Physicians are exposed to persistent occupational stressors, which place them at increased risk for burnout and occupational disengagement. In the post-pandemic era, “quiet quitting” has emerged as a form of occupational disengagement characterized by psychological withdrawal while maintaining formal job roles. Understanding the mechanisms underlying this phenomenon is critical for sustaining motivation and well-being in healthcare professionals. This study aimed to investigate quiet quitting as an indicator of reduced occupational engagement among physicians and to examine its associations with work–life balance and psychological well-being within the framework of occupational motivation and burnout A cross-sectional analytical study was conducted with 426 physicians between December 2025 and February 2026. Participants completed the Work–Life Balance Scale, Psychological Well-Being Scale, and Quiet Quitting Scale. Associations were analyzed using Spearman correlation, and hierarchical multiple linear regression was performed to identify independent predictors of quiet quitting. Quiet quitting showed a moderate negative correlation with psychological well-being (r = − 0.379, p < 0.001) and positive work-to-life spillover (r = − 0.424, p < 0.001), and a positive correlation with negative life-to-work spillover (r = 0.365, p < 0.001). In regression analyses, psychological well-being (β = −0.176, p < 0.001) and positive work-to-life spillover (β = −0.281, p < 0.001) emerged as significant protective factors against quiet quitting. Additionally, medico-legal experiences and consideration of leaving the profession were associated with increased disengagement. Quiet quitting may represent a clinically relevant manifestation of reduced motivation and occupational disengagement among physicians. Our findings highlight the need for integrated interventions targeting both structural work conditions and individual psychological resources to mitigate disengagement and support sustainable workforce well-being in healthcare systems.

The FADS2 gene encodes a key, rate-limiting enzyme involved in polyunsaturated fatty acid (PUFA) metabolism. Recent studies suggest that changes in plasma PUFA levels can lead to disruptions in the neurotransmission system and increase the risk of mood disorders. FADS2 variations may contribute to the individual risk of developing bipolar disorder (BD). We investigated the association of regulatory FADS2 rs28456 with BD in the Turkish population. We performed TaqMan genotyping on 100 patients with BD and 91 healthy controls. Our results did not show significantly different genotype or allele frequencies of rs28456 in the BD cases compared to controls. However, we stratified the cases based on family history, which revealed that minor rs28456-G was observed more frequently (P=0.056) in cases without a family history of psychiatric illness compared to those with a family history of psychiatric illness. A marginally significant difference in the distribution of the ?G? allele (P=0.053) between male patients and healthy males without a family history was observed. Our findings did not provide strong evidence supporting the reported association between rs28456 and BD, yet they point to its potential gender-specific effect, which requires further investigation. Future studies are necessary to explore the impact of FADS2 variations on BD risk in larger study groups, considering their potential interaction with non-inherited risk factors.

