KariAnne Vrabel

• Eielsen, Hanna Kristine Punsvik; Vrabel, KariAnne; Hoffart, Asle; Rø, Øyvind & Rosenvinge, Jan H (2021). The 17-year outcome of 62 adult patients with longstanding eating disorders—A prospective study. International Journal of Eating Disorders.  ISSN 0276-3478. . doi: DOI: 10.1002/eat.23495
• Dahlgren, Anna Maria Camilla Lindvall; Walsh, B. Timothy; Vrabel, Karianne; Siegwarth, Cecilie & Rø, Øyvind (2020). Eating disorder diagnostics in the digital era: Validation of the Norwegian version of the Eating Disorder Assessment for DSM-5 (EDA-5). Journal of Eating Disorders.  ISSN 2050-2974.  8(1), s 1- 7 . doi: 10.1186/s40337-020-00310-7 Fulltekst i vitenarkiv.
• Mathisen, Therese Fostervold; Rosenvinge, Jan H; Friborg, Oddgeir; Vrabel, KariAnne; Bratland-Sanda, Solfrid; Pettersen, Gunn & Sundgot-Borgen, Jorunn (2020). Is physical exercise and dietary therapy a feasible alternative to cognitive behavior therapy in treatment of eating disorders? A randomized controlled trial of two group therapies. International Journal of Eating Disorders.  ISSN 0276-3478.  53(4), s 574- 585 . doi: 10.1002/eat.23228 Fulltekst i vitenarkiv. Vis sammendrag

  Objective: To compare effects of physical exercise and dietary therapy (PED‐t) to cognitive behavioral therapy (CBT) in treatment of bulimia nervosa (BN) and binge‐eating disorder (BED). Method: The active sample (18–40 years of age) consisted of 76 women in the PED‐t condition and 73 in the CBT condition. Participants who chose not to initiate treatment immediately (n = 23) were put on a waiting list. Outcome measures were the eating disorder examination questionnaire (EDE‐Q), Clinical Impairment Assessment (CIA), Satisfaction with Life Scale (SWLS), Beck Depression Inventory (BDI), and numbers in remission at posttreatment, and at 6‐, 12‐, and 24‐months follow‐up. Results: Both treatment conditions produced medium to strong significant improvements on all outcomes with long‐term effect. The PED‐t produced a faster improvement in EDE‐Q and CIA, but these differences vanished at follow‐ups. Only PED‐t provided improvements in BDI, still with no between‐group difference. Totally, 30–50% of participants responded favorable to treatments, with no statistical between‐group difference. Discussion: Both treatments shared a focus on normalizing eating patterns, correcting basic self‐regulatory processes and reducing idealized aesthetic evaluations of self‐worth. The results point to the PED‐t as an alternative to CBT for BN and BED, although results are limited due to compliance and dropout rates. Replications are needed by independent research groups as well as in more clinical settings.

• Olofsson, Malin Elisabeth; Oddli, Hanne; Vrabel, KariAnne & Hoffart, Asle (2020). «In solitude is safeness»: a patient perspective on eating disorders in the context of multiple childhood trauma. Nordic Psychology.  ISSN 1901-2276. . doi: 10.1080/19012276.2020.1762714 Fulltekst i vitenarkiv.
• Olofsson, Malin Elisabeth; Oddli, Hanne; Hoffart, Asle; Eielsen, Hanna Kristine Punsvik & Vrabel, Kari-Anne (2019). Change Processes Related to Long-Term Outcomes in Eating Disorders With Childhood Trauma: An Explorative Qualitative Study. Journal of Counseling Psychology.  ISSN 0022-0167. . doi: 10.1037/cou0000375
• Vrabel, Kari-Anne & Bratland-Sanda, Solfrid (2019). Exercise obsession and compulsion in adults with longstanding eating disorders: Validation of the Norwegian version of the compulsive exercise test. Frontiers in Psychology.  ISSN 1664-1078.  10(2370) . doi: 10.3389/fpsyg.2019.02370 Fulltekst i vitenarkiv. Vis sammendrag

