>p</italic> &#x003C; 0.001), even after controlling for other variables.</p>
<p>These findings highlight the complex interplay between individual competencies, interpersonal relationships, and school context in shaping students&#x2019; experience of Academic Evaluation Anxiety.</p>
</sec>
<sec id="s4">
<label>4</label>
<title>Discussion</title>
<p>The findings of this study confirm that Academic Evaluation Anxiety is a significant concern among Portuguese students, particularly for female adolescents. The results support previous literature indicating gender differences in emotional response to academic pressure [<xref ref-type="bibr" rid="ref-12">12</xref>,<xref ref-type="bibr" rid="ref-13">13</xref>]. Girls report higher levels of Academic Evaluation Anxiety, potentially due to sociocultural norms around emotional expression, performance expectations, and fear of failure [<xref ref-type="bibr" rid="ref-7">7</xref>]. This finding provides direct support for <bold>Hypothesis 1</bold>, which predicted that girls would report significantly higher levels of Academic Evaluation Anxiety than boys.</p>
<p>Although descriptive analyses indicated that older students presented slightly higher mean levels of anxiety, the differences by school grade were not statistically significant. In contrast, gender emerged as the only significant demographic predictor in the multivariate model, with female students consistently reporting higher anxiety scores. This distinction highlights that age-related patterns observed at a descriptive level may not hold when controlling for other psychosocial variables.</p>
<p>Resilience emerged as the strongest protective factor. Students with higher resilience scores were significantly less likely to report elevated levels of Academic Evaluation Anxiety. This finding corroborates developmental frameworks that position resilience and emotional regulation as core competencies in adolescent adaptation [<xref ref-type="bibr" rid="ref-18">18</xref>,<xref ref-type="bibr" rid="ref-25">25</xref>]. Creativity also appeared as a protective factor, suggesting that students with greater creative flexibility may cope more adaptively with evaluative challenges [<xref ref-type="bibr" rid="ref-26">26</xref>,<xref ref-type="bibr" rid="ref-27">27</xref>]. Together with the inverse association of self-confidence, these results confirm <bold>Hypothesis 2</bold>, which anticipated that resilience, self-confidence, and creativity would be negatively associated with Academic Evaluation Anxiety.</p>
<p>Conversely, cooperation and teacher-student relationships, while generally considered positive, were positively associated with Academic Evaluation Anxiety. This paradox may reflect a context of performance-driven cooperation or external validation needs, where students feel compelled to meet others&#x2019; expectations. Similarly, teacher relationships might become sources of pressure when academic expectations are high [<xref ref-type="bibr" rid="ref-15">15</xref>].</p>
<p>Bullying and school environment also significantly predicted higher levels of Academic Evaluation Anxiety. These results reinforce the importance of relational safety and a supportive school climate in shaping students&#x2019; emotional experiences. As such, preventive strategies should integrate not only individual coping but also structural and relational components [<xref ref-type="bibr" rid="ref-6">6</xref>,<xref ref-type="bibr" rid="ref-7">7</xref>]. These findings are consistent with <bold>Hypothesis 3</bold>, which predicted that bullying, poorer school climate, and performance-contingent relationships with teachers would be positively associated with Academic Evaluation Anxiety.</p>
<p>Finally, confidence&#x2014;a dimension of Positive Youth Development&#x2014;was inversely related to anxiety. This supports the role of intrapersonal strengths in buffering stress and highlights the need to embed youth development principles into educational policies [<xref ref-type="bibr" rid="ref-19">19</xref>,<xref ref-type="bibr" rid="ref-28">28</xref>].</p>
<p>Unexpectedly, general anxiety symptoms (as measured by the DASS-21) were not significantly associated with Academic Evaluation Anxiety. This suggests that the anxiety reported by students is not indicative of a generalised internalising disorder, but rather reflects a specific, performance-related form of situational anxiety [<xref ref-type="bibr" rid="ref-2">2</xref>,<xref ref-type="bibr" rid="ref-3">3</xref>,<xref ref-type="bibr" rid="ref-21">21</xref>]. This distinction underscores the importance of differentiating between general anxiety and evaluation-specific anxiety in both assessment and intervention planning.</p>
