{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T06:03:31Z","timestamp":1783231411657,"version":"3.54.6"},"reference-count":86,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100010187","name":"Universiti Sains Islam Malaysia","doi-asserted-by":"publisher","award":["PPPI\/FPSK\/0121\/USIM\/16021"],"award-info":[{"award-number":["PPPI\/FPSK\/0121\/USIM\/16021"]}],"id":[{"id":"10.13039\/501100010187","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study aimed to explore the socio-demographic characteristics, mental health status, and perceived causes of pandemic fatigue with COVID-19 pandemic fatigue among the general population of Malaysia. The data was collected online during the transition from the COVID-19 pandemic phase to the endemic phase in Malaysia from 1 to 30 April 2022. Sociodemographic data, Depression Anxiety Stress Scale-21 (DASS-21), perceived causes of pandemic fatigue, and the Fatigue Assessment Scale (FAS) were included in the survey. The chi-square test and a simple logistic regression analysis were used to identify predictors of pandemic fatigue. The completed survey (N = 775) included individuals aged 18 years or above [mean 31.98 (SD = 12.16)] from all states in Malaysia. Pandemic fatigue prevalence was 54.2%. Severe to extremely severe depression, anxiety, and stress symptoms were detected in 11.2%, 14.9%, and 9.1% of the participants, respectively. Younger age, non-Malay ethnicity, living alone, and higher income categories were significantly higher in the fatigued group. Higher DASS-21 scores on all domains were associated with higher FAS scores. Meanwhile, high scores for perceived tiredness from complying with the COVID-19 Standard Operating Procedure (SOP), perceived risk of infection from COVID-19, perceived hardship due to the pandemic, perceived public complacency during the pandemic, and perceived changes due to the pandemic were associated with a higher FAS score. This study provides valuable information for policymakers and mental health professionals worldwide on pandemic fatigue and its associated factors, including mental health status in Malaysia.<\/jats:p>","DOI":"10.3390\/ijerph20054476","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T02:03:08Z","timestamp":1677808988000},"page":"4476","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["COVID-19 Pandemic Fatigue and Its Sociodemographic, Mental Health Status, and Perceived Causes: A Cross-Sectional Study Nearing the Transition to an Endemic Phase in Malaysia"],"prefix":"10.3390","volume":"20","author":[{"given":"Mohd Radzniwan","family":"Abdul Rashid","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharifah Najwa","family":"Syed Mohamad","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad Izzat Ahmad","family":"Tajjudin","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuruliza","family":"Roslan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"},{"name":"Islamic Science Institute, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2266-9509","authenticated-orcid":false,"given":"Aida","family":"Jaffar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia, Sungai Besi, Kuala Lumpur 57000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2774-681X","authenticated-orcid":false,"given":"Fathima Begum Syed","family":"Mohideen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faizul Helmi","family":"Addnan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0522-0013","authenticated-orcid":false,"given":"Nizam","family":"Baharom","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Science, Universiti Sains Islam Malaysia, Nilai 71800, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muslimah","family":"Ithnin","sequence":"additional","affiliation":[{"name":"Corporate Communications Unit, Ministry of Health Malaysia, Putrajaya 62000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1001\/jama.2020.2648","article-title":"Characteristics of and Important Lessons from the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72,314 Cases from the Chinese Center for Disease Control and Prevention","volume":"323","author":"Wu","year":"2020","journal-title":"JAMA"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"m606","DOI":"10.1136\/bmj.m606","article-title":"Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: Retrospective case series","volume":"368","author":"Xu","year":"2020","journal-title":"BMJ"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e2020013","DOI":"10.4178\/epih.e2020013","article-title":"WHO International Health Regulations Emergency Committee for the COVID-19 outbreak","volume":"42","author":"Jee","year":"2020","journal-title":"Epidemiol. 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