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Julia Anna Glombiewski

Julia Anna Glombiewski
Universität Koblenz-Landau, Landau, Germany · Clinical Psychology and Psychotherapy

Ph.D.

About

127
Publications
35,735
Reads
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2,671
Citations
Citations since 2017
78 Research Items
1949 Citations
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
20172018201920202021202220230100200300400500
Additional affiliations
October 2017 - present
Universität Koblenz-Landau
Position
  • Professor (Full)
November 2009 - present
Philipps University of Marburg
Position
  • Professor (Associate)
September 2009 - September 2017
Philipps University of Marburg
Position
  • Professor (Associate)
Education
May 2004 - September 2007
Philipps University of Marburg
Field of study
  • Psychology

Publications

Publications (127)
Article
Background: We examined whether the difficulties of patients with somatoform disorders (SFDs) in integrating medical reassurance can be altered by preventing patients from devaluing reassuring information through defensive cognitive strategies. Method: Patients with SFD (n = 60), patients with major depression (n = 32), and healthy volunteers (n...
Article
Several lines of research have examined whether people with depressive symptoms have deficits in social-cognitive abilities, such as emotional reasoning skills. While many depressed people report having such deficits, it is less clear whether depressive symptoms are related to actual objective performance deficits. We examined the relationship betw...
Poster
Full-text available
A substantial proportion of pain relief in various pain treatments can often be assigned to placebo effects (placebo hypoalgesia), which can be triggered by therapeutic suggestions of pain relief or conditioning processes. It has been proposed that the ability to accurately perceive pain (interoceptive accuracy of pain perception) might be an impor...
Article
After traumatic experiences, intrusive memories can flash back and evoke significant distress. Here, we investigated whether the frequency and severity of intrusions can be reduced by the provision of placebo. After the (online) exposure to the trauma-film paradigm, healthy participants (N = 112) received deceptive placebo (DP), open-label placebo...
Article
Objective: Placebos being prescribed with full honesty and disclosure (i.e., open-label placebo = OLP) have been shown to reduce symptom burden in a variety of conditions. With regard to allergic rhinits, previous research provided inconclusive evidence for the effects of OLP, possibly related to a separate focus on either symptom severity or symp...
Preprint
In an experimental study, we tested the hypothesis that patients with persistent physical symptoms (PPS) fail to integrate medical reassurance because they engage in a post-hoc devaluation of it, referred to as cognitive immunization. Sixty people with PPS watched a videotaped doctor’s report, which provided medical reassurance for gastroenterologi...
Article
Full-text available
Objectives: The aim of our study was to determine and enhance physicians' acceptance, performance expectancy and credibility of health apps for chronic pain patients. We further investigated predictors of acceptance. Design: Randomised experimental trial with a parallel-group repeated measures design. Setting and participants: 248 physicians w...
Article
Background Expectations of painful sensations constitute a core feature of chronic pain. An important clinical question is whether such expectations are revised when disconfirming experiences are made (e.g., less pain than expected). This study examined how people adjust their pain expectations when the experience of decreasing pain is expected vs....
Article
Background Placebo effects play an important role in psychopharmacological treatment of depression. Among the most potent mechanisms are positive treatment expectations. However, there is large heterogeneity in how they are induced. We studied the protective effects against sadness of deceptive (DP) and open-label placebos (OLP) combined with one o...
Article
This is the first study to disentangle associations of within- and between-person fluctuations in loneliness and their effect on evening mood during a nationwide lockdown due to COVID-19. To contribute to the development of personality-tailored risk profiles, we additionally explored the moderating role of trait neuroticism and extraversion on the...
Article
Full-text available
Background: Cognitive immunisation against disconfirmatory evidence (i.e., devaluing expectation-disconfirming information through cognitive mechanisms) has recently been discussed as an obstacle to the revision of dysfunctional beliefs in mental disorders such as depression. Yet, it is unclear whether cognitive immunisation is also involved in bel...
Article
Menschen mit chronischen Schmerzen haben oft Angst vor bestimmten Bewegungen. Sie vermeiden entsprechende Aktivitäten, bauen körperlich ab und leiden schlimmstenfalls unter noch stärkeren Schmerzen und Depressionen. Die Expositionstherapie sowie das Graded-Activity-Konzept helfen, den Teufelskreis des Angst-Vermeidungs-Modells zu durchbrechen.
Preprint
Background: Expectations of painful sensations constitute a core feature of chronic pain. An important clinical question is whether such expectations are revised when disconfirming experiences are made (e.g., less pain than expected). The present study examined how people adjust their pain expectations when the experience of decreasing pain is expe...