<sec id="s4_1">
<label>4.1</label>
<title>Limitations</title>
<p>This study has several limitations that should be acknowledged. First, its cross-sectional design precludes causal inference; longitudinal designs are needed to establish temporal relationships between predictors and Academic Evaluation Anxiety. Second, the reliance on self-report measures may introduce social desirability or recall bias. Third, although the sample was large and nationally representative by region, it did not account for possible variations across specific school types or curriculum tracks. Finally, some potentially relevant factors&#x2014;such as family dynamics or personality traits&#x2014;were not assessed and could complement the present findings in future research.</p>
</sec>
<sec id="s4_2">
<label>4.2</label>
<title>Practical Implications</title>
<p>The results have direct implications for educational practice and policy. Schools should integrate socio-emotional learning (SEL) into the curriculum, emphasising resilience, self-confidence, and creativity as protective skills. Teacher training should address how to provide academic support without inadvertently increasing evaluative pressure. Anti-bullying programmes and strategies to improve school climate should be prioritised to enhance relational safety. Assessment practices should shift towards more formative, process-oriented approaches that reduce high-stakes stress while maintaining academic standards.</p>
</sec>
<sec id="s4_3">
<label>4.3</label>
<title>Future Research Directions</title>
<p>Future studies should adopt longitudinal and mixed-method approaches to explore the causal mechanisms linking socio-emotional skills, school environment, and Academic Evaluation Anxiety. Qualitative studies could provide deeper insights into how students perceive and experience teacher relationships, cooperation, and performance expectations. Cross-cultural comparisons would also help to understand how sociocultural norms shape gender differences and coping strategies in different educational systems.</p>
</sec>
<sec id="s4_4">
<label>4.4</label>
<title>Recommendations</title>
<p>In light of the findings and their implications, a set of multi-level recommendations can be proposed to address Academic Evaluation Anxiety in Portuguese schools. First, schools should promote emotional education across the curriculum by integrating structured socio-emotional learning (SEL) programmes from early grades onward, with a particular emphasis on skills such as emotional regulation, self-awareness, stress management, and psychological flexibility [<xref ref-type="bibr" rid="ref-18">18</xref>,<xref ref-type="bibr" rid="ref-25">25</xref>]. Second, educational policies should reinforce Positive Youth Development (PYD) principles by explicitly promoting competence, confidence, connection, and character [<xref ref-type="bibr" rid="ref-29">29</xref>], and by encouraging participatory pedagogies that allow students to experience success beyond academic metrics. Third, teacher training should include professional development focused on recognising the emotional signs of anxiety and on equipping educators with strategies to reduce evaluative pressure while maintaining high expectations.</p>
<p>Furthermore, assessment practices should be reframed towards more diverse, formative, and growth-oriented approaches that promote learning without excessive performance anxiety. Relational safety and school climate should be enhanced through anti-bullying programmes, inclusive policies, and systematic monitoring that involves students in co-creating emotionally safe environments. Targeted support must be ensured for vulnerable groups&#x2014;particularly female students, older adolescents, and those reporting low resilience or confidence&#x2014;through accessible psychological services and validated screening tools such as the TA-AAQ-A [<xref ref-type="bibr" rid="ref-5">5</xref>].</p>
<p>At a broader level, family and community involvement is essential by educating parents and caregivers on the nature of Academic Evaluation Anxiety and promoting community engagement in school-based mental health initiatives. Policy alignment and accountability should also be strengthened, ensuring that national and regional educational strategies explicitly integrate mental health promotion, allocate dedicated funding for SEL, teacher training, and anti-bullying initiatives, and establish monitoring frameworks to evaluate their impact. Finally, the definition of student success should be broadened to include socio-emotional, creative, and collaborative competencies [<xref ref-type="bibr" rid="ref-29">29</xref>], moving beyond a narrow focus on academic achievement.</p>
