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Research Article | DOI: https://doi.org/10.31579/2637-8892/323
Department of Psychology, Faculty of Social Sciences, University of Ilorin, PMB 1515 Ilorin, kwara State, Nigeria.
*Corresponding Author: Emmanuel Bamikole Agesin PhD, Department of Psychology, Faculty of Social Sciences, University of Ilorin, PMB 1515 Ilorin, kwara State, Nigeria.
Citation: Emmanuel B. Agesin, Benjamin A. Olabimitan, (2025), Test Anxiety and Academic Stress as Predictors of Depression among Undergraduate Students of University of Ilorin, Psychology and Mental Health Care, 9(3): DOI:10.31579/2637-8892/323
Copyright: © 2025, Emmanuel Bamikole Agesin. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 18 February 2025 | Accepted: 27 February 2025 | Published: 05 March 2025
Keywords: depression; test anxiety; academic stress and university undergraduates
Depression is one of the leading causes of mental health-related challenges globally wish affect well over 300 million people worldwide (Patel et al., 2016). Incidentally, depression has been reported to be highly prevalent among students and despite current intervention measures, depression continues to persist at substantially high levels in this population. However, several factors have been associated with depression prevalence rates among students, but very little has been done about the relationship between test anxiety academic stress and depression among university undergraduates. It is to this end that this study aimed to study test anxiety and academic stress as predictors of depression among undergraduates of University of Ilorin, Kwara State. The study adopted cross sectional survey method. Using purposive sampling technique; 390 undergraduates were selected across the eight faculties in University of Ilorin. The sample comprised of 176 males and 214 females aged between 17-44years (Mean =21.58; SD =2.99). The participants responded to measures on test anxiety, academic stress factors. Three hypotheses were formulated and tested with Multiple Regression and ANOVA. The findings showed that test anxiety and academic stress had significant joint prediction on depression among university undergraduates [F (2,388) = 95.61, p< .01]. Also, there was a significant positive prediction of test anxiety on depression among university undergraduates (β= .50, p< .01). Similarly, academic stress had a significant prediction on depression (β= .16, p< .01). In conclusion, test anxiety and academic stress were found to independently and jointly predict the level of depression among undergraduates. The study therefore recommends that tertiary institutions especially University of Ilorin should consider implementing stress management programmes that provide students with effective coping mechanism and techniques in managing academic stress and test anxiety.
Depression is one of the leading causes of mental health-related challenges globally wish affect well over 300 million people worldwide (Patel et al., 2016). The figure of incident cases of depression was reported to have increased by 49.86% from 1990 to 017, from 172 million to 258 million (Liu et al, 2021). Mackenzie et al. (2011) defined depression as a state of intense sadness or despair that has progressed to a level that negatively affects an individual’s social functioning and the basic activities of daily living. Depression has become a serious mental disease that affects both young and old people in the society. It is usually characterised by persistently depressed mood and entertained negative thoughts, and this makes the depressed perceive life issues negatively. This negative perception to life issues, further complicates the treatment of depression. According to the world Health Organization (WHO, 2009), those experiencing depression may often lose interest in daily activities, suffer from low self-esteem, recognize a loss of energy, and experience difficulty with sleep patterns have feelings of helplessness and hopelessness, The review of extant literatures shows high rates of depression among university students that have been reported in many parts of the world. Despite different intervention measures, increase in the incidence of depression continues uncontrollably among this population. There are several important issues that are relevant to depression prevalence rates among university students (Hames, Hagan & Joiner, 2013). Such issues are students’ transition from high school to university, environmental changes, academic and peer pressure, adjustment to the new school environment being an entirely new interpersonal environment are some of the challenges that the University student must face before process of identity development takes place. Traversing the process of identity development can lead to self-doubt, Low social functioning, social withdrawal, loneliness, lowered self-esteem, and even depression (Hames et al., 2013). Furr, Wastefeld, McConnell & Jenkins, (2001) attributed academic problems, loneliness, economic problems, and relationship difficulties as four common reasons for depression among university students. Similarly, depression among students is correlated with impaired social functioning, substance abuse, and school difficulties (Wells, Kataoka & Asarnow, 2001).