Preprint
After traumatic experiences, intrusive memories can flash back and evoke significant distress. Here, we investigated whether the occurrence of intrusions can be prevented by placebo. After the exposure to an experimental psychopathology model of psychological trauma, healthy participants (N=112) were randomised to deceptive placebo (DP), open-label...
Preprint
Background: Several lines of research have examined whether people with depressive symptoms have deficits in social-cognitive abilities, such as emotional reasoning skills. While many patients report having such deficits, it is less clear whether depressive symptoms are related to actual objective performance deficits.Methods: Following recent meth...
Article
Full-text available
Behavior therapy of obsessive-compulsive disorder (OCD) aims to reduce avoidance, rituals, and discomfort in OCD-relevant situations. The Behavioral Avoidance Test (BAT) measures these behavior-related outcomes in individually challenging OCD-related situations. The association of the BAT with OCD severity measures and its relevance for treatment o...
Preprint
Background and Objective: Placebos being prescribed with full honesty and disclosure (i.e., open-label placebo = OLP) have been shown to reduce symptom burden in a variety of conditions. With regard to allergic rhinits, previous research provided inconclusive evidence for the effects of OLP, possibly related to a separate focus on either symptom se...
Preprint
BACKGROUND Chronic pain is one of the most costly and widespread medical conditions in the world. Despite effective forms of treatment, there is an urgent need to optimize therapies. Studies on the effectiveness of health apps for chronic pain patients are increasing and show promising results as a treatment adjunct or stand-alone treatment. Nevert...
Article
Full-text available
Metacognitive therapy (MCT) has been shown to be a promising treatment approach for obsessive-compulsive disorder (OCD). The changeability of metacognitions by (metacognitive) treatment and its relevance to treatment outcome is, however, still unclear. The current study investigates, (1) if treatment with MCT or exposure and response prevention (ER...
Article
Full-text available
The ability to differentiate between negative emotional states [negative emotion differentiation (NED)] has been conceptualized as a trait that facilitates effective emotion regulation and buffers stress reactivity. In the present research, we investigated the role of NED in within-person processes of daily affect regulation and coping during times...
Article
Full-text available
Objectives: Individuals with obsessive-compulsive disorder (OCD) often suffer from impairments in social functioning. This study investigates differences in empathy, compassion, and Theory of Mind (ToM) in individuals with OCD as a possible cause for social functioning deficits. Design: Sixty-four individuals diagnosed with OCD and 62 healthy in...
Article
Background Polyregulation—the concurrent or sequential use of multiple strategies to regulate affect or cope with stressors—is a frequent but understudied phenomenon. Objectives We aimed to identify patterns of daily coping and individuals’ coping repertoires (i.e., range of coping patterns employed across situations) during a COVID-19 pandemic lo...
Article
Background In two experimental studies, we tested the hypothesis that negative mood would hinder the revision of negative beliefs in response to unexpectedly positive information in depression, whereas positive mood was expected to enhance belief updating. Methods In study 1 ( N = 101), we used a subclinical sample to compare the film-based induct...
Article
Cognitive behaviour therapy, especially exposure and response prevention (ERP) is the treatment of choice for obsessive-compulsive disorder (OCD). However, a substantial number of patients refuse this method or fail to benefit enough. Metacognitive therapy (MCT) claims to successfully treat OCD without prolonged exposures. However, only case series...
Article
Full-text available
Previous research on expectation updating in relation to psychopathology used to treat expectation-confirming information and expectation-disconfirming information as binary concepts. Here, we varied the extent to which new information deviates from prior expectations and examined its influence on expectation adjustment in both a false-feedback tas...
Article
Full-text available
Background: People with depression maintain negative expectations despite disconfirming positive experiences by reappraising or discarding novel positive information, referred to as “cognitive immunisation”. A second body of literature suggests that negative mood can negatively affect information processing. Bridging these two lines of research, th...
Preprint
Differences in fear conditioning between individuals suffering from chronic pain and healthy controls may indicate a learning bias that contributes to the acquisition and persistence of chronic pain. However, evidence from lab-controlled conditioning studies is sparse and previous experiments have produced inconsistent findings. Twenty-five partici...
Article
Full-text available
Differences in fear conditioning between individuals suffering from chronic pain and healthy controls may indicate a learning bias that contributes to the acquisition and persistence of chronic pain. However, evidence from lab-controlled conditioning studies is sparse and previous experiments have produced inconsistent findings. Twenty-five partici...