<p>Together, these recommendations provide actionable pathways for fostering more balanced and emotionally supportive learning environments where all students can thrive both academically and psychologically.</p>
</sec>
</sec>
<sec id="s5">
<label>5</label>
<title>Conclusions</title>
<p>This study contributes to the growing body of research on adolescent mental health by highlighting the psychosocial dimensions of Academic Evaluation Anxiety in Portuguese schools. It identifies not only the emotional toll of academic pressure but also the personal and relational resources that buffer its impact.</p>
<p>From a scientific perspective, the study confirms international evidence that Academic Evaluation Anxiety is more prevalent among girls, and that resilience and confidence serve as protective factors&#x2014;thereby reinforcing the developmental relevance of socio-emotional competencies [<xref ref-type="bibr" rid="ref-26">26</xref>,<xref ref-type="bibr" rid="ref-29">29</xref>]. These findings validate the application of Positive Youth Development frameworks and emotional regulation theory within the school context [<xref ref-type="bibr" rid="ref-5">5</xref>,<xref ref-type="bibr" rid="ref-18">18</xref>].</p>
<p>Furthermore, the study draws attention to less intuitive findings&#x2014;such as the association of Academic Evaluation Anxiety with perceived cooperation and teacher relationships&#x2014;highlighting the need to critically reflect on how support systems are structured. Support that is contingent upon performance may inadvertently increase anxiety, particularly in achievement-focused environments [<xref ref-type="bibr" rid="ref-15">15</xref>].</p>
<p>At the ecological level, the predictive role of bullying and a negative school climate underscores the necessity of creating emotionally safe school environments, where belonging, respect, and psychological security are cultivated alongside academic goals [<xref ref-type="bibr" rid="ref-6">6</xref>,<xref ref-type="bibr" rid="ref-7">7</xref>].</p>
<p>Theoretically, these findings expand our understanding of Academic Evaluation Anxiety as not merely an internal experience, but as an interaction between individual characteristics, relational dynamics, and the broader school ecosystem. This perspective can inform more holistic educational policies that address both learning outcomes and student well-being.</p>
<p>In practical terms, the results support the development of national educational guidelines that integrate mental health promotion into the core curriculum. Policy actions could include embedding socio-emotional learning (SEL) in all school years, reforming assessment methods to reduce excessive performance pressure, and mandating anti-bullying and school climate improvement programmes. These measures align with current Portuguese educational reforms aimed at fostering inclusion, reducing school dropout, and promoting student well-being as a foundation for academic success.</p>
<p>Importantly, current international literature advocates for a shift away from viewing academic achievement as the sole indicator of student success, toward a more integrative perspective that values multiple competencies, including socio-emotional, creative, and collaborative skills [<xref ref-type="bibr" rid="ref-29">29</xref>]. This broader framework reinforces the need to align educational reforms with a holistic vision of student development, ensuring that academic environments nurture both learning outcomes and overall well-being.</p>
<p>In conclusion, addressing Academic Evaluation Anxiety requires coordinated action between policymakers, educators, families, and communities to create learning environments where students can thrive academically and psychologically.</p>
</sec>
</body>
<back>
<ack>
<p>The authors would like to thank the participating schools, teachers, and students for their collaboration in the National Study of the Observatory of Psychological Health and Well-Being. The authors are also grateful to the administrative and technical teams that supported data collection and management. During the preparation of this manuscript, the authors utilized ChatGPT (OpenAI, GPT-4o, June 2025 version) for language editing support, specifically to refine wording, improve clarity, and enhance readability. The authors have carefully reviewed and revised all AI-assisted outputs and accept full responsibility for the content of the article.</p>
</ack>
<sec>
<title>Funding Statement</title>
<p>The authors received no specific funding for this study.</p>
</sec>