  Objectives: The objectives of this study were to (1) validate the Norwegian version of the Compulsive Exercise Test (CET) in adults with longstanding eating disorders, and (2) explore predictors of high CET-score. Methods: Adult inpatients (n = 166) with longstanding DSM-IV Anorexia Nervosa, Bulimia Nervosa (BN) or Eating Disorder not Otherwise Specified (EDNOS) completed the CET instrument, Eating Disorder examination questionnaire (EDE-Q), Beck Depression Inventory-II (BDI-II) and Symptom checklist-90 (SCL-90). A total CET score of 15 or above was defined as high CET-score. ANOVA, Confirmatory factor analysis, Pearson’s correlation, and logistic regression were used to analyze the data. Results: Cronbach’s alpha varied from 0.68 to 0.96 for the CET and its subscales. The confirmatory factor analysis showed adequate fit. Convergent validity of the CET demonstrated correlation between EDE-Q global and subscale scores and CET total score. The same pattern was found for correlation between CET subscales and EDE-Q subscales. EDE-Q global score and frequency of exercise episodes predicted high CET-score, yet 21% of the patients with high CET score had less than one episode of exercise per week. Conclusion: The Norwegian version of CET is valid and useful for assessing compulsive exercise in a sample with longstanding ED. The understanding of compulsive exercise must to a greater extent differ between obsessions and compulsions, as a significant number of patients with high CET score showed no or little exercise behavior.

• Vrabel, Kari-Anne; Wampold, Bruce E.; Quintana, Daniel; Goss, Ken; Waller, Glenn & Hoffart, Asle (2019). The modum-ED trial protocol: Comparing compassion-focused therapy and cognitive-behavioral therapy in treatment of eating disorders with and without childhood trauma: Protocol of a randomized trial. Frontiers in Psychology.  ISSN 1664-1078.  10:1638(JULY), s 1- 10 . doi: 10.3389/fpsyg.2019.01638 Fulltekst i vitenarkiv.
• Bratland-Sanda, Solfrid & Vrabel, Kari-Anne (2018). An investigation of the process of change in psychopathology and exercise during inpatient treatment for adults with longstanding eating disorders. Journal of Eating Disorders.  ISSN 2050-2974.  6(1) . doi: 10.1186/s40337-018-0201-7 Fulltekst i vitenarkiv. Vis sammendrag

  Background: Excessive exercise is recognized as a predictor of poor outcome in eating disorders. However, little is known about how excessive exercise might affect the treatment process. The aim of this study was to describe process of weekly changes in eating disorder psychopathology, general psychopathology and exercise, and the possible interactive effects of excessive exercise on these changes during inpatient treatment of longstanding eating disorders. Methods: Eighty-four patients meeting the DSM-IV criteria for Anorexia Nervosa, Bulimia Nervosa, or Eating Disorders Not Otherwise Specified received inpatient cognitive-behavioural therapy including, physical activity and nutritional counselling treatment over 12 weeks. Excessive exercise was defined as having ≥6 episodes of driven exercise during week 1 of treatment. Excessive exercisers received one additional session of individual counseling with the clinical exercise physiologist. The study used repeated measurements during treatment and collected measures of eating disorders: psychopathology (EDE-Q), general psychopathology (SCL-5), and frequencies of exercise and body mass index (BMI). Statistical analysis was performed using repeated measures ANOVA. Results: Both eating disorders and general psychopathology were reduced from admission to discharge in excessive exercisers and non-exercisers. There was an overall interaction effect between time (week) and excessive exercise for the process of exercise and eating disorders psychopathology reduction. This interaction effect was also found in week 10 vs 11 regarding general psychopathology. The excessive exercisers showed steep reduction at first, followed by a smaller increase towards the end of treatment in both eating disorder and general psychopathology; this pattern was not found among the non-exercisers. Conclusion: The process of change in exercise and psychopathology during inpatient treatment of longstanding eating disorders differs across excessive and non-excessive exercisers. Although excessive exercisers were given special attention for their exercise cognition and behavior during treatment, it is apparent that this part of treatment must be further developed.