Article
Objective Ecological momentary assessment (EMA) and network analysis are promising empirical developments for psychotherapy research and practice, but they lack a therapeutic rationale that could guide case conceptualization and treatment planning. We developed an assessment strategy that aims to assess functional analysis with EMA. Method: The ass...
Article
Full-text available
Background Placebos can reduce physical symptoms even when provided with full honesty and disclosure. Yet, the precise mechanisms underlying the effects of “open-label placebos” (OLPs) have remained subject of debate. Furthermore, it is unclear whether OLPs are similarly effective when provided remotely, as is sometimes required e.g. in the current...
Article
Psychotherapeutic training in Germany is about to be changed soon: master’s graduates in clinical psychology will be able to become state-licensed psychotherapists. It is therefore mandatory to teach basic psychotherapeutic skills at the universities. This article presents examples of application-oriented courses in clinical psychology, which have...
Article
Objectives: Although several questionnaires assessing fear of movement exist, it still is challenging to identify individuals who might benefit more from exposure for chronic pain than from other psychological approaches, and vice versa. Psychological approaches for chronic pain cannot advance towards the often called-for "tailored approaches" bec...
Preprint
Aberrant belief updating has been linked to psychopathology, e.g., depressive symptoms. While previous research used to treat belief-confirming vs. -disconfirming information as binary concepts, the present research varied the extent to which new information deviates from prior beliefs and examined its influence on belief updating. In a false feedb...
Preprint
Background: In two experimental studies, we tested the hypothesis that negative mood would hinder the revision of negative beliefs in response to unexpectedly positive information in depression, whereas positive mood was expected to enhance belief updating. Methods: In Study 1 (N = 101), we used a subclinical sample to compare the film-based induct...
Article
Full-text available
Objective: Novel suggestions derived from the inhibitory learning model on how to optimize exposure therapy have been debated with enthusiasm in the last few years, particularly with respect to the focus on expectancy violations. However, little is known about how this new approach directly compares to the traditional habituation rationale of expo...
Article
Objective: The alliance between patient and therapist is central for therapeutic progress. Social mimicry, the automatic imitation of another person, has been linked to building relationships. This is the first preregistered study to systematically investigate mimicry and its effects on the working alliance in real psychotherapy sessions. Method: S...
Article
Expositionstherapie stellt mittlerweile eine anerkannte Behandlungsmethode für chronische Rückenschmerzen dar – insbesondere wenn Patientinnen und Patienten zusätzlich unter erhöhten schmerzbezogenen Ängsten sowie Ver­meidungsverhalten leiden. Ziel dieses Verfahrens ist, bestehende Ängste und Vermeidung im Hinblick auf spezifische Bewegungen abzuba...
Preprint
Full-text available
Network analyses and process-based approaches to psychotherapy are thrilling developments for psychotherapy research and practice, but they lack a therapeutic rationale for the individual selection of treatment modules. Conceptualizing the conditional relations around human responses using functional analysis could guide case conceptualization and...
Article
Full-text available
Self‐compassion is associated with disability, pain‐related anxiety as well as depression and anger in patients with chronic pain. However, the unique value of self‐compassion versus other concepts such as psychological flexibility and self‐esteem is unknown. The present study therefore aimed to clarify these relationships. Individuals with chronic...
Preprint
People update their beliefs selectively in response to good news and disregard bad news, referred to as the optimism bias. Yet, the precise cognitive mechanisms underlying this asymmetry in belief updating are largely unknown. In three experiments, we tested the hypothesis that cognitive immunisation against new information contributes to optimisti...
Article
Full-text available
Purpose: Accumulating evidence suggests an association between patient expectations and treatment success across various types of pain treatments. Expectations among treatment caregivers, however, are often neglected. Despite international treatment guidelines, only a small minority of chronic pain patients undergo psychological interventions. The...
Article
Full-text available
Background: Exposure treatments are shown to be effective in reducing pain-related fear and the perceived harmfulness of physical activities. However, due to the fragility of extinction its stability is questionable. We investigated the generalizability of exposure effects in chronic low back pain (CLBP) patients by integrating a behavioral test in...
Article
Full-text available
Die Psychotherapiereform verändert die Ausbildung von Psychotherapeutinnen und -therapeuten in Deutschland: Zukünftig sollen klinisch-psychologische Masterstudiengänge mit einer staatlichen Approbationsprüfung in Psychotherapie abgeschlossen werden. Die hochschulische Lehre muss entsprechend psychotherapeutische Basisfertigkeiten praktisch vermitte...