<sec>
<title>Author Contributions</title>
<p>The authors confirm contribution to the paper as follows: study conception and design: Marta Reis, Margarida Gaspar de Matos; data collection: Nuno Neto Rodrigues; analysis and interpretation of results: Marta Reis, Catarina Noronha, Gina Tom&#x00E9;, Marina Carvalho; draft manuscript preparation: Marta Reis, Catarina Noronha, Gina Tom&#x00E9;. All authors reviewed the results and approved the final version of the manuscript.</p>
</sec>
<sec sec-type="data-availability">
<title>Availability of Data and Materials</title>
<p>The data that support the findings of this study are available from the corresponding author (Marta Reis), upon reasonable request. Due to ethical restrictions regarding confidentiality and anonymity of student responses, data are not publicly available.</p>
</sec>
<sec>
<title>Ethics Approval</title>
<p>This study involved human participants. Ethical approval was obtained from the Ethics Committee of the Faculdade de Medicina, Universidade de Lisboa, and from the National Data Protection Commission (CNPD). The research complied with the Declaration of Helsinki and national regulations for studies with minors. Informed consent was obtained from parents/guardians for students under 18, and directly from students aged 18 or older.</p>
</sec>
<sec sec-type="COI-statement">
<title>Conflicts of Interest</title>
<p>The authors declare no conflicts of interest to report regarding the present study.</p>
</sec>
<ref-list content-type="authoryear">
<title>References</title>
<ref id="ref-1"><label>[1]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Putwain</surname> <given-names>DW</given-names></string-name>, <string-name><surname>Symes</surname> <given-names>W</given-names></string-name></person-group>. <article-title>Teachers&#x2019; use of fear appeals in the Mathematics classroom: worrying or motivating students?</article-title> <source>Br J Educ Psychol</source>. <year>2011</year>;<volume>81</volume>(<issue>3</issue>):<fpage>456</fpage>&#x2013;<lpage>74</lpage>. doi:<pub-id pub-id-type="doi">10.1348/2044-8279.002005</pub-id>; <pub-id pub-id-type="pmid">21199486</pub-id></mixed-citation></ref>
<ref id="ref-2"><label>[2]</label><mixed-citation publication-type="other"><person-group person-group-type="author"><string-name><surname>Zeidner</surname> <given-names>M</given-names></string-name></person-group>. <article-title>Test anxiety: the state of the art. New York: plenum [Internet]. Glendale, CA, USA: Scientific Research Publishing</article-title>; <year>1998</year> <comment>[cited 2025 Jan 1]</comment>. Available from: <ext-link ext-link-type="uri" xlink:href="https://www.scirp.org/reference/referencespapers?referenceid=845527">https://www.scirp.org/reference/referencespapers?referenceid=845527</ext-link>.</mixed-citation></ref>
<ref id="ref-3"><label>[3]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>von der Embse</surname> <given-names>N</given-names></string-name>, <string-name><surname>Barterian</surname> <given-names>J</given-names></string-name>, <string-name><surname>Segool</surname> <given-names>N</given-names></string-name></person-group>. <article-title>Test anxiety interventions for children and adolescents: a systematic review of treatment studies from 2000&#x2013;2010</article-title>. <source>Psychol Sch</source>. <year>2013</year>;<volume>50</volume>(<issue>1</issue>):<fpage>57</fpage>&#x2013;<lpage>71</lpage>. doi:<pub-id pub-id-type="doi">10.1002/pits.21660</pub-id>.</mixed-citation></ref>
<ref id="ref-4"><label>[4]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ver&#x00ED;ssimo</surname> <given-names>L</given-names></string-name>, <string-name><surname>Dias</surname> <given-names>P</given-names></string-name>, <string-name><surname>Santos</surname> <given-names>D</given-names></string-name>, <string-name><surname>Carneiro</surname> <given-names>A</given-names></string-name></person-group>. <article-title>Low academic achievement as a predictor of test anxiety in secondary school students</article-title>. <source>Neuropsychiatrie de l&#x2019;Enfance et de l&#x2019;Adolescence</source>. <year>2022</year>;<volume>70</volume>(<issue>5</issue>):<fpage>270</fpage>&#x2013;<lpage>6</lpage>. doi:<pub-id pub-id-type="doi">10.1016/j.neurenf.2021.12.002</pub-id>.</mixed-citation></ref>