Finding risk factors that play a central role as predictors of depression is critical for the understanding and development of prevention programsfor the adolescents.
A gap in knowledge exists in the reviewed studies on test anxiety and academic stress on depression. This became evident in that the reviewed studies did not explicitly examine the predictive roles of these factors among university undergraduates in Nigeria. Though, past studies have shown a connection between these factors and depression among adolescents, there is need to further examine the level at which test anxiety and academic stress predicts depression, particularly among university undergraduates. This study therefore, intends to focus on independent and joint predictions of test anxiety and academic stress on depression among university undergraduates in university of Ilorin, Nigeria. This gap in knowledge is what this present study aims to fill.
Test Anxiety and Depression
Test Anxiety is considered one of the important factors that influence the tests outcomes; as it raises the anxiety degree of the students, most especially new university students and thus requires psychological explanation. (Balogun, Balogun & Onyencho 2017). In its simplest form, a test is any measurement that yields quantitative data and anxiety can be defined generally as a feeling of apprehension about the future without a specific cause for such fear. Test has become an indispensable tool which could be used to measure the cognitive, emotional and affective domains of students. Literarily, test can be in form of aptitude, intelligence, psychological, achievement, speed, power test depending on the purpose for its usage. Test scores are fast becoming more important than ever in evaluating applicants for demanding jobs as well as job placement and candidates for admission into highly competitive educational programs. There are many situations relating to general examinations such as final examinations at the end of each academic semester, manifestations of interests as to the examinations and results thereof refer to anxiety, which some families suffer during such period of Time (Hill &Wigfield.1984). Test Anxiety as a serious mental health issue has become disturbing in our schools and is traceable to the constant usage of test as a means of evaluating the competency level of students. Test Anxiety negatively affects students; more so if the anxiety is dealt with in an unhealthy manner and extends over a long period of time. Hill &Wigfield (1984) approximated that 10 millionstudents having Test Anxiety experienced poor test performance. Therefore, Test Anxiety problem is one of the most important and complicated psychological problems that faces the students globally. Alum, Ababa & Afosi (2020) examined the occurrence of depression, anxiety and stress and associated socio demographic factors among undergraduate pharmacy students in Nigeria. The study was an online-based cross. A total of 408 students out of approximately 3,068 students responded to the survey (response rate: 13.32%). The prevalence of depression, anxiety and stress was 44.6%, 63.5%, and 35%, respectively. Depression was found to be strongly correlated with stress (r=0.739, p<0 r=0.715, p=0.002 r=0.632) xss=removed xss=removed xss=removed r =0.837> Moreover, Balogun, Balogun & Onyencho (2017) investigated the moderating role of achievement motivation in the relationship between test anxiety and academic performance. Their results showed that test anxiety had a negative impact on academic performance (β = –.23; p < .05). Achievement motivation had a positive impact on academic performance (β = .38; p < .05). Also, achievement motivation significantly moderated the relationship between test anxiety and academic performance (β = .10; p < .01).
Academic Stress and Depression
Apart from test anxiety, another risk factor that may have predictive influence on depression among university undergraduates is academic stress. Academic stress has to do with stress that result from both academic and non-academic factors. It has the ability of triggering depression and suicidal ideations and if not attended to may lead to actual suicide (Uyanne, 2021). Also, Kamble & Minchekar (2018) investigated academic stress and depression among college students. The result of their study revealed significant positive relationship between academic stress and depression, suggesting that higher levels of stress are associated with increased likelihood of experiencing depression. In a related development, Bekova, Dementeva & Smirnov (2020) used data on 4,182 students from a selective university to identify the main factors associated with symptoms of depression among this cohort. Besides socio-demographic characteristics that are largely out of the university's control, specific attention was paid to the role of students’ satisfaction with various aspects of their university life. While controlling for potential confounders, satisfaction was found to be negatively associated with depression. Mankinde, Adegbite, Oyedokun,Aina, & Christopher (2020) reported that there was a positive significant relationship between depression and peer pressure among adolescents implying that peer pressure contributed to the development of depression in adolescents. Their study equally validated that low self-esteem and Peer pressure positively influence depressionin that, both peer pressure and low self-esteem contribute to the development of depression in adolescents.