Article
Full-text available
Exposure elements are highly effective for the treatment of individuals with chronic pain and elevated fear-avoidance. However, different therapeutic instructions are justified by competing theories regarding underlying mechanisms. The habituation model suggests that therapists should focus on fear reduction. The inhibitory learning approach sugges...
Preprint
Background: People with depression maintain negative expectations despite disconfirming positive experiences by reappraising or discarding novel positive information, referred to as “cognitive immunisation”. A second body of literature suggests that negative mood can negatively affect information processing. Bridging these two lines of research, th...
Article
Wir stellen das Konzept für Fallseminare vor, wie sie seit 2009 an der Universität Marburg und seit 2018 an der Universität Koblenz-Landau erfolgreich durchgeführt werden. Die Seminare folgen dem Prinzip der problemorientierten Lernumgebung. Etwa 12 Studierende behandeln dabei gemeinsam eine PatientIn unter der Anleitung einer psychologischen Psych...
Article
Background : Meta-analyses demonstrate that placebo effects play an important role in antidepressant treatment. Expectations seem to constitute a highly relevant placebo mechanism in this context. This study investigated whether an expectation manipulation combined with the intake of an active placebo could reduce acute sadness in depressed partici...
Article
Full-text available
Background and aims In the spring of 2019, Professor Steven J. Linton, the founder of the Center for Health and Medical Psychology (CHAMP) at Örebro University, Sweden, formally retired. As a tribute to his scholarly work covering decades of influence and inspiration to the field of pain psychology, the research center organized a topical conferenc...
Article
The cognitive model of depression has significantly influenced the understanding of distorted cognitive processes in major depression; however, it has recently been criticized that this model’s conception of “cognition” might be too broad and unspecific. In this review, we connect insights from cognitive neuroscience and psychiatry to suggest that...
Article
Objectives: Recent research has shown that placebos are effective even if they are openly prescribed to participants. However, it is unclear how such "open-label placebos" (OLPs) compare to deceptive placebo (DP) and what the mechanisms of actions are. In this study, we therefore compared two versions of OLP to DP and no treatment (NT). Methods:...
Article
Menschen mit chronischen Schmerzen haben mitunter Angst vor bestimmten Bewegungen. Sie vermeiden entsprechende Aktivitäten, bauen körperlich ab und leiden schlimmstenfalls unter noch stärkeren Schmerzen und Depressionen. Die Ursache für ihre ‚Kinesiophobie‘ liegt in bewegungsassoziierten Negativerfahrungen, im sozialen Umfeld und auch in der unbeab...
Article
Full-text available
Obkective: The cognitive model of depression assumes that depressive symptoms are influenced by dysfunctional cognitions. To further specify this model, the present study aimed to examine the influence of different types of cognitions on depressive symptoms, i.e., situational expectations and global cognitions. It was hypothesized that situational...
Article
Background: People with depression differ from healthy people in the extent to which they use novel positive information to adjust negative expectations. In this study, we examined whether the two groups also differ in updating positive expectations after receiving unexpectedly negative information. Methods: Examining 76 people with depressive symp...
Article
Background Research has revealed that negative expectations impact depressive symptoms. However, research on the change of dysfunctional expectations in depression is lacking so far. Therefore, the present research aimed to fill this gap by testing the hypothesis that people with the major depressive disorder (MDD), contrary to healthy individuals,...
Article
Introduction: We aimed to examine whether drug-associated expectations have an impact on the experience of sadness. We hypothesized that participants who received an active placebo nasal spray (but were told that it was an antidepressant that would protect them from experiencing negative emotions) would become less sad than the control groups. Me...
Presentation
Erwartungen stellen einen wichtigen Wirkmechanismus der Placeboantwort bei der Pharmakotherapie von Depressionen dar. In einem früheren Experiment konnten wir zeigen, dass eine Erwartungsmanipulation in Kombination mit der Einnahme eines aktiven Placebos („schnell wirksames Antidepressivum“) bei gesunden Probandinnen die Traurigkeitsintensität nach...
Article
Recent research suggests that in major depressive disorder (MDD), dysfunctional expectations contribute to the development and maintenance of depressive symptoms more than other types of cognitions considered by the traditional cognitive model of depression. Herein, both disorder-specific expectations (such as expectations concerning social rejecti...
Article
Background: Research has shown that negative expectations in major depressive disorder (MDD) often persist despite positive disconfirming experiences. To explain this phenomenon, the concept of cognitive immunization has been introduced: that is, individuals with MDD reappraise disconfirming positive evidence in such a way that negative expectation...