<ref id="ref-5"><label>[5]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pires</surname> <given-names>CP</given-names></string-name>, <string-name><surname>Putwain</surname> <given-names>DW</given-names></string-name>, <string-name><surname>Hofmann</surname> <given-names>SG</given-names></string-name>, <string-name><surname>Martins</surname> <given-names>DS</given-names></string-name>, <string-name><surname>MacKenzie</surname> <given-names>MB</given-names></string-name>, <string-name><surname>Kocovski</surname> <given-names>NL</given-names></string-name>, <etal>et al</etal></person-group>. <article-title>Assessing psychological flexibility in test situations: the test anxiety acceptance and action questionnaire for adolescents</article-title>. <source>Rev De Psicopatol Y Psicol Cl&#x00ED;nica</source>. <year>2020</year>;<volume>25</volume>(<issue>3</issue>):<fpage>147</fpage>. doi:<pub-id pub-id-type="doi">10.5944/rppc.29014</pub-id>.</mixed-citation></ref>
<ref id="ref-6"><label>[6]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Camacho</surname> <given-names>A</given-names></string-name>, <string-name><surname>Correia</surname> <given-names>N</given-names></string-name>, <string-name><surname>Zaccoletti</surname> <given-names>S</given-names></string-name>, <string-name><surname>Daniel</surname> <given-names>JR</given-names></string-name></person-group>. <article-title>Anxiety and social support as predictors of student academic motivation during the COVID-19</article-title>. <source>Front Psychol</source>. <year>2021</year>;<volume>12</volume>:<fpage>644338</fpage>. doi:<pub-id pub-id-type="doi">10.3389/fpsyg.2021.644338</pub-id>; <pub-id pub-id-type="pmid">34108910</pub-id></mixed-citation></ref>
<ref id="ref-7"><label>[7]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pontes</surname> <given-names>A</given-names></string-name>, <string-name><surname>Coelho</surname> <given-names>V</given-names></string-name>, <string-name><surname>Peixoto</surname> <given-names>C</given-names></string-name>, <string-name><surname>Meira</surname> <given-names>L</given-names></string-name>, <string-name><surname>Azevedo</surname> <given-names>H</given-names></string-name></person-group>. <article-title>Academic stress and anxiety among Portuguese students: the role of perceived social support and self-management</article-title>. <source>Educ Sci</source>. <year>2024</year>;<volume>14</volume>(<issue>2</issue>):<fpage>119</fpage>. doi:<pub-id pub-id-type="doi">10.3390/educsci14020119</pub-id>.</mixed-citation></ref>
<ref id="ref-8"><label>[8]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Arens</surname> <given-names>AK</given-names></string-name>, <string-name><surname>Morin</surname> <given-names>AJS</given-names></string-name>, <string-name><surname>Watermann</surname> <given-names>R</given-names></string-name></person-group>. <article-title>Relations between classroom disciplinary problems and student motivation: achievement as a potential mediator?</article-title> <source>Learn Instr</source>. <year>2015</year>;<volume>39</volume>:<fpage>184</fpage>&#x2013;<lpage>93</lpage>. doi:<pub-id pub-id-type="doi">10.1016/j.learninstruc.2015.07.001</pub-id>.</mixed-citation></ref>
<ref id="ref-9"><label>[9]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Costa</surname> <given-names>A</given-names></string-name>, <string-name><surname>Moreira</surname> <given-names>D</given-names></string-name>, <string-name><surname>Casanova</surname> <given-names>J</given-names></string-name>, <string-name><surname>Azevedo</surname> <given-names>&#x00C2;</given-names></string-name>, <string-name><surname>Gon&#x00E7;alves</surname> <given-names>A</given-names></string-name>, <string-name><surname>Oliveira</surname> <given-names>&#x00CD;</given-names></string-name>, <etal>et al</etal></person-group>. <article-title>Determinants of academic achievement from the middle to secondary school education: a systematic review</article-title>. <source>Soc Psychol Educ</source>. <year>2024</year>;<volume>27</volume>(<issue>6</issue>):<fpage>3533</fpage>&#x2013;<lpage>72</lpage>. doi:<pub-id pub-id-type="doi">10.1007/s11218-024-09941-z</pub-id>.</mixed-citation></ref>
<ref id="ref-10"><label>[10]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Segool</surname> <given-names>NK</given-names></string-name>, <string-name><surname>Carlson</surname> <given-names>JS</given-names></string-name>, <string-name><surname>Goforth</surname> <given-names>AN</given-names></string-name>, <string-name><surname>von der Embse</surname> <given-names>N</given-names></string-name>, <string-name><surname>Barterian</surname> <given-names>JA</given-names></string-name></person-group>. <article-title>Heightened test anxiety among young children: elementary school students&#x2019; anxious responses to high-stakes testing</article-title>. <source>Psychol Sch</source>. <year>2013</year>;<volume>50</volume>(<issue>5</issue>):<fpage>489</fpage>&#x2013;<lpage>99</lpage>. doi:<pub-id pub-id-type="doi">10.1002/pits.21689</pub-id>.</mixed-citation></ref>
