The dynamic changes of psychosomatic symptoms in three waves of COVID-19 outbreak and fatigue caused by enduring pandemic in China

Yue, Yingying; Li, Lei; Li, Rui; Zhang, Yuqun; Zhang, Songyun; Hong, Sungeon; Mao-qin, Tang; Zou, Tao; Shah, S. Mudasser; Shen, Xinhua; Chen, Jue; Wu, Aiqin; Jiang, Wenhao; Yuan, Yonggui

doi:10.1016/j.jad.2023.03.032

Cited by 11 publications

(4 citation statements)

References 48 publications

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“…In this study, a higher level of pandemic fatigue clustered in people who are male, living in urban areas, smoking, drinking, struggling with chronic disease, higher perceived susceptibility, longer time since the most recent vaccination, and have self-reported long COVID. Such an unexpected, prolonged pandemic will further worsen people's mental health and ability to cope with the situation, thus leading to mental fatigue, which is thought to be a natural psychological response of individuals through overexposure to negative information related to the pandemic and repeated implementation of behavioral restrictions [36]. On 5 May 2023, the World Health Organization declared that COVID-19 no longer constituted a PHEIC, but had transformed into an established and ongoing global health problem.…”

Section: Discussionmentioning

confidence: 99%

“…On 5 May 2023, the World Health Organization declared that COVID-19 no longer constituted a PHEIC, but had transformed into an established and ongoing global health problem. Many people have generally negative attitudes toward chronic public health crises and have less motivation to engage in protective behaviors [36]. Yue et al investigated fatigue during the three waves of the epidemic in China and showed that with the development of the epidemic, people experienced different degrees of pandemic fatigue, which may affect the occurrence of psychosomatic symptoms and perceived stress, reminding government authorities to pay attention to this phenomenon to avoid the occurrence of potential crises [36].…”

Section: Discussionmentioning

confidence: 99%

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Pandemic Fatigue and Vaccine Hesitancy among People Who Have Recovered from COVID-19 Infection in the Post-Pandemic Era: Cross-Sectional Study in China

Qin,

Deng,

et al. 2023

Vaccines

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At present, the COVID-19 pandemic is still ongoing globally and the virus is constantly mutating. The herd immunity barrier established by past infections or vaccinations is gradually weakening and reinfections are occurring. To evaluate the pandemic fatigue and vaccine hesitancy among people who have recovered from COVID-19 in the post-pandemic era, we conducted an anonymous cross-sectional survey study in China from 4 July to 11 August 2023, nearly 6 months after the last large-scale nationwide infection. Basic sociodemographic characteristics, health-related factors (smoking, drinking, and chronic disease history), COVID-19 vaccination history, and self-reported long COVID were obtained as potential covariates. A series of logistic regression models were performed to examine the association between pandemic fatigue and vaccine hesitancy toward the next dose of COVID-19 vaccines via crude relative risks (cORs) and adjusted relative risks (aORs) with 95% CIs. According to our results, of the 2942 participants, 1242 (42.2%) were hesitant (unwilling or not sure) to receive the next dose of COVID-19 vaccines. The average score on the Pandemic Fatigue Scale was 21.67 ± 8.86, in which the scores of all items in the vaccine-hesitant group were significantly higher than those in the vaccine-accepting group. Additionally, the higher the pandemic fatigue level among people who have recovered from COVID-19, the more likely they were to be hesitant to receive the next dose of the COVID-19 vaccines (moderate: aOR = 2.94, 95% CI: 2.46–3.53; high: aOR = 6.88, 95% CI: 5.49–8.64). Overall, more than 40% of the recovered participants were unwilling or uncertain about the next vaccine dose, with varying degrees of pandemic fatigue. Pandemic fatigue is a potentially relevant factor for vaccine hesitancy and may hinder the translation of vaccination intention into behavior. Considering the ongoing reinfection situation, implementing a health education plan to reduce pandemic fatigue and prioritizing vaccination issues for people who have recovered from COVID-19 may be key to promoting the reduction of the COVID-19 disease burden and ensuring the health and well-being of the population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pandemic Fatigue and Vaccine Hesitancy among People Who Have Recovered from COVID-19 Infection in the Post-Pandemic Era: Cross-Sectional Study in China

Qin,

Deng,

et al. 2023

Vaccines

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“…Psychosomatic symptom was measured using the psychosomatic symptom scale (PSSS) ( Li et al., 2020 ; Yue et al., 2023 ). The PSSS is a 26-item self-report scale developed by the CSPM with high reliability and validity ( Shah et al., 2022 ; Wang et al., 2023 ).…”

Section: Methodsmentioning

confidence: 99%

The trends of psychosomatic symptoms and perceived stress among healthcare workers during the COVID-19 pandemic in China: Four cross-sectional nationwide surveys, 2020–2023

Jiang,

Yue

et al. 2023

Psychiatry Research

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“…Pandemic fatigue is a continuous and changing psychological state, and it did not disappear immediately at the end of the pandemic. Yue proposed that the direct or indirect impact of the ongoing pandemic caused great pressure and led to adverse mental health outcomes [27]. Cuadrado presents that negative information about the pandemic can have a negative impact on people's mental health.…”

Section: Mental Fatiguementioning

confidence: 99%

How Are Rural Homestays Achieving Sustainable Development in the Post-COVID-19 Period: Value Co-Creation by Operators, Tourists, and Government

Li,

Xia,

Wang

et al. 2024

Sustainability

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The mental fatigue of rural homestay operators is of great significance to their performance as well as the sustainability of the rural tourism industry. Mental fatigue is a state of mind caused by consistently demanding cognitive activities. The mental health of rural homestay operators has been severely hit during the COVID-19, and they are in urgent need of finding a path to recovery. Based on value co-creation theory, this paper explores how rural homestay operators’ mental fatigue affects their performance under the moderating effects of government support and tourists’ participation. We conducted a questionnaire survey in the 19 rural tourist destinations of Nanjing, China, and collected a total of 201 questionnaires from the homestay operators. The results reveal that the operators’ mental fatigue has a negative effect on the performance of rural homestays. What’s more, tourists’ participation could moderate the relationship between operators’ mental fatigue and their performance. Although the moderating effects of government support are not significant, they can influence operators’ performance directly and indirectly. Through the value co-creation of operators, tourists, and government with the aim of improving the performance value of the rural homestay co-creation process, the operators’ mental fatigue could be alleviated and their performance restored. These findings can help us explore the recovery mechanism of rural homestays and promote the sustainable development of rural tourism in the post-COVID-19 period.

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The dynamic changes of psychosomatic symptoms in three waves of COVID-19 outbreak and fatigue caused by enduring pandemic in China

Cited by 11 publications

References 48 publications

Pandemic Fatigue and Vaccine Hesitancy among People Who Have Recovered from COVID-19 Infection in the Post-Pandemic Era: Cross-Sectional Study in China

Pandemic Fatigue and Vaccine Hesitancy among People Who Have Recovered from COVID-19 Infection in the Post-Pandemic Era: Cross-Sectional Study in China

The trends of psychosomatic symptoms and perceived stress among healthcare workers during the COVID-19 pandemic in China: Four cross-sectional nationwide surveys, 2020–2023

How Are Rural Homestays Achieving Sustainable Development in the Post-COVID-19 Period: Value Co-Creation by Operators, Tourists, and Government

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