Bu kitap psikiyatrik bilgilerin kullanılabileceği tüm hekim görüşmelerinde faydalı olacak kimi önemli bilgileri kısa kısa tüm hekimler için tek bir kitapta toparlamak amacı ile hazırlandı. Bu kitapta hastalarla görüşmede karşılıklı ilişkideki zorlukları yönetmekten, bazı önemli psikiyatrik hastalıkları tanımaya; gerekli yönlendirme yapabilecek kadar psikoterapileri tanımaktan, bazı küçük teropotik teknikleri klinik görüşmelerde kullanabilmek için temel bazı bilgilere sahip olmaya kadar geniş bir alanda ruh sağlığı bilgisini toparlamaya çalıştık. Tüm Tıbbi Görüşmeler için Psikiyatriden Gelen Kavramlar: Aktarım, Karşı Aktarım ve Koruyucu Sınırlar Arda Kazım DEMİRKAN Travma Duyarlı Görüşme Pelin BOZKURT GÜNENDI Stigma ve Damgalama Fatma Akyüz KARACAN Ruh Sağlığını Güçlendirme için Bilimsel Öneriler Ebru ŞAHAN Cinsel İşlev Bozukluklarının Tanınması ve Cinsel Danışmanlık Rümeysa TAŞDELEN Poliklinikte Akut Ruhsal Travma Belirtileri Gösteren Başvurulara Yaklaşım Emine Merve AKDAĞ Travma Sonrası Stres Bozukluğu ve Karmaşık Travma Sonrası Stres Bozukluğunu Tanımak İbrahim GÜNDOĞMUŞ Sık ve Önemli Bazı Özel Sendromlar-Görünce Kaçırma Uygun Yönlendir (Bipolar Bozukluk Manik ve Depresif Dönemi Tanımak) Ahmet GÜRCAN Hastalık Kaygısı Bozukluğu ve Yönetimi Burcu BAKAR KAHRAMAN Obsesıf Kompulsıf Bozukluk Hastaları ile Yaşanabılecek Zorluklar ve Aşım Yolları Sevda BAĞ Yapay Bozukluk Seda ŞÜKÜROĞLU İntiharın Değerlendirilmesi ve Yönetimi Seda KİRAZ Psikotik Atakta Uygun Dil ve Uygun Yönlendirme Gamze GÜRCAN Otizm Spektrum Bozukluğu Olgularının Yönetimi Alper ALNAK Multidisipliner Yaklaşım ve Psikiyatri Aybike TELKÖK ŞEN Geriatrik Özen: Eşlik Eden Psikiyatrik Hastalıklar ve Diğerleri Abdullah Burak UYGUR Poliklinikte İyi ve Kötü Haber Verme Fikret Ferzan GIYNAŞ Poliklinikte Aile ile Tedavi Planlamak Betül KURTSES GÜRSOY Ayşe Zeynep AKKOYUN Poliklinikte Panik Atak ile Gelen Hastanın Yönetimi Didem Şule ERDEM Kanser Hastalarında Olası Ruhsal Süreçler: Kabul ve Yas Süreçleri, Yas Danışmanlığı Nilifer GÜRBÜZER Sertaç ZENGİL Poliklinikte Tedavi Reddine Yaklaşım Batuhan AYIK Poliklinikte Konversiyon Atağına Yaklaşım Hatice KAYA Poliklinikte İstismar Tespitinde Ruhsal Duyarlı Adli Süreç Organizasyonu Ayşe Nur İNCİ KENAR Poliklinikte Medikal Probleme Neden Olan Bağımlılıklarda Motivasyonel Yaklaşım Sercan KARABULUT Psikiyatride Sık Kullanılan İlaçlar ve Sık Görülen İlaç Etkileşimleri Nazife Gamze USTA SAĞLAM Sık Poliklinik Başvurularında Süreci Yönetmek: Neler Yapılabilir? Çisem ERDAŞ Şükrü Alperen KORKMAZ Poliklinikte Çocuk Duyarlı Yaklaşım ve Muayene Eda FERAHKAYA Polikliniğe Adli Makamlarca Zorunlu Getirilen Bireye Yaklaşım Cengiz CENGİSİZ Poliklinik Koşullarında Uykusuzluğa Yaklaşım ve Pratik Öneriler Ömer Faruk UYGUR Poliklinikte Kullanılabilecek Bazı Metakognitif Terapi Teknikleri Esengül EKİCİ Poliklinikte Kullanılabilecek Bazı Psikodrama Teknikleri Nafiye Selcan YILDIRIM Çeşitli Terapilerin Kimi Bazı Taktikleri ve Vurguları (Poliklinikte Kullanılabilecek Bazı Polıvagal Teknikler) Ezgi SELÇUK ÖZMEN Poliklinikte Kullanılabilecek Bazı BDT Teknikleri Elif ÖZCAN TOZOĞLU Poliklinikte Kullanılabilecek Bazı ACT Terapi Teknikleri Kübra DURAN Sistemik Terapi Yaklaşımı Pınar KIZILAY ÇANKAYA Poliklinikte Kullanılabilecek Bazı Çözüm Odaklı Terapi Teknikleri Hafize Gülnur ŞEN Poliklinikte Kullanılabilecek Bazı Hipnotik Telkin Yöntemleri Gözde YONTAR Çeşitli Terapilerin Kimi Bazı Stratejileri ve Vurguları (Poliklinikte Kullanılabilecek Bazı Aile Terapisi ve Teknikleri) Meltem OKTAY Polikilinikte Kullanılabilecek Bazı Motivasyonel Görüşme Teknikleri Furkan Bahadır ALPTEKİN