<ref id="ref-11"><label>[11]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Owens</surname> <given-names>M</given-names></string-name>, <string-name><surname>Stevenson</surname> <given-names>J</given-names></string-name>, <string-name><surname>Hadwin</surname> <given-names>JA</given-names></string-name>, <string-name><surname>Norgate</surname> <given-names>R</given-names></string-name></person-group>. <article-title>Anxiety and depression in academic performance: an exploration of the mediating factors of worry and working memory</article-title>. <source>Sch Psychol Int</source>. <year>2012</year>;<volume>33</volume>(<issue>4</issue>):<fpage>433</fpage>&#x2013;<lpage>49</lpage>. doi:<pub-id pub-id-type="doi">10.1177/0143034311427433</pub-id>.</mixed-citation></ref>
<ref id="ref-12"><label>[12]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Torrano</surname> <given-names>R</given-names></string-name>, <string-name><surname>Ortigosa</surname> <given-names>JM</given-names></string-name>, <string-name><surname>Riquelme</surname> <given-names>A</given-names></string-name>, <string-name><surname>M&#x00E9;ndez</surname> <given-names>FJ</given-names></string-name>, <string-name><surname>L&#x00F3;pez-Pina</surname> <given-names>JA</given-names></string-name></person-group>. <article-title>Test anxiety in adolescent students: different responses according to the components of anxiety as a function of sociodemographic and academic variables</article-title>. <source>Front Psychol</source>. <year>2020</year>;<volume>11</volume>:<fpage>612270</fpage>. doi:<pub-id pub-id-type="doi">10.3389/fpsyg.2020.612270</pub-id>; <pub-id pub-id-type="pmid">33384650</pub-id></mixed-citation></ref>
<ref id="ref-13"><label>[13]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Van Mier</surname> <given-names>HI</given-names></string-name>, <string-name><surname>Schleepen</surname> <given-names>TMJ</given-names></string-name>, <string-name><surname>Van den Berg</surname> <given-names>FCG</given-names></string-name></person-group>. <article-title>Gender differences regarding the impact of math anxiety on arithmetic performance in second and fourth graders</article-title>. <source>Front Psychol</source>. <year>2018</year>;<volume>9</volume>:<fpage>2690</fpage>. doi:<pub-id pub-id-type="doi">10.3389/fpsyg.2018.02690</pub-id>; <pub-id pub-id-type="pmid">30713516</pub-id></mixed-citation></ref>
<ref id="ref-14"><label>[14]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Stroud</surname> <given-names>LR</given-names></string-name>, <string-name><surname>Salovey</surname> <given-names>P</given-names></string-name>, <string-name><surname>Epel</surname> <given-names>ES</given-names></string-name></person-group>. <article-title>Sex differences in stress responses: social rejection versus achievement stress</article-title>. <source>Biol Psychiatry</source>. <year>2002</year>;<volume>52</volume>(<issue>4</issue>):<fpage>318</fpage>&#x2013;<lpage>27</lpage>. doi:<pub-id pub-id-type="doi">10.1016/s0006-3223(02)01333-1</pub-id>; <pub-id pub-id-type="pmid">12208639</pub-id></mixed-citation></ref>
<ref id="ref-15"><label>[15]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Putwain</surname> <given-names>DW</given-names></string-name>, <string-name><surname>Daly</surname> <given-names>AL</given-names></string-name></person-group>. <article-title>Do clusters of test anxiety and academic buoyancy differentially predict academic performance?</article-title> <source>Learn Individ Differ</source>. <year>2013</year>;<volume>27</volume>(<issue>2</issue>):<fpage>157</fpage>&#x2013;<lpage>62</lpage>. doi:<pub-id pub-id-type="doi">10.1016/j.lindif.2013.07.010</pub-id>.</mixed-citation></ref>
<ref id="ref-16"><label>[16]</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Acquah</surname> <given-names>E</given-names></string-name>, <string-name><surname>Ainscow</surname> <given-names>M</given-names></string-name>, <string-name><surname>Cerna</surname> <given-names>L</given-names></string-name>, <string-name><surname>Rutigliano</surname> <given-names>A</given-names></string-name></person-group>. <source>Review of inclusive education in Portugal: reviews of national policies for education</source>. <publisher-loc>Paris, France</publisher-loc>: <publisher-name>OECD</publisher-name>; <year>2022</year>. doi:<pub-id pub-id-type="doi">10.1787/a9c95902-en</pub-id>.</mixed-citation></ref>
