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已发表论文
解封后情境下COVID-19焦虑综合征与疫情疲劳的关联：社区韧性和个人韧性的作用
Authors Wang K , Wang Y, Meng N, Hao Y, Ning N, Shan L, Gao Y, Zhao M, Shi W, Qin Y, Wang P, Wang Y, Liu H , Wu Q
Received 12 September 2025
Accepted for publication 19 January 2026
Published 27 January 2026 Volume 2026:19 567241
DOI https://doi.org/10.2147/PRBM.S567241
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Bao-Liang Zhong
Kexin Wang,1,2,* Yanping Wang,2,* Nan Meng,2,* Yanhua Hao,2 Ning Ning,2 Linghan Shan,2 Yuexia Gao,3 Miaomiao Zhao,3 Wuxiang Shi,4 Yinghua Qin,4 Peng Wang,1,2 Yuxuan Wang,2 Huan Liu,2 Qunhong Wu2
1Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China; 2Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China; 3Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, People’s Republic of China; 4Department of Health Economy and Social Security, College of Humanities and Management, Guilin Medical University, Guilin, Guangxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Qunhong Wu, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150081, People’s Republic of China, Email wuqunhong@163.com Huan Liu, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150081, People’s Republic of China, Email liuhuan00813@163.com
Purpose: Pandemic fatigue has become a significant public health challenge during the COVID-19 pandemic, but the mechanism of COVID-19 anxiety syndrome on it and its components remains unclear. It has not yet fully clarified whether and how community resilience and personal resilience can play a key role in the post-lockdown context. This study aims to evaluate the association between COVID-19 anxiety syndrome and pandemic fatigue, and to investigate the underlying effects of community resilience and personal resilience.
Methods: A cross-sectional online survey was conducted with 1209 participants recruited via stratified sampling in Xi’an. They completed demographic characteristics, Pandemic Fatigue Scale, COVID-19 Anxiety Syndrome Scale, Conjoint Community Resiliency Assessment Measurement, and Connor-Davidson Resilience Scale. Descriptive statistics, t-tests, and ANOVA were used to examine demographic differences in pandemic fatigue. Pearson’s correlation and stepwise multiple liner regression were employed to analyze the associations among COVID-19 anxiety syndrome, community resilience, personal resilience, and pandemic fatigue.
Results: The mean score of pandemic fatigue was 17.87 (SD = 7.88), with information fatigue (9.51 ± 4.30) higher than behavior fatigue (8.36 ± 4.16). COVID-19 anxiety syndrome was positively associated with pandemic fatigue (β = 0.286, P < 0.001). The total effects of community resilience and personal resilience accounted for 28.3% and 30.6% in the model of pandemic fatigue and behavior fatigue. Only community resilience significantly explained the association between COVID-19 anxiety syndrome and information fatigue, accounting for 11.87%.
Conclusion: Strategy for enhancing resilience capacity both at the community and individual level should be highlighted to mitigate pandemic fatigue in the context of post-lockdown. Targeted resilience-building interventions should be prioritized for women and middle-aged adults.
Keywords: pandemic fatigue, COVID-19 anxiety syndrome, community resilience, personal resilience
1Department of Epidemiology, School of Public Health, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China; 2Department of Social Medicine, School of Health Management, Harbin Medical University, Harbin, Heilongjiang, People’s Republic of China; 3Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, People’s Republic of China; 4Department of Health Economy and Social Security, College of Humanities and Management, Guilin Medical University, Guilin, Guangxi, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Qunhong Wu, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150081, People’s Republic of China, Email wuqunhong@163.com Huan Liu, School of Health Management, Harbin Medical University, No. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150081, People’s Republic of China, Email liuhuan00813@163.com
Purpose: Pandemic fatigue has become a significant public health challenge during the COVID-19 pandemic, but the mechanism of COVID-19 anxiety syndrome on it and its components remains unclear. It has not yet fully clarified whether and how community resilience and personal resilience can play a key role in the post-lockdown context. This study aims to evaluate the association between COVID-19 anxiety syndrome and pandemic fatigue, and to investigate the underlying effects of community resilience and personal resilience.
Methods: A cross-sectional online survey was conducted with 1209 participants recruited via stratified sampling in Xi’an. They completed demographic characteristics, Pandemic Fatigue Scale, COVID-19 Anxiety Syndrome Scale, Conjoint Community Resiliency Assessment Measurement, and Connor-Davidson Resilience Scale. Descriptive statistics, t-tests, and ANOVA were used to examine demographic differences in pandemic fatigue. Pearson’s correlation and stepwise multiple liner regression were employed to analyze the associations among COVID-19 anxiety syndrome, community resilience, personal resilience, and pandemic fatigue.
Results: The mean score of pandemic fatigue was 17.87 (SD = 7.88), with information fatigue (9.51 ± 4.30) higher than behavior fatigue (8.36 ± 4.16). COVID-19 anxiety syndrome was positively associated with pandemic fatigue (β = 0.286, P < 0.001). The total effects of community resilience and personal resilience accounted for 28.3% and 30.6% in the model of pandemic fatigue and behavior fatigue. Only community resilience significantly explained the association between COVID-19 anxiety syndrome and information fatigue, accounting for 11.87%.
Conclusion: Strategy for enhancing resilience capacity both at the community and individual level should be highlighted to mitigate pandemic fatigue in the context of post-lockdown. Targeted resilience-building interventions should be prioritized for women and middle-aged adults.
Keywords: pandemic fatigue, COVID-19 anxiety syndrome, community resilience, personal resilience