The research comes at the time when exams should be on their way out. This is like inventing a more efficient steam engine in the 21st century: an obsolete dangerous technology which no amount of technical improvement can save. Exams cause students stress (I have spent decades avoiding any course which had an exam). That a high ceiling might increase stress is interesting, but I doubt it could be lowered enough to make me comfortable with an exam. I stopped setting exams around the time I stopped giving lectures (2018).
The obvious factor which would cause the effect is the size of the room (bigger rooms having higher ceilings). However, the authors appear to have considered room size as a factor, and controlled for many other possible causes. One not mentioned might be that large rooms may have students from different classes taking tests at the same time, which could make students feel less comfortable.
If this is a real effect it could be easily corrected for by lowering the perceived height of the exam room ceiling. This could be done with lighting.
Reference
Bower, I. S., Broadbent, J., Coussens, S., & Enticott, P. G. (2024). Elevated ceiling heights reduce the cognitive performance of higher-education students during exams. Journal of Environmental Psychology, 102367. https://doi.org/10.1016/j.jenvp.2024.102367
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