<ref id="ref-17"><label>[17]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Steinberg</surname> <given-names>L</given-names></string-name></person-group>. <article-title>Cognitive and affective development in adolescence</article-title>. <source>Trends Cogn Sci</source>. <year>2005</year>;<volume>9</volume>(<issue>2</issue>):<fpage>69</fpage>&#x2013;<lpage>74</lpage>. doi:<pub-id pub-id-type="doi">10.1016/j.tics.2004.12.005</pub-id>; <pub-id pub-id-type="pmid">15668099</pub-id></mixed-citation></ref>
<ref id="ref-18"><label>[18]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Carvalho</surname> <given-names>M</given-names></string-name>, <string-name><surname>Branquinho</surname> <given-names>C</given-names></string-name>, <string-name><surname>Moraes</surname> <given-names>B</given-names></string-name>, <string-name><surname>Cerqueira</surname> <given-names>A</given-names></string-name>, <string-name><surname>Tom&#x00E9;</surname> <given-names>G</given-names></string-name>, <string-name><surname>Noronha</surname> <given-names>C</given-names></string-name>, <etal>et al</etal></person-group>. <article-title>Positive youth development, mental stress and life satisfaction in middle school and high school students in Portugal: outcomes on stress, anxiety and depression</article-title>. <source>Children</source>. <year>2024</year>;<volume>11</volume>(<issue>6</issue>):<fpage>681</fpage>. doi:<pub-id pub-id-type="doi">10.3390/children11060681.doi:</pub-id>.</mixed-citation></ref>
<ref id="ref-19"><label>[19]</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Gonzaga</surname> <given-names>LRV</given-names></string-name>, <string-name><surname>Ramos</surname> <given-names>FP</given-names></string-name>, <string-name><surname>de Lara Machado</surname> <given-names>W</given-names></string-name>, <string-name><surname>Cordeiro</surname> <given-names>CR</given-names></string-name>, <string-name><surname>Enumo</surname> <given-names>SRF</given-names></string-name></person-group>. <chapter-title>Coping with test anxiety and academic performance in high school and university: two studies in Brazil</chapter-title>. In: <source>Handbook of stress and academic anxiety</source>. <publisher-loc>Cham, Switzerland</publisher-loc>: <publisher-name>Springer International Publishing</publisher-name>; <year>2022</year>. p. <fpage>93</fpage>&#x2013;<lpage>113</lpage>. doi:<pub-id pub-id-type="doi">10.1007/978-3-031-12737-3_7</pub-id>.</mixed-citation></ref>
<ref id="ref-20"><label>[20]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Everson</surname> <given-names>HT</given-names></string-name>, <string-name><surname>Millsap</surname> <given-names>RE</given-names></string-name>, <string-name><surname>Rodriguez</surname> <given-names>CM</given-names></string-name></person-group>. <article-title>Isolating gender differences in test anxiety: a confirmatory factor analysis of the test anxiety inventory</article-title>. <source>Educ Psychol Meas</source>. <year>1991</year>;<volume>51</volume>(<issue>1</issue>):<fpage>243</fpage>&#x2013;<lpage>51</lpage>. doi:<pub-id pub-id-type="doi">10.1177/0013164491511024</pub-id>.</mixed-citation></ref>
<ref id="ref-21"><label>[21]</label><mixed-citation publication-type="book"><person-group person-group-type="author"><string-name><surname>Spielberger</surname> <given-names>CD</given-names></string-name>, <string-name><surname>Vagg</surname> <given-names>PR</given-names></string-name></person-group>. <source>Test anxiety: theory, assessment, and treatment</source>. <publisher-loc>Washington, DC, USA</publisher-loc>: <publisher-name>Taylor &#x0026; Francis</publisher-name>; <year>1995</year>.</mixed-citation></ref>
<ref id="ref-22"><label>[22]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Cassady</surname> <given-names>JC</given-names></string-name>, <string-name><surname>Johnson</surname> <given-names>RE</given-names></string-name></person-group>. <article-title>Cognitive test anxiety and academic performance</article-title>. <source>Contemp Educ Psychol</source>. <year>2002</year>;<volume>27</volume>(<issue>2</issue>):<fpage>270</fpage>&#x2013;<lpage>95</lpage>. doi:<pub-id pub-id-type="doi">10.1006/ceps.2001.1094</pub-id>.</mixed-citation></ref>
<ref id="ref-23"><label>[23]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Pipa</surname> <given-names>J</given-names></string-name>, <string-name><surname>Peixoto</surname> <given-names>F</given-names></string-name></person-group>. <article-title>One step back or one step forward? Effects of grade retention and school retention composition on Portuguese students&#x2019; psychosocial outcomes using PISA 2018 data</article-title>. <source>Sustainability</source>. <year>2022</year>;<volume>14</volume>(<issue>24</issue>):<fpage>16573</fpage>. doi:<pub-id pub-id-type="doi">10.3390/su142416573</pub-id>.</mixed-citation></ref>
