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Public speaking anxiety and self-efficacy among Sudanese medical students: a cross-sectional study

BMC Psychol. 2025 Jun 4;13(1):600. doi: 10.1186/s40359-025-02958-9.

ABSTRACT

BACKGROUND: Public speaking is a critical skill for medical professionals, yet many students experience public speaking anxiety (PSA), which negatively impacts mental well-being, academic performance, and professional growth. PSA is closely linked to self-efficacy, which serves as a protective factor against stress and anxiety. Understanding this relationship is vital, particularly in Sudan, where cultural and systemic factors may influence both PSA and self-efficacy.

METHODS: This cross-sectional based analytical study was conducted among 1130 Sudanese medical students from multiple universities, this design was well-selected considering the current circumstances of Sudan conflict. Data were collected using validated tools: the Personal Report of Public Speaking Anxiety (PRPSA) scale and the General Self-Efficacy (GSE) scale. Convenience sampling was employed, and data analysis including descriptive statistics, correlation analysis, and regression models was conducted to identify factors influencing PSA.

RESULTS: Nearly half of the participants (45%) experienced moderate PSA, while 11.5% exhibited high PSA. Conversely, 87% reported high self-efficacy. PSA was significantly associated with gender, academic performance, extracurricular activities, and family income. A weak negative correlation was observed between PSA and self-efficacy (Spearman’s rho = -0.189, p < 0.001), indicating that higher self-efficacy mitigates PSA.

CONCLUSIONS: PSA is highly prevalent among Sudanese medical students, with cultural and academic factors playing a crucial role. The study highlights the need for targeted interventions to build self-efficacy and reduce PSA, such as structured training, extracurricular opportunities, and culturally tailored approaches to public speaking in medical education.

TRIAL REGISTRATION: Not applicable.

PMID:40468423 | DOI:10.1186/s40359-025-02958-9

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