Psychological Impact of Predeparture Medical Screening on Middle-Aged Hajj Pilgrims: A Cross-Sectional Study Using SRQ-20 in Malang City
DOI:
https://doi.org/10.59890/ijist.v4i6.31Keywords:
Mental Health, SRQ-20, Medical Screening, Middle-Aged Pilgrims, Istitha’ah.Abstract
Background: Although physical eligibility (istitha’ah) is a central focus of Hajj health screening in Indonesia, the psychological dimension of readiness remains understudied. The third-stage predeparture medical examination, designed to confirm fitness for pilgrimage, may evoke emotional tension due to fear of disqualification especially among middle-aged pilgrims who often face comorbidities and psychosocial vulnerability. Objective: This study aimed to assess the psychological impact of stage-three medical screening on middle-aged Hajj pilgrims in Malang City, using the Self-Reporting Questionnaire-20 (SRQ-20), a screening tool for common mental disorders recommended by the World Health Organization. Methods: A cross-sectional survey was conducted among 172 pilgrims aged 45–65 who had completed the third-stage health screening at the Sukolilo Hajj Dormitory in Surabaya. Participants were selected purposively and assessed using the SRQ-20 instrument. Descriptive statistical analysis was applied to determine levels of psychological distress. Results: The mean SRQ-20 score was 1.14 (SD = 1.08), with no respondents scoring above the clinical cut-off (>5). This indicates an absence of significant emotional distress or psychiatric symptoms post-screening. The data suggest that the health clearance process served as a source of psychological reassurance rather than anxiety, reinforcing pilgrims’ mental readiness for Hajj. Conclusion: Third-stage predeparture medical screening does not appear to compromise psychological well-being. On the contrary, it may enhance emotional resilience and preparedness. Incorporating brief mental health screening tools such as the SRQ-20 into existing istitha’ah protocols is recommended to promote holistic Hajj health certification
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