<ref id="ref-24"><label>[24]</label><mixed-citation publication-type="other"><person-group person-group-type="author"><string-name><surname>Matos</surname> <given-names>MG</given-names></string-name>, <string-name><surname>Branquinho</surname> <given-names>C</given-names></string-name>, <string-name><surname>Moraes</surname> <given-names>B</given-names></string-name>, <string-name><surname>Domingos</surname> <given-names>L</given-names></string-name>, <string-name><surname>Noronha</surname> <given-names>C</given-names></string-name>, <string-name><surname>Raimundo</surname> <given-names>M</given-names></string-name>, <etal>et al.</etal></person-group> <article-title>Sa&#x00FA;de psicol&#x00F3;gica e bem-estar 2024 [Internet]. Bormla, Malta: FlippingBook</article-title>. <comment>[cited 2025 Jan 1]</comment>. Available from: <ext-link ext-link-type="uri" xlink:href="https://info.dgeec.medu.pt/saude-psicologica-e-bem-estar-2024/">https://info.dgeec.medu.pt/saude-psicologica-e-bem-estar-2024/</ext-link>. (In Portugal).</mixed-citation></ref>
<ref id="ref-25"><label>[25]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Gross</surname> <given-names>JJ</given-names></string-name></person-group>. <article-title>Emotion regulation: current status and future prospects</article-title>. <source>Psychol Inq</source>. <year>2015</year>;<volume>26</volume>(<issue>1</issue>):<fpage>1</fpage>&#x2013;<lpage>26</lpage>. doi:<pub-id pub-id-type="doi">10.1080/1047840X.2014.940781</pub-id>.</mixed-citation></ref>
<ref id="ref-26"><label>[26]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Silvia</surname> <given-names>PJ</given-names></string-name>, <string-name><surname>Beaty</surname> <given-names>RE</given-names></string-name>, <string-name><surname>Nusbaum</surname> <given-names>EC</given-names></string-name>, <string-name><surname>Eddington</surname> <given-names>KM</given-names></string-name>, <string-name><surname>Levin-Aspenson</surname> <given-names>H</given-names></string-name>, <string-name><surname>Kwapil</surname> <given-names>TR</given-names></string-name></person-group>. <article-title>Everyday creativity in daily life: an experience-sampling study of &#x201C;little c&#x201D; creativity</article-title>. <source>Psychol Aesthet Creat Arts</source>. <year>2014</year>;<volume>8</volume>(<issue>2</issue>):<fpage>183</fpage>&#x2013;<lpage>8</lpage>. doi:<pub-id pub-id-type="doi">10.1037/a0035722</pub-id>.</mixed-citation></ref>
<ref id="ref-27"><label>[27]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Zenasni</surname> <given-names>F</given-names></string-name>, <string-name><surname>Besan&#x00E7;on</surname> <given-names>M</given-names></string-name>, <string-name><surname>Lubart</surname> <given-names>T</given-names></string-name></person-group>. <article-title>Creativity and tolerance of ambiguity: an empirical study</article-title>. <source>J Creat Behav</source>. <year>2008</year>;<volume>42</volume>(<issue>1</issue>):<fpage>61</fpage>&#x2013;<lpage>73</lpage>. doi:<pub-id pub-id-type="doi">10.1002/j.2162-6057.2008.tb01080.x</pub-id>.</mixed-citation></ref>
<ref id="ref-28"><label>[28]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Lerner</surname> <given-names>RM</given-names></string-name>, <string-name><surname>Almerigi</surname> <given-names>JB</given-names></string-name>, <string-name><surname>Theokas</surname> <given-names>C</given-names></string-name>, <string-name><surname>Lerner</surname> <given-names>JV</given-names></string-name></person-group>. <article-title>Positive youth development a view of the issues</article-title>. <source>J Early Adolesc</source>. <year>2005</year>;<volume>25</volume>(<issue>1</issue>):<fpage>10</fpage>&#x2013;<lpage>6</lpage>. doi:<pub-id pub-id-type="doi">10.1177/0272431604273211</pub-id>.</mixed-citation></ref>
<ref id="ref-29"><label>[29]</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><string-name><surname>Ma&#x0161;kov&#x00E1;</surname> <given-names>I</given-names></string-name>, <string-name><surname>Ku&#x010D;era</surname> <given-names>D</given-names></string-name>, <string-name><surname>Nohavov&#x00E1;</surname> <given-names>A</given-names></string-name></person-group>. <article-title>Who is really an excellent university student and how to identify them? A development of a comprehensive framework of excellence in higher education</article-title>. <source>Eur J Psychol Educ</source>. <year>2024</year>;<volume>39</volume>(<issue>4</issue>):<fpage>4329</fpage>&#x2013;<lpage>63</lpage>. doi:<pub-id pub-id-type="doi">10.1007/s10212-024-00865-y</pub-id>.</mixed-citation></ref>
</ref-list>
</back></article>