Purpose: Families play a key role in the decision to donate the organs of people with brain death. However, studies on the factors affecting the decisions of families who are expected to make donation decision in a short time after their loss and possible emotional difficulties they experience afterwards are insufficient. In our study, we aimed to investigate the psychological experiences of donor families during and after the donation consent process and the factors affecting them. Methods: Relatives of donors who had brain death at least 6 months ago and gave their consent to be donors were included in the study. Demographic data form, Prolonged Grief Scale (PG-13), Grief and Meaning Reconstruction Inventory (GMRI), and Beck Depression Inventory (BDI) were administered to the participants. Results: In our study, it was found that male gender decreased the risk of depression (OR=0.08, p

Objective This study aimed to examine the relationships between mental contamination, childhood trauma, alexithymia, and clinical characteristics in individuals diagnosed with obsessive-compulsive disorder (OCD), and to evaluate factors associated with mental contamination within a cross-sectional design.Methods The study included 70 patients with OCD and 70 control groups (CGs). Participants completed a sociodemographic information form, the Vancouver Obsessional Compulsive Inventory–Mental Contamination Scale, the Childhood Trauma Questionnaire, the Toronto Alexithymia Scale, and the Yale-Brown Obsessive Compulsive Scale. Group comparisons, correlation analyses with correction for multiple comparisons, and hierarchical regression analyses were conducted using IBM SPSS 26.0.Results The OCD had significantly higher scores for mental contamination, childhood trauma and alexithymia compared with CGs. In the OCD, mental contamination showed significant associations with childhood trauma and alexithymia; however, associations with obsession and compulsion severity were attenuated after correction for multiple comparisons. In hierarchical regression analyses, alexithymia remained the only variable significantly associated with mental contamination even after controlling for childhood trauma and contamination-related obsessions and cleaning compulsions. In the CG, alexithymia was also the only variable significantly associated with mental contamination.Conclusion Our findings suggest that mental contamination in patients with OCD may be associated with childhood trauma and, in particular, alexithymic features rather than with OCD symptom severity or specific symptom subtypes. Future studies employing longitudinal and experimental designs are recommended to examine the causal nature of the relationships between mental contamination, alexithymia, and childhood trauma.

Objective: To investigate the relationships among fear of missing out (FoMO), social media addiction (SMA), and mental workload in physicians, and to identify factors contributing to their mental workload. Methods: This cross-sectional survey study included 330 physicians who completed an online questionnaire between November 2025 and April 2026. Data collection instruments comprised a sociodemographic form, the Social Media Addiction Scale–Adult Form (SMAS-AF), the FoMO Scale, and the CarMen-Q Mental Workload Questionnaire. Analyses included group comparisons, bivariate correlations, and hierarchical linear regression modeling. Results: SMA and mental workload scores were significantly higher in physicians with a history of psychiatric disorders (P = .002 and P = .005, respectively). FoMO scores varied significantly by medical specialty (P = .02), on-call status (P = .04), psychiatric history (P < .001), and psychiatric medication use (P = .02). SMA demonstrated moderate positive correlations with FoMO (r range, .35-.58; P < .001) and weak positive correlations with emotional demands (r = .24; P < .001) and total CarMen-Q scores (r = .15; P = .01). Total FoMO scores correlated weakly with temporal demands (r = .18; P = .001), emotional demands (r = .21; P < .001), and total CarMen-Q scores (r = .15; P = .01). In the final hierarchical regression model, a history of psychiatric disorders was the sole independent predictor of elevated mental workload (β = .12; 95% CI, 0.009-0.365; P = .04). Conclusions: SMA and FoMO exhibit minimal, dimension-specific associations with physician mental workload, primarily impacting emotional demands. Conversely, a history of psychiatric disorders represents the primary independent predictor of elevated workload, underscoring the critical importance of physician psychological well-being.