.Mishra (2018) reported that academic stress is a function of excessive school workload and homework, impacting students’ anxiety levels. This in turn may make a student not to be actively involved or engaged in other academic related activities. The excessive demand that results from the academic work load causes significant stress for students which may put them at risk of having thoughts about suicide. For example, Nwonyi (2020) in his study on academic stress and suicidal ideation in a sample of 482 students found that suicidal ideation and academic stress are statistically related. Such that an increased level of stress was related to an increased level of suicidal ideation. Similarly, in a sample of adolescents in Lagos state Nigeria, Okechukwu et al. (2022) investigated the moderating roles of coping and resilience in the relationship between academic stress and suicidal ideation and reported that thoughts about committing suicide increased with academic stress.
Hypotheses
Based on the literature reviewed the following hypotheses were tested.
1. Test Anxiety will significantly predict level of depression undergraduates of University of Ilorin
2. Stress will significantly predict the level of depression undergraduates of University of Ilorin
3. Test Anxiety and stress will independently and jointly predict the level of depression undergraduates of University of Ilorin.
Conceptual Framework of the Study
Figure 1: Hypothesized Relationships of Test Anxiety and Stress with Depression among undergraduates of University of Ilorin.
Research Design
A cross sectional design was adopted in the study. The design was appropriate because the participants were selected across faculties, departments and academic levels in the University. The dependent variable was depression while the independent variables were stress anxiety and stress.
Research Settings
This study was be conducted among undergraduates of University of Ilorin. The location was purposively selected because of convenience and in order to have control on the environmental factors. The population of the study comprised undergraduates of University of Ilorin. In selecting the participants, a purposive sampling technique was used. Purposive sampling technique was used to select the undergraduates of University of Ilorin for the study. Participation in the study involved undergraduates who were on campus, available and willing to participate in the study.
Participants
A total of 390 undergraduate students were be selected for this study. They were selected from the faculties and departments in the university. They were described in terms of age, gender, academic level. The study adopted cross sectional survey method. Using purposive sampling technique; 390 undergraduates were selected across the eight faculties in university of Ilorin. The sample comprised of 176 males and 214 females aged between 17-44years (Mean =21.58; SD =2.99).
Inclusion Criteria
1. The individual must be an undergraduate of University of Ilorin
2. He or she must be on campus, available and willing to participate in the study.
Exclusion Criteria
1. All postgraduate students, pre-degree students, remedial, and diploma students were excluded from the study.
2. Undergraduates who were sick and unable to actively participate in the study were excluded from the Study.
Instruments
Three validated instruments were used for data collection.
Test Anxiety Inventory
Test Anxiety Questionnaire for ESO and Bachillerato – Adapted (CAEX-A) by Valero (1999) was used. The first part consists of 37 items that evaluate the intensity of the TA responses with a 5-point Likert type scale (0 = not at all, 1 = a little, 2 = a moderate amount, 3 = a lot, and 4 = very much) and the second of 11 items on TA caused by different test modalities evaluated with the same scale, to which the option “I have not done it” was added in case the student had never taken that type of test. The first part of the TA questionnaire is based on Lang’s three-dimensional theory of anxiety and comprises three factors: (1) physiological responses (20 items, range 0–80) (e.g., in the test, my hands sweat. When I’m taking the test my heart beats very fast); (2) cognitive responses (14 items, range 0–56) (e.g., I think I’m going to get nervous and forget everything); and 3) motor responses (3 items, range 0–12) (e.g., I get sick and make excuses for not taking the test). The total score is obtained by adding up the scores of the items of the three factors (range 0–148). The internal consistency, Cronbach’s α, is high except in the behavioral dimension: CAEX-A (α = 0.94), physiological responses (α = 0.90), cognitive responses (α = 0.90), behavioral responses (α = 0.50). In addition, the value of omega exceeds 0.85 in all scores. Also the test-retest reliability shows high values in the correlations, which points to the temporal stability of the instrument: rxy = 0.87 for the physiological response; rxy = 0.81 for the cognitive response, rxy = 0.52 for the motor avoidance response, and rxy = 0.66 for the total score. The percentage of variance explained by each factor is as follows: 41.33 for the physiological, 4.85 for the cognitive, and 6.84 for the behavioral. Finally, the convergent validity of the instrument with the State-Trait Anxiety Inventory for Children (STAI-C; Spielberger, 1973; Spielberger et al., 1990). In the present study, the Cronbach Alpha of .80 was reported
Academic stress Scale.