• Karlsen, Kari Ebbesen; Vrabel, Kari-Anne; Bratland-Sanda, Solfrid; Ulleberg, Pål & Benum, Kirsten (2018). Effect of yoga in the treatment of eating disorders: A single-blinded randomized controlled trial with 6-months follow-up.. International Journal of Yoga.  ISSN 0973-6131.  11(2), s 166- 169 . doi: 10.4103/ijoy.IJOY_3_17 Fulltekst i vitenarkiv.
• Mathisen, Therese Fostervold; Bratland-Sanda, Solfrid; Rosenvinge, Jan H; Friborg, Oddgeir; Pettersen, Gunn; Vrabel, Kari-Anne & Sundgot-Borgen, Jorunn (2018). Treatment effects on compulsive exercise and physical activity in eating disorders. Journal of Eating Disorders.  ISSN 2050-2974.  6, s 1- 9 . doi: 10.1186/s40337-018-0215-1 Fulltekst i vitenarkiv. Vis sammendrag

  Background: Dysfunctional thoughts- and use of physical activity (PA) are core symptoms of the eating disorders (ED) bulimia nervosa (BN) and binge eating disorder (BED). The compulsive desire for PA complicates a favourable treatment outcome; hence, regular, adapted PA led by personnel with competence in exercise science is rarely part of treatment of BN and BED. The present study compared cognitive behaviour therapy (CBT) with a new treatment combining physical exercise and dietary therapy (PED-t) with respect to the short- and long-term changes in the level of compulsive exercise and actual level of PA in women with BN or BED. Methods: We enrolled 187 women with BN or BED, aged 18–40 years, with BMI 17.5–35, in an outpatient randomised controlled therapy trial. Participants were randomised to PED-t or CBT, while waitlist participants served as a control group during the treatment period. The treatment covered 16 weeks, with 6- and 12 months follow-up, and outcomes included self-reported compulsive exercise (CE) and objectively measured PA, analysed by linear mixed regression models. Results: Both CBT and PED-t reduced CE from baseline (P < 0.01, Hedges g ~ 0.4), but with no difference to control group. Compared to baseline, only PED-t significantly reduced the number of patients who scored above cut-off rating for CE, but with no between-group differences. The proportion of participants complying with the official recommendation for PA neither changed following treatment, nor emerged different between the treatment arms. Conclusion: Both therapies resulted in significant improvements in compulsive exercise, a change not found in the control group, however there were no between-group differences. The findings are tempered by the low statistical power due to a small control group size. The number of participants complying with the recommendation for PA were stable throughout the study, and no change in total PA was found. Presence and intensity of CE decline with treatment, but a need to increase PA towards healthy levels remains unsolved.

• Mathisen, Therese Fostervold; Rosenvinge, Jan H; Friborg, Oddgeir; Pettersen, Gunn; Stensrud, Trine; Hansen, Bjørge Hermann; Underhaug, Karoline; Teinung, Elisabeth; Vrabel, Kari-Anne; Svendsen, Mette; Bratland-Sanda, Solfrid & Sundgot-Borgen, Jorunn (2018). Body composition and physical fitness in women with bulimia nervosa or binge-eating disorder. International Journal of Eating Disorders.  ISSN 0276-3478.  51(4), s 331- 342 . doi: 10.1002/eat.22841 Fulltekst i vitenarkiv. Vis sammendrag