Article
How do individuals with obsessive-compulsive disorder (OCD) process and respond to images of rotten food or dirty toilets? In contrast to other fear-related disorders, evidence for attentional biases and preferential processing of disorder-related stimuli in samples of OCD is mixed. To address methodological problems of previous studies and to incr...
Article
Background To improve treatment outcomes it is essential to understand the processes involved in therapeutic change. The aim of this study was to investigate the processes involved in treatment of individuals with chronic lower back pain (CLBP) and high fear‐avoidance. Graded in vivo exposure (Exposure), a specific treatment, and cognitive‐behavior...
Article
Chronic low back pain Exposure therapy Cognitive-behavioral therapy Single-case experimental design Biological stress response Cortisol Alpha-amylase A B S T R A C T Our aim was to evaluate isolated elements of psychological pain treatments and explore treatment effects on biological stress markers. We employed a single-case experimental design wit...
Article
Exposure therapy is an economical and promising psychological method for the treatment of chronic back pain, although little research has been done and its evidence needs further clarification. Exposure therapy has so far been little used in practice, which is partly due to the few published studies on this topic and partly to the uncertainty of th...
Article
Purpose of review: Recent research suggests that expectations might be a particularly important subgroup of cognitions in major depression. The present study aimed to further specify the role of situation-specific dysfunctional expectations (SDEs) in the development of depressive symptoms. It was hypothesized that the effects of intermediate belie...
Article
Objective: Our aim was to establish whether Exposure, a specialized tailored treatment for chronic low back pain, has any advantages over cognitive-behavioral therapy (CBT) among individuals with high fear-avoidance levels. Second, we planned to compare short and long versions of Exposure. Third, we aimed to investigate whether Exposure can be del...
Article
Objective: Patients' expectations have been shown to predict the course and treatment success of a variety of medical conditions. Therefore, expectation-focused psychological interventions (EFPI) have been developed to use these expectation effects clinically. Importantly, EFPI differ with regard to the particular expectation mechanism being addre...
Article
Background: Dysfunctional expectations are considered to be core features of mental disorders and, in particular, major depression. The aim of the present study was to integrate two important types of expectations into the cognitive model of depression: situation-specific dysfunctional expectations (SDE) and dispositional optimism (DO). It was hypo...
Chapter
Placebo research has shown that patients' expectations are among the strongest predictors of treatment outcome regarding various medical conditions. Therefore, interventions focusing on the change of such expectations might be most effective. This could be of relevance not only for outcome expectations but also for disease-specific, problem-specifi...
Article
Background and objectives: Dysfunctional expectations are considered to be core features of various mental disorders. Clinical observations suggest that people suffering from mental disorders such as major depression tend to maintain dysfunctional expectations despite expectation-disconfirming evidence. Surprisingly, this clinically relevant phenom...
Article
Full-text available
Robert Sielski,1 Julia Anna Glombiewski,1 Winfried Rief,1 Geert Crombez,2 Antonia Barke1 1Department for Clinical Psychology and Psychotherapy, Philipps-University of Marburg, Marburg, Germany; 2Faculty of Psychology and Educational Sciences, Ghent University, Ghent, Belgium Abstract: According to the dual process model of coping, assimilative or a...
Article
Full-text available
In this perspective paper, we suggest that among patients suffering from major depressive disorder (MDD), dysfunctional expectations are maintained despite experiences that are contrary to these expectations. Surprisingly, this persistence of expectations in MDD has not yet been addressed by empirical studies. We argue that it is worthwhile to inve...
Article
Full-text available
Objectives. Dysfunctional expectations are considered to be core features of various mental disorders. The aim of the study was to develop the Depressive Expectations Scale (DES) as a depression-specific measure for the assessment of dysfunctional expectations. Whereas previous research primarily focused on general cognitions and attitudes, the DES...
Article
Selecting appropriate stimuli is a major challenge of affective research. Although several standardized databases for affective pictures exist, none of them focus on discrete emotions such as disgust. Validated pictures inducing discrete emotions are still limited, and this presents a problem for researchers interested in studying different facets...
Article
Full-text available
Purpose The aims of the present analysis were to investigate the short- and long-term efficacy and treatment moderators of biofeedback as a psychological treatment option for chronic back pain. Method A literature search using PubMed, PsycINFO, and the Cochrane Library identified 21 eligible studies including 23 treatment conditions and 1062 patien...