The academic stress experienced by the students was measured using Academic Stress scale (ASS). The scale was designed and standardized by Kohn & Frazer (1986). It was developed to measure the students’ stress academically. The scale consists of 35 items with five (5) dimensions; Personal Inadequacy (8 items), Fear of Failure (8 items), Interpersonal difficulties with teachers (8 items), Teacher-pupil relationship/Teaching methods (8 items), Inadequate study facilities (8 items) towards Academic stress. The instrument was rated on 5-point Likert scale (1= No Stress 2= Slight Stress 3= Moderate Stress 4= High Stress 5= Extreme stress). Sample items include: “Teachers make too many extra demands on students” and “Worrying about the examinations”. Kim (1970) reported a Coefficient Alpha of .82. With the current sample, a Crombach Alpha of obtained .73 was obtained. High score indicate higher level of academic stress and vice versa.
Depression Scale (PHQ)
Patient Health Questionnaire 9-item scale (Kroenke, Spitzer, & Williams, 2001). The PHQ-9 consists of nine items enquiring about the presence and severity of depression symptoms over the past two weeks. The items consist of the DSM-5 criteria for a depressive episode. The scale is scored on a four-point frequency Likert type scale, ranging from 0 (“not at all”) to 3 (“nearly every day”). Previous studies have found the PHQ-9 to have good psychometric properties. In the original study, Kroenke et al. (2001) found Cronbach’s alphas of .86 and .89. It was also foundto be reliable among Nigerianstudents, with a Cronbach’s alpha of .85 and test-retest reliability of .89. High score indicates high depression and low score indicates low depression. In the present study, Depression has the Cronbach Alpha of .75
Procedure
Questionnaire were administered to the participants, after they were informed about the study. They were told that no physical or psychological harm associated with their participation in the study. They were also informed that participation in the study is purely voluntary.
Ethical Consideration
Permission to conduct the study was obtained from all relevant authorities. The participants were provided enough information on the purpose, procedure and duration of study that made them participate in the study. Confidentiality of responses were guaranteed.
Data Analysis
Pearson product moment correlation (PPMC) analysis was used to ascertain the type of relationships that exists among the study variables. The three hypotheses were tested with 2-step hierarchical multiple regression analysis. The socio-demographic variables were analysed using descriptive statistics such as frequency counts, mean, standard deviation and percentages.
Test of Relationships among the Study Variables
The mean and standard deviation scores as well as the type of relationships among the study variables are presented in Table 1.1.
| Variables | 1 | 2 | 3 | 4 | 5 |
|---|---|---|---|---|---|
| 1. Age | 1 | ||||
| 2. Gender | -.167** | 1 | |||
| 3. Test Anxiety | .203** | .004 | 1 | ||
| 4. Academi Stress | .156** | .016 | .387** | 1 | |
| 5. Depression | .084 | .026 | .556** | .349** | 1 |
| Mean | 21.58 | - | 73.03 | 28.41 | 7.21 |
| SD | 3.00 | - | 24.58 | 7.85 | 6.17 |
Note: ** p < 0 xss=removed Christianity=1, Islamic=2; others=3;>
Table 1.1: Summary of Correlation Matrix Showing the Relationships among the Study Variables
The results in table 4.1 indicated that test anxiety significantly predicted depression among undergraduates. This implies that when test anxiety increases, depression also increases among undergraduates [r (391) = .556, p<.01]. Similarly, Academic stress had a significant prediction on depression among undergraduates. This shows that Academic stress is a determinant of depression among undergraduates [r (391) = .349, p < 0 xss=removed> 0.05] and gender [r (391) = .026,
p > 0.05] had no significant predictions on depression among undergraduates.
