Int J Biol Sci 2020; 16(15):2828-2834. doi:10.7150/ijbs.50127 This issue

Research Paper

The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China

Zongling He1,2#, Jiajia Chen1,2#, Keliang Pan1,2#, Yuchuan Yue1,2, Teris Cheung3, Yin Yuan1,2, Na Du1,2, Yan Zhao1,2, Yusu Feng1,2, Die Zhou1,2, You Zhou1,2, Fengmei Lu1,2✉, Yong Chen1,2✉, Manxi He1,2✉, Yu-Tao Xiang4,5

1. The Clinical Hospital of Chengdu Brain Science Institute, School of Life Science and Technology, University of Electronic Science and Technology of China, Chengdu, 610054, PR China.
2. The Mental Health center of Chengdu, Sichuan, 610036, China.
3. School of Nursing, Hong Kong Polytechnic University, Hong Kong SAR, China.
4. Unit of Psychiatry, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao SAR, China.
5. Center for Cognition and Brain Sciences, University of Macau, Macao SAR, China.
#These authors contribute equally to this work.

This is an open access article distributed under the terms of the Creative Commons Attribution License ( See for full terms and conditions.
He Z, Chen J, Pan K, Yue Y, Cheung T, Yuan Y, Du N, Zhao Y, Feng Y, Zhou D, Zhou Y, Lu F, Chen Y, He M, Xiang YT. The development of the 'COVID-19 Psychological Resilience Model' and its efficacy during the COVID-19 pandemic in China. Int J Biol Sci 2020; 16(15):2828-2834. doi:10.7150/ijbs.50127. Available from

File import instruction


Graphic abstract

During the novel coronavirus disease 2019 (COVID-19) outbreak, traditional face-to-face psychological interventions have been suspended due to high risks of rapid transmission. Developing an effective online model of psychological intervention is deemed necessary to deal with the mental health challenges brought up by this disease. An integrated psychological intervention model coined 'COVID-19 Psychological Resilience Model' was developed in Chengdu, China including live media, 24-hour hotline consultations, online video intervention and on-site crisis intervention sessions to provide services to those in need. A total of 45 episodes of live media programs on COVID-19 outbreak-related psychological problems were broadcasted with over 10 million views. A total of 4,236 hotline consultations were completed. More than 50% of the clients had positive feedback about the hotline consultations. A total of 223 cases received online video intervention, of which 84.97% were redirected from the hotline consultation and 15.03% from COVID-19-designated hospital and community-based observation spots. Seventy one-on-one psychological interventions were conducted with 39 COVID-19 patients, and one-third were treated with medication. Additionally, 5 training sessions were conducted to 98 frontline medical staff. This 'COVID-19 Psychological Resilience Model' is proven effective to the general population during the COVID-19 pandemic. We have greatly improved the overall mental health of our target population during the COVID-19 pandemic. This model could provide valuable experiences and serve as a reference guide for other countries to offer effective psychological intervention, and reduce detrimental negative mental health outcomes in public health emergency.

Keywords: novel coronavirus disease, live media, hotline consultation, video intervention, on-site crisis intervention