Portrait of apl. Prof. Dr. med. Christiane Bieber
apl. Prof. Dr. med. Christiane Bieber

Senior Physician (Department of General Internal Medicine and Psychosomatics)
Project Management (Participatory decision making for immunotherapy in oncology - prospective, randomized controlled study / PEF-Immun)
Attending Physician (Psychosomatic Outpatient Clinic Bergheim)


Shared Decision Making; Doctor-patient relationship and communication research; Chronic pain; Psycho-oncology

+49 6221 56-38657

Medical/Professional background

since 2018

Senior Physician, Head of the Psychosomatic Outpatient Clinic Bergheim, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg

2015 – 2018

Senior Physician, Head of the Psychotherapy Ward and Day Clinic AKM, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg

2014 – 2015

Senior Physician, Head of the Psychosomatic Outpatient Clinic Bergheim, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg

2012 – 2014

Senior Physician Psychosomatic Consultation and Liaison Service, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg


Assistant physician at the Early Treatment Center, Clinic for General Psychiatry, Heidelberg University Hospital

2007 – 2009

Senior Consultant, Head of the Psychosocial Consultation and Liaison Service in the Center for Pain Therapy and Palliative Medicine, Clinic for Anaesthesiology, University Hospital Heidelberg

2001 – 2007

Assistant physician, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg

2000 – 2001

Intern, Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg

Medical studies in Mainz and Lausanne (Switzerland)

Scientific background


Appointment as associate professor at the Medical Faculty of the Ruprechts-Karls-University


Habilitation for General Internal Medicine and Psychosomatics

"Evaluation and Implementation of the Shared Decision Making Model in the Internal Medicine Setting - Clinical Studies on Doctor-Patient Interaction"


Head of the working group Shared Decision Making at the Department of General Internal Medicine and Psychosomatics, University Hospital Heidelberg


Research visit at the University Clinical Research Center, University of Texas, Health Science Center in San Antonio, Texas, USA



"The significance of interpersonal problems for the course and success of inpatient psychosomatic treatment - results of a one-year catamnesis".


2012 – 2013

Mentee in the Network Mentoring Program of the Heidelberg Medical Faculty and the German Cancer Research Center (DKFZ) Heidelberg


Scholarship at the Dartmouth Institute for Health Policy & Clinical Practice, Center for Informed Choice for the Summer Institute on Informed Patient Choice "Interprofessional Education in Decision Support/Patients' Decision Aids".  Dartmouth College, Hanover, New Hampshire, USA

2010 – 2011

Scholarship at the Medical Faculty Heidelberg „Short-term scholarship for female doctors in specialist training"

Professional memberships

EACH (European Association for Communication in Health Care),  2012-2016 EACH DNR (Deputy National Representative) for Germany

International Myopain Society

DKPM (German College for Psychosomatic Medicine)


Internal Medicine

Psychosomatic medicine and psychotherapy



Basic Course NET Narrative Exposure Therapy

2016 – 2017

Interprofessional management cycle of the medical faculty

2010 – 2013

Continuing Education Psychosocial Oncology (WPO)

2010 – 2012

Basic and advanced course in couple and family therapy, Center for Psychosocial Medicine, University Hospital Heidelberg


Module "Teaching and Learning I" University Didactics Center Universities of Baden-Württemberg

2005 – 2007

Part-time participation in the qualification program "Clinical Research" of the Center for Psychosocial Medicine, Heidelberg University Hospital

2003 – 2004

Train-the-Trainer seminars for patient training on fibromyalgia and lupus erythematosus, German Society for Rheumatology

2002 – 2012

In-service training as medical psychotherapist at the Heidelberg Institute for Depth Psychology (HIT)



Müller N, Gschwendtner K M, Dwinger S, Bergelt C, Eich W, Härter M, Bieber C. (2019) Study protocol of a randomized controlled trial on two new dissemination strategies for a brief, shared-decision-making (SDM) training for oncologists: web-based interactive SDM online-training versus individualized context-based SDM face-to face training. Trials. 20:18.


Bieber C. Participatory Decision Making (PEF) and its Application in Oncology. (2018) Oncology today. 3: 44-47.

Bieber C, Nicolai J, Gschwendtner K, Müller N, Reuter K, Buchholz A, Kallinowski B, Härter M. How Does a Shared Decision-Making (SDM) Intervention for Oncologists Affect Participation Style and Preference Matching in Patients with Breast and Colon Cancer? Journal of Cancer Education. (2018) 33(3): 708-715.

Bieber C, Härter M. Shall we decide together? p. 91-104, in: Jünger J. (ed.) Medical Communication. Stuttgart: Schattauer (2018), ISBN: 978-3-608-43252-7


Härter M, Dirmaier J, Scholl I, Donner-Banzhoff N, Dierks M-L, Eich W, Müller H, Klemperer D, Koch K, Bieber C. (2017) The long way of implementing patient-centered care and shared decision-making in Germany Journal for continuing medical education and quality in health care. 123–124, 46-51.