Test of Hypotheses
In order to test hypotheses 1 to 3, a multiple regression analysis was performed to test how test anxiety and stress are connected with depression among undergraduates. In the analysis, test anxiety and stress were entered into the regression model. The results are presented in table 1.2.
| Predictors | β | t | R | R2 | df | F |
| .58 | .33 | 2,388
| 95.61** | |||
| Test Anxiety | .50 | 10.98** | ||||
| Academic Stress | .16 | 3.51** |
** p< 0 xss=removed>
Table 1.2: Summary of Multiple Regression on the Prediction of Test Anxiety and Academic Stress on Depression among Undergraduate Students of University of Ilorin.
The results of the multiple regression analysis shown that test anxiety significantly predicted depression among Undergraduate Students in University of Ilorin. (β= .50, t=10.98, p < 0 xss=removed R=.58, xss=removed F=95.61,>
Discussion
This study examined test anxiety and Academic stress as predictors of depression among undergraduates of University of Ilorin.
Hypothesis one which stated that test anxiety will significantly predict level of depression among undergraduates of University of Ilorin was confirmed. This implies that test anxiety is a strong determinant of depression. The result is consistent with the previous studies of Bashir, Albadawy & Cumber (2019) who investigated the prevalence of exam anxiety and depression severity among student setting for Sudan national boarding examination and found that exam anxiety and depression are highly correlated among students preparing for the Sudan national boarding examination. It highlights that a considerable number of students experience high levels of exam anxiety and depression, particularly in their third year of boarding exams. The result equally reinforces the findings of Alum, Ababa & Afosi (2020) who examined the occurrence of depression, anxiety and stress and associated socio demographic factors among undergraduate pharmacy students in Nigeria. The study was an online-based cross where total of 408 students out of approximately 3,068 students responded to the survey (response rate: 13.32%). The prevalence of depression, anxiety and stress was 44.6%, 63.5%, and 35%, respectively. In the study, depression was found to be strongly correlated with stress (r=0.739, p<0 r=0.715,>
cohort. Besides socio-demographic characteristics that are largely out of the university's control, specific attention was paid to the role of students’ satisfaction with various aspects of their university life. While controlling for potential confounders, in their study, satisfaction was found to be negatively associated with depression. Similarly, Kamble & Minchekar (2018) investigated academic stress and depression among college students. The result of their study revealed significant positive relationship between academic stress and depression, suggesting that higher levels of stress are associated with increased likelihood of experiencing depression.
Hypothesis three which stated that test anxiety and Academic Stress will independently and jointly predict the level of depression among undergraduates of University of Ilorin was confirmed. This implies that Test anxiety and Academic Stress jointly significantly predicted depression among undergraduate students of University of Ilorin. The result agrees with the findings of Nwonyi (2020) who reported that suicidal ideation and academic stress are statistically related such that, an increased level of stress was related to an increased level of suicidal ideation. Similarly, the findings agrees with the findings of Okechukwu et al., (2022) who reported that thoughts about committing suicide increased with academic stress.
The overall outcome of this study showed that test anxiety significantly predicted depression among undergraduates of University of Ilorin. More so, Academic Stress is found to have significantly predicted depression among undergraduates of University of Ilorin. Similarly, test anxiety and Academic Stress were found to independently and jointly predict the level of depression among undergraduates of University of Ilorin
Based on the findings of this study, it is therefore suggested that:
Tertiary institutions especially of University of Ilorin should consider implementing Academic Stress management programs that provide students with effective coping mechanisms and techniques to manage stress. These programs can include workshops, counselling services, and relaxation exercises to help students’ better handle stressors related to academics and exams.
Clinical, social and school psychologists should develop intervention programmes to reduce the stress and anxiety that students face in the course of studying, since test anxiety and academic Stress were noted to affect students’ psychological health. In addition, the Students’ Affairs Division of universities should schedule periodic psychological health check–up for newly admitted undergraduate students. This will keep them in the right mental state to pursue their academic goals.
This study included only samples from the University of Ilorin only.
Hence, despite the representativeness of the sample for the given population, caution is suggested to generalize the findings. Future studies should concentrate on applying the instrument to different representative samples of the population from other higher institutions outside Kwara State
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Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