  Objective:Knowledge about physical fitness in women with bulimia nervosa (BN) or binge-eatingdisorder (BED) is sparse. Previous studies have measured physical activity largely through self-report, and physical fitness variables are mainly restricted to body mass index (BMI) and bone min-eral density. We expanded the current knowledge in these groups by including a wider range ofphysical fitness indicators and objective measures of physical activity, assessed the influence of ahistory of anorexia nervosa (AN), and evaluated predictive variables for physical fitness.Method:Physical activity, blood pressure, cardiorespiratory fitness (CRF), muscle strength, bodycomposition, and bone mineral density were measured in 156 women with BN or BED, with mean(SD) age 28.4 years (5.7) and BMI 25.3 (4.8) kg m22.Results:Level of physical activity was higher than normative levels, still<50% met the officialphysical activity recommendation. Fitness in women with BN were on an average comparable withrecommendations or normative levels, while women with BED had lower CRF and higher BMI,VAT, and body fat percentage. We found 10–12% with masked obesity. A history of AN did notpredict current physical fitness, still values for current body composition were lower when compar-ing those with history of AN to those with no such history.Discussion:Overall, participants with BN or BED displayed adequate physical fitness; however, ahigh number had unfavorable CRF and body composition. This finding calls for inclusion of physicalfitness in routine clinical examinations and guided physical activity and dietary recommendationsin the treatment of BN and BED.

• Johnson, Sverre Urnes; Hoffart, Asle; Nordahl, Hans Morten; Ulvenes, Pål; Vrabel, Kari-Anne & Wampold, Bruce E. (2017). Metacognition and cognition in inpatient mct and cbt for comorbid anxiety disorders: A study of within-person effects. Journal of Counseling Psychology.  ISSN 0022-0167.  65(1), s 86- 97 . doi: 10.1037/cou0000226
• Langkaas, Tomas Formo; Johnson, Sverre Urnes; Stenshorne, Kjersti; Collin-Tiller, Cecilie & Vrabel, Kari-Anne (2017). Klinisk signifikans i praksis.. Tidsskrift for Norsk Psykologforening.  ISSN 0332-6470.  54(12), s 1160- 1167
• Mathisen, Therese Fostervold; Rosenvinge, Jan H; Pettersen, Gunn; Friborg, Oddgeir; Vrabel, Kari-Anne; Bratland-Sanda, Solfrid; Svendsen, Mette; Stensrud, Trine; Bakland, Maria; Wynn, Rolf & Sundgot-Borgen, Jorunn (2017). The PED-t trial protocol: The effect of physical exercise –and dietary therapy compared with cognitive behavior therapy in treatment of bulimia nervosa and binge eating disorder. Study protocol of a randomized controlled trial.. BMC Psychiatry.  ISSN 1471-244X.  17:180, s 1- 11 . doi: 10.1186/s12888-017-1312-4 Fulltekst i vitenarkiv.
• Vrabel, Kari-Anne; Ulvenes, Pål & Wampold, Bruce E. (2015). Alliance and symptom improvement in inpatient treatment for eating disorder patients: A study of within-patient processes. International Journal of Eating Disorders.  ISSN 0276-3478.  48(8), s 1113- 1121 . doi: 10.1002/eat.22434
• Vrabel, Kari-Anne Rasmussen; Hoffart, Asle; Rø, Øyvind; Martinsen, Egil Wilhelm & Rosenvinge, Jan H (2010). Co-Occurrence of Avoidant Personality Disorder and Child Sexual Abuse Predicts Poor Outcome in Long-Standing Eating Disorder. Journal of Abnormal Psychology.  ISSN 0021-843X.  119(3), s 623- 629 . doi: 10.1037/a0019857
• Vrabel, Kari-Anne Rasmussen; Rø, Øyvind; Martinsen, EW; Hoffart, Asle & Rosenvinge, Jan H (2010). Five-Year Prospective Study of Personality Disorders in Adults with Longstanding Eating Disorders. International Journal of Eating Disorders.  ISSN 0276-3478.  43(1), s 22- 28 . doi: 10.1002/eat.20662
• Bratland-Sanda, S; Bratland Sanda, Solfrid; Rosenvinge, Jan H; Vrabel, Kari-Anne Rasmussen; Norring, Claes; Sundgot-Borgen, J; Sundgot Borgen, Jorunn; Rø, Øyvind & Martinsen, EW (2009). Physical activity in treatment units for eating disorders: Clinical practice and attitudes. Eating and Weight Disorders.  ISSN 1124-4909.  14(2-3), s E106- E112
• Vrabel, Kari Anne R; Rø, Øyvind; Martinsen, Egil Wilhelm; Hoffart, Asle & Rosenvinge, Jan H. (2009). Five-year prospective study of personality disorders in adults with longstanding eating disorders. International Journal of Eating Disorders.  ISSN 0276-3478.  43(1), s 22- 28
• Vrabel, Kari-Anne; Rosenvinge, Jan H; Hoffart, Asle; Martinsen, Egil Wilhelm & Rø, Øyvind (2008). The course of illness following inpatient treatment of adults with longstanding eating disorders: A 5-year follow-up. International Journal of Eating Disorders.  ISSN 0276-3478.  43, s 22- 28
• Rosenvinge, Jan H; Rø, Øyvind; Hoffart, Asle; Martinsen, Egil & Vrabel, Kari-Anne Rasmussen (2005). Two-year prospective study of personality disorders in patients with long standing eating disorders. International Journal of Eating Disorders.  ISSN 0276-3478.  37, s 112- 118

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• Eielsen, Hanna Kristine Punsvik; Vrabel, Kari-Anne; Hoffart, Asle; Rø, Øyvind & Rosenvinge, Jan H (2019). Seventeen-year coure and outcome of eating disorders in an adult population..
• Mathisen, Therese Fostervold; Rosenvinge, Jan H; Friborg, Oddgeir; Pettersen, Gunn; Vrabel, Kari-Anne; Bratland-Sanda, Solfrid & Sundgot-Borgen, Jorunn (2019). How do physical exercise and dietary therapy compare to cognitive behavior therapy in outpatient treatment of women with BN or BED?.
• Vrabel, KariAnne (2019). Comparing Compassion Focused Therapy and Cognitive Behavioural Therapy in Treatment of Eating Disorders with and without Childhood Trauma: A randomized controlled trial.
• Vrabel, KariAnne (2019). Comparing Compassion Focused Therapy and Cognitive Behavioural Therapy in Treatment of Eating Disorders with and without Childhood Trauma: A randomized controlled trial.
• Vrabel, KariAnne (2019). Hva er egentlig «selvmedfølelse» og hvordan kan vi bruke det i forebygging og behandling?.
• Vrabel, KariAnne (2019). Kvinner på randen: om stress, press og tidsklemma.
• Vrabel, KariAnne (2019). Om compassionfokusert terapi.
• Vrabel, KariAnne (2019). Om overspisingslidelser.
• Vrabel, KariAnne (2019). Traumer og spiseforstyrrelse.
• Eielsen, Hanna Kristine Punsvik; Vrabel, Kari-Anne; Rø, Øyvind; Rosenvinge, Jan H & Hoffart, Asle (2018). Longstanding, severe eating disorders - 17-year prospective follow-up study.
• Eik-Nes, Trine Tetlie; Vrabel, Kari-Anne; Weider, Siri; Stedal, Kristin; Dahlgren, Anna Maria Camilla Lindvall; Berg, Kjersti Hognes & Kulseng, Bård Eirik (2018). Mental Health and Obesity (the MHOBY study) A transdisciplinary approach to obesity treatment.
• Olofsson, Malin Elisabeth; Oddli, Hanne; Vrabel, Kari-Anne & Hoffart, Asle (2018). "In solitude is safenss": a patient perspective on eating disorders in the context of childhood trauma".
• Olofsson, Malin Elisabeth & Vrabel, Kari-Anne (2017). Medfølelse for spiseforstyrrelser.. Tidsskrift for Norsk Psykologforening.  ISSN 0332-6470.  (12), s 1184- 1187
• Vrabel, Kari-Anne (2017, 01. november). Huspsykolog. [Internett].  Pia og Psyken.
• Vrabel, Kari-Anne (2017, 30. mai). Overspisingslidelser. [TV].  God morgen Norge, TV2.
• Vrabel, Kari-Anne (2017, 24. mars). "Perfeksjonisme".. [Radio].  Buskerudsendingen.
• Vrabel, Kari-Anne (2017, 11. mai). Podcast Pia og Psyken. [Internett].  Podcast.
• Vrabel, Kari-Anne (2017, 04. juli). Spiseforstyrrelser. [Radio].  Ekko.
• Vrabel, Kari-Anne (2017, 19. juni). Uttalelse i forbindelse med sak om anorexia og genforskning..  Dagbladet.
• Vrabel, Kari-Anne (2016, 01. mai). Spennende forskning under "kløveren".. [Tidsskrift].  Fredrikke - Norske Kvinners Sanitetsforening Nr. 2 Mai 2016.
• Vrabel, Kari-Anne & Reistad, Hilde Mollestad Tveit (2013). Ortoreksi. Norsk Tidsskrift for Ernæring.  ISSN 1503-5034.  1(13), s 24- 28
• Vrabel, Kari-Anne (2012, 23. september). Hellstrøm rydder opp. [TV].  TV3.
• Vrabel, Kari-Anne (2011). A five-year prospective follow-up study of longstanding eating disorders and child sexual abuse.
• Vrabel, Kari-Anne (2011). Behandling av spiseforstyrrelser og PTSD.
• Vrabel, Kari-Anne (2011). Behandling av spiseforstyrrelser og PTSD.
• Vrabel, Kari-Anne (2011, 12. september). Behandling gir håp for personer med spiseforstyrrelser.  Haugesund Avis.
• Vrabel, Kari-Anne (2011, 06. september). Har påvist en sammenheng mellom spiseforstyrrelser og seksuelt misbruk som barn. Psykolog og forsker ved Modum Bad, KariAnne Vrabel, ble i dag tildelt prisen "Årets doktorgrad 2010". [Internett].  www.modum-bad.no.
• Vrabel, Kari-Anne (2011, 24. mars). Intervjuet i God Morgen Norge i forbindelse med blogging og spiseforstyrrelser. [TV].  TV2, God Morgen Norge.
• Vrabel, Kari-Anne (2011, 18. september). Intervjuet i Norgesglasset i P1 i forbindelse med utdeling av Årets doktorgrad. [Radio].
• Vrabel, Kari-Anne (2011). Når pasienten ikke vil - om motivasjonsarbeid i behandling av spiseforstyrrelser.
• Vrabel, Kari-Anne (2011, 14. september). Spiseforstyrrelser kan kureres.  Dagen.
• Vrabel, Kari-Anne (2011, 08. september). Årets doktorgrad 2010 til Øvre Eiker kvinne.  DrammensTidende.
• Vrabel, Kari-Anne (2011, 08. september). Årets doktorgrad til Øvre Eiker-kvinne.  Drammens Tidende.
• Vrabel, Kari-Anne (2010). A five-year prospective follow-up study of longstanding eating disorders - influence from personality disorders and child sexual abuse.
• Vrabel, Kari-Anne (2010). A five-year prospective follow-up study of longstanding eating disorders. Influence from personality disorders and child sexual abuse.
• Vrabel, Kari-Anne (2010). Behandling av spiseforstyrrelser i Norge: Hvilke tilbud finnes?.
• Vrabel, Kari-Anne (2010). Historier om spiseforstyrrelser - behandlerens perspektiv.
• Vrabel, Kari-Anne (2010). Improving emotional processing in the treatment of posttraumatic stress disorder (PTSD).
• Vrabel, Kari-Anne (2010