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Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool

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Abstract

Objectives

To perform Hajj properly, pilgrims have to be in good shape, both physically and psychologically. Those with mental disorders may encounter difficulties in completing Hajj. This study aims to estimate the prevalence of psychiatric disorders among Hajj pilgrims.

Methods

Pilgrims were recruited through multi-stage random sampling for a total duration of 20 days during the 2016 Hajj. Semi-structured interviews were performed that included demographics, medical background, and assessment on the Mini-International Neuropsychiatric Interview (MINI) scale to diagnose psychiatric disorders.

Results

Out of the 513 pilgrims appraised, 37 (7.2%) had one or more psychiatric disorders. The most common psychiatric conditions were major depressive disorders (2.0%), agoraphobia (1.8%), and psychotic disorders (1.4%). Of note, 32 pilgrims (6.2%) posed a suicide risk. Of these pilgrims, 27 (5.3%) were found to have a low suicide risk, three (0.6%) a moderate suicide risk, and two (0.4%) a high suicide risk. Pilgrims with at least one psychiatric disorder, compared to those without any psychiatric disorders, were significantly more likely to be female (p < 0.001), unmarried (p < 0.012), have a suicide risk (p < 0.001), and be on psychiatric medication (p < 0.028).

Conclusion

Psychiatric disorders were found to be widespread among Hajj pilgrims, particularly depressive disorders. Of particular concern, the suicidality risk was also found to be common, although low rates predominated.

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Acknowledgements

We would like to thank all data collectors who helped in conducting this research. We also extend our gratitude to all the Mutawwif establishments who cooperated with us and made the success of this research possible.

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Authors and Affiliations

Authors

Contributions

Study conception and design: Ahmad S. Alzahrani, Abdullah M. Alqahtani, Soha A. Elmorsy, Maher Alhazmi, Hashim A. Mahdi.

Acquisition of data: All authors.

Analysis and interpretation of data: Ahmad S. Alzahrani, Soha A. Elmorsy.

Drafting of manuscript: Ahmad S. Alzahrani, Hashim A. Mahdi.

Critical revision and final approval: All authors.

Corresponding author

Correspondence to Ahmad S. Alzahrani.

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Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.

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Alzahrani, A.S., Alqahtani, A.M., Elmorsy, S.A. et al. Prevalence of psychiatric disorders in Hajj pilgrims using MINI as a diagnostic tool. J Public Health (Berl.) 29, 169–175 (2021). https://doi.org/10.1007/s10389-019-01110-3

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  • DOI: https://doi.org/10.1007/s10389-019-01110-3

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