- Open Access
Emergent dilemma and periodic oscillation in behavioral epidemics with nonlinear feedback
Phys. Rev. Research 8, 043048 – Published 14 October, 2026
DOI: https://doi.org/10.1103/zrk4-g7fj
Abstract
Human behaviors, particularly nonpharmaceutical interventions (NPIs), are dynamically coupled with epidemic spreading. However, most models assume a linear relationship between perceived risk and infection rates, failing to capture the nonlinear nature of real-world behavioral responses. Here, we propose a behavioral epidemic model by incorporating nonlinear feedback and social influence, and analytically derive its critical thresholds. Notably, once the infection rate exceeds a critical threshold, the fraction of NPI adopters abruptly drops to zero, in contrast to classic findings in linear models. This paradoxical decline indicates a social dilemma: While abandoning NPIs is individually optimal at high infection rates, it collectively triggers an explosive epidemic surge. Furthermore, as the intensity of social influence increases, the system undergoes a Hopf bifurcation leading to periodic oscillations, which reflects a vicious cycle of recurrent epidemic waves. Finally, we confirm the robustness of this NPI-abandonment dilemma in networked populations. Our work illustrates rich emergent dynamics, challenging traditional perspectives on behavioral epidemiology.
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References (51)
- C. T. Bergstrom and W. P. Hanage, Human behavior and disease dynamics, Proc. Natl. Acad. Sci. USA 121, e2317211120 (2024).
- A. Aleta, D. Martín-Corral, A. Pastore y Piontti, M. Ajelli, M. Litvinova, M. Chinazzi, N. E. Dean, M. Elizabeth Halloran, I. M. Longini, Jr., S. Merler, A. Pentland, A. Vespignani, E. Moro, and Y. Moreno, Modelling the impact of testing, contact tracing and household quarantine on second waves of COVID-19, Nat. Hum. Behav. 4, 964 (2020).
- S. Funk, M. Salathé, and V. A. Jansen, Modelling the influence of human behaviour on the spread of infectious diseases: A review, J. R. Soc. Interface 7, 1247 (2010).
- T. Oraby, V. Thampi, and C. T. Bauch, The influence of social norms on the dynamics of vaccinating behaviour for paediatric infectious diseases, Proc. R. Soc. B 281, 20133172 (2014).
- L. Liu, H. Zheng, Z. Han, X. Wang, and S. Tang, Higher-order network adaptivity: Co-evolution of higher-order structure and spreading dynamics, Phys. Rev. Res. 8, 033068 (2026).
- J. Howard, A. Huang, Z. Li, Z. Tufekci, V. Zdimal, H.-M. van der Westhuizen, A. von Delft, A. Price, L. Fridman, L.-H. Tang, V. Tang, G. L. Watson, C. E. Bax, R. Shaikh, F. Questier, D. Hernandez, L. F. Chu, C. M. Ramirez, and A. W. Rimoin, An evidence review of face masks against COVID-19, Proc. Natl. Acad. Sci. USA 118, e2014564118 (2021).
- S. Flaxman, S. Mishra, A. Gandy, H. Juliette T. Unwin, T. A. Mellan, H. Coupland, C. Whittaker, H. Zhu, T. Berah, J. W. Eaton, et al., Estimating the effects of non-pharmaceutical interventions on COVID-19 in Europe, Nature (London) 584, 257 (2020).
- N. Perra, Non-pharmaceutical interventions during the COVID-19 pandemic: A review, Phys. Rep. 913, 1 (2021).
- C. M. Saad-Roy and A. Traulsen, Dynamics in a behavioral–epidemiological model for individual adherence to a nonpharmaceutical intervention, Proc. Natl. Acad. Sci. USA 120, e2311584120 (2023).
- E. P. Fenichel, C. Castillo-Chavez, M. G. Ceddia, G. Chowell, P. A. G. Parra, G. J. Hickling, G. Holloway, R. Horan, B. Morin, C. Perrings, M. Springborn, L. Velazquez, and C. Villalobos, Adaptive human behavior in epidemiological models, Proc. Natl. Acad. Sci. USA 108, 6306 (2011).
- J. Chen, B. Espinoza, J. Chou, A. B. Gumel, S. A. Levin, and M. Marathe, A simple model of coupled individual behavior and its impact on epidemic dynamics, Math. Biosci. 380, 109345 (2025).
- N. Gozzi, N. Perra, and A. Vespignani, Comparative evaluation of behavioral epidemic models using COVID-19 data, Proc. Natl. Acad. Sci. USA 122, e2421993122 (2025).
- S. Moore, E. M. Hill, M. J. Tildesley, L. Dyson, and M. J. Keeling, Vaccination and non-pharmaceutical interventions for COVID-19: A mathematical modelling study, Lancet Infect. Dis. 21, 793 (2021).
- X. Chen and F. Fu, Imperfect vaccine and hysteresis, Proc. R. Soc. B 286, 20182406 (2019).
- J. St-Onge, G. Burgio, S. F. Rosenblatt, T. M. Waring, and L. Hébert-Dufresne, Paradoxes in the coevolution of contagions and institutions, Proc. R. Soc. B 291, 20241117 (2024).
- F. Verelst, L. Willem, and P. Beutels, Behavioural change models for infectious disease transmission: A systematic review (2010–2015), J. R. Soc. Interface 13, 20160820 (2016).
- S. Funk, E. Gilad, C. Watkins, and V. A. Jansen, The spread of awareness and its impact on epidemic outbreaks, Proc. Natl. Acad. Sci. USA 106, 6872 (2009).
- S. Lai, N. W. Ruktanonchai, L. Zhou, O. Prosper, W. Luo, J. R. Floyd, A. Wesolowski, M. Santillana, C. Zhang, X. Du, H. Yu, and A. J. Tatem, Effect of non-pharmaceutical interventions to contain COVID-19 in China, Nature (London) 585, 410 (2020).
- P. Block, M. Hoffman, I. J. Raabe, J. B. Dowd, C. Rahal, R. Kashyap, and M. C. Mills, Social network-based distancing strategies to flatten the COVID-19 curve in a post-lockdown world, Nat. Hum. Behav. 4, 588 (2020).
- R. Li, S. Pei, B. Chen, Y. Song, T. Zhang, W. Yang, and J. Shaman, Substantial undocumented infection facilitates the rapid dissemination of novel coronavirus (SARS-CoV-2), Science 368, 489 (2020).
- S. E. Eikenberry, M. Mancuso, E. Iboi, T. Phan, K. Eikenberry, Y. Kuang, E. Kostelich, and A. B. Gumel, To mask or not to mask: Modeling the potential for face mask use by the general public to curtail the COVID-19 pandemic, Infect. Dis. Modell. 5, 293 (2020).
- S. Stockmaier, N. Stroeymeyt, E. C. Shattuck, D. M. Hawley, L. A. Meyers, and D. I. Bolnick, Infectious diseases and social distancing in nature, Science 371, eabc8881 (2021).
- A. Glaubitz and F. Fu, Social dilemma of nonpharmaceutical interventions: Determinants of dynamic compliance and behavioral shifts, Proc. Natl. Acad. Sci. USA 121, e2407308121 (2024).
- A. Traulsen, S. A. Levin, and C. M. Saad-Roy, Individual costs and societal benefits of interventions during the COVID-19 pandemic, Proc. Natl. Acad. Sci. USA 120, e2303546120 (2023).
- Y. Jiang, X. Wang, W. Zhu, M. Wei, L. Liu, S. Tang, and H. Zheng, Nonlinear public goods game in dynamical environments, Appl. Math. Modell. 157 116857 (2026).
- M. Nicola, Z. Alsafi, C. Sohrabi, A. Kerwan, A. Al-Jabir, C. Iosifidis, M. Agha, and R. Agha, The socio-economic implications of the coronavirus pandemic (COVID-19): A review, Int. J. Sur. 78, 185 (2020).
- T. C. Reluga, Game theory of social distancing in response to an epidemic, PLoS Comput. Biol. 6, e1000793 (2010).
- A. Glaubitz and F. Fu, Oscillatory dynamics in the dilemma of social distancing, Proc. R. Soc. A 476, 20200686 (2020).
- J. S. Weitz, S. W. Park, C. Eksin, and J. Dushoff, Awareness-driven behavior changes can shift the shape of epidemics away from peaks and toward plateaus, shoulders, and oscillations, Proc. Natl. Acad. Sci. USA 117, 32764 (2020).
- M. Ye, L. Zino, A. Rizzo, and M. Cao, Game-theoretic modeling of collective decision making during epidemics, Phys. Rev. E 104, 024314 (2021).
- C. Granell, S. Gómez, and A. Arenas, Dynamical interplay between awareness and epidemic spreading in multiplex networks, Phys. Rev. Lett. 111, 128701 (2013).
- B. Morsky, F. Magpantay, T. Day, and E. Akçay, The impact of threshold decision mechanisms of collective behavior on disease spread, Proc. Natl. Acad. Sci. USA 120, e2221479120 (2023).
- M. Noori, N. Azimi-Tafreshi, and M. Salahshour, Coevolution of cooperation and epidemic spreading, Phys. Rev. Res. 7, 023211 (2025).
- Z. Qiu, B. Espinoza, V. V. Vasconcelos, C. Chen, S. M. Constantino, S. A. Crabtree, L. Yang, A. Vullikanti, J. Chen, J. Weibull, K. Basu, A. Dixit, S. A. Levin, and M. V. Marathe, Understanding the coevolution of mask wearing and epidemics: A network perspective, Proc. Natl. Acad. Sci. USA 119, e2123355119 (2022).
- A. R. Tilman, J. B. Plotkin, and E. Akçay, Evolutionary games with environmental feedbacks, Nat. Commun. 11, 915 (2020).
- C. Hauert, C. Saade, and A. McAvoy, Asymmetric evolutionary games with environmental feedback, J. Theor. Biol. 462, 347 (2019).
- Q. Su, A. McAvoy, L. Wang, and M. A. Nowak, Evolutionary dynamics with game transitions, Proc. Natl. Acad. Sci. USA 116, 25398 (2019).
- G. Wang, Q. Su, and L. Wang, Evolution of state-dependent strategies in stochastic games, J. Theor. Biol. 527, 110818 (2021).
- G. Wang, Q. Su, L. Wang, and J. B. Plotkin, The evolution of social behaviors and risk preferences in settings with uncertainty, Proc. Natl. Acad. Sci. USA 121, e2406993121 (2024).
- G. Wang, Q. Su, L. Wang, and J. B. Plotkin, Noise-induced replicator dynamics in evolutionary games, Phys. Rev. Lett. 137, 097401 (2026).
- L. Liu, X. Wang, Y. Zheng, W. Fang, S. Tang, and Z. Zheng, Homogeneity trend on social networks changes evolutionary advantage in competitive information diffusion, New J. Phys. 22, 013019 (2020).
- D. J. Watts, A simple model of global cascades on random networks, Proc. Natl. Acad. Sci. USA 99, 5766 (2002).
- R. Baxter-King, J. R. Brown, R. D. Enos, A. Naeim, and L. Vavreck, How local partisan context conditions prosocial behaviors: Mask wearing during COVID-19, Proc. Natl. Acad. Sci. USA 119, e2116311119 (2022).
- D. Weston, K. Hauck, and R. Amlôt, Infection prevention behaviour and infectious disease modelling: A review of the literature and recommendations for the future, BMC Public Health 18, 336 (2018).
- D. Ghio, S. Lawes-Wickwar, M. Y. Tang, T. Epton, N. Howlett, E. Jenkinson, S. Stanescu, J. Westbrook, A. P. Kassianos, D. Watson, et al., What influences people's responses to public health messages for managing risks and preventing infectious diseases? A rapid systematic review of the evidence and recommendations, BMJ Open 11, e048750 (2021).
- See Supplemental Material at http://link.aps.org/supplemental/10.1103/zrk4-g7fj for details about model simulations, theoretical analysis of critical thresholds, results under high initial NPI compliance, results under linear perception, additional results about periodic oscillations, impact of relative time scale parameter, and robustness analysis, which includes Ref. [47].
- A. Dhooge, W. Govaerts, Y. A. Kuznetsov, H. G. E. Meijer, and B. Sautois, New features of the software MatCont for bifurcation analysis of dynamical systems, Math. Comput. Modell. Dyn. Syst. 14, 147 (2008).
- A.-L. Barabási and R. Albert, Emergence of scaling in random networks, Science 286, 509 (1999).
- D. Centola and M. Macy, Complex contagions and the weakness of long ties, Am. J. Sociol. 113, 702 (2007).
- R. Pastor-Satorras, C. Castellano, P. Van Mieghem, and A. Vespignani, Epidemic processes in complex networks, Rev. Mod. Phys. 87, 925 (2015).
- A. Rubinstein, Modeling Bounded Rationality (MIT Press, Cambridge, Massachusetts, 1998).