Bieber C, Eich W (2017) Chronic pain disorders. In: Dual series internal medicine, 4th edition. Georg Thieme Publishing House, Stuttgart.


Heil J, Kneser U, Hennigs A, Bieber C, Gschwendtner K, Mueller N, Rauch G, Schuetz F, Sohn C, Kremer T. (2016) Reply to: "Patient-Reported Outcomes After Choice for Contralateral Prophylactic Mastectomy". Journal of Clinical Oncology, 34 (34) 4191-4191.

Bieber C, Gschwendtner K, Müller N, Eich W. (2016) Participatory Decision Making (PEF) - Patient and Physician as a Team. Psychotherapy - Psychosomatics - Medical Psychology. 66: 1–13.

Nicolai J, Buchholz A, Seefried N, Reuter K, Härter M, Eich W, Bieber C. (2016) When do cancer patients regret their treatment decision? A path analysis of the influence of clinicians' communication styles and the match of decision-making styles on decision regret. Patient Education and Counseling. 99 (5): 739–746.


Härter M, Buchholz A, Nicolai J, Reuter K, Komarahadi F, Kriston L, Kallinowski B, Eich W, Bieber C. (2015) Shared Decision Making and the Use of Decision Aids. A Cluster-Randomized Study on the Efficacy of a Training in an Oncology Setting. Deutsches Ärzteblatt International. 112: 672–679.


Nicolai J, Moshagen M, Eich W, Bieber C. (2012) The OPTION scale for the assessment of shared decision making (SDM): methodological issues. Journal for Evidence, Training and Quality in Health Care. 106, 264-271.


Bieber C, Nicolai J, Müller K G, Eich W. (2011) The Doctor-Patient Interaction Questionnaire (FAPI) - Validation and psychometric optimization using a sample of chronic pain patients. Clinical Diagnostics and Evaluation 4, 78-93.

Härter M, Müller H, Dirmaier J, Donner-Banzhoff N, Bieber C, Eich W. (2011) Patient Participation and Shared Decision-Making in Germany - history, agents and current transfer into practice. Journal for Evidence, Education and Quality in Health Care. 105, 263-270.

Nicolai J, iron bite D, Müller K G; oak W, Bieber C. (2011) Questionnaire on the difficult doctor-patient relationship - psychometric evaluation of a short questionnaire for outpatient consultations. Clinical diagnostics and evaluation 4, 94-108.

 Hamann J, Bieber C, Elwyn G, Wartner E, Hörlein E, Kissling W, Toegel C, Berth H, Linde K, Schneider (2011) A. How do patients from East and West Germany compare with regard to their participation preferences? European Journal of Public Health, 22 (4) 469 - 473.


Bieber C, Müller KG, Nicolai J, Hartmann M, Eich W (2010) How Does Your Doctor Talk with You? - Preliminary Validation of a Brief Patient Self-Report Questionnaire on the Quality of Physician-Patient Interaction. Journal of Clinical Psychology in Medical Settings 17(2):125-36.


Bieber C, Nicolai J, Ringel N, Blumenstiel K, Schneider A, Hartmann M, Härter M, Eich W, Loh A (2009) Training physicians in Shared Decision-Making (SDM) - who can be reached and what is achieved? Patient Education and Counseling, 77, 48-54.


Bieber C, Müller KG, Blumenstiel K, Richter A, Hochlehnert A., Wilke S, Hartmann M, Eich W (2008) A Shared Decision Making Communication Training Programme for Physicians Treating Fibromyalgia Patients - Effects of a Randomized Controlled Trial. Journal of Psychosomatic Research: 64(1):13-20.


Bieber C, Ringel N, Eich W (2007) Participatory decision-making and its implementation in health care. Desired by the patient, demanded by politics. Klinikarzt, 1, 21-25. 

Schneider A, Wensing M, Quinzler R, Bieber C, Szecsenyi J (2007) Higher preference for participation in treatment decisions is associated with lower medication adherence in asthma patients. Patient Eduation and Counseling; 67(1-2), 57-62.

Loh, A., Simon, D., Bieber, C., Eich, W.; Härter, M. (2007). Patient and citizen participation in Germany - current state and future perspectives. Journal for continuing medical education and quality in health care. 101; 229-235.


Bieber C, Müller KG, Blumenstiel K, Schneider A, Richter A, Wilke S, Hartmann M, Eich W (2006) Long-term effects of a Shared Decision Making intervention on physician-patient interaction and outcome in fibromyalgia. A qualitative and quantitative one year follow-up of a randomized controlled trial. Patient Education and Counseling. 63: 357-66.

Bieber C, Müller KG, Blumenstiel K, Eich W (2006) Participatory decision making as a measure to improve doctor-patient interaction with fibromyalgia patients Journal for Medical Psychology, 15, 1-8.


Bieber C, Müller K G, Blumenstiel K, Schuller-Roma B, Richter A, Hochlehnert A, Wilke S, Eich W (2004) Participatory Decision Making (PEF) with Chronic Pain Patients - The Patient as Partner in the Medical Decision Making Process. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 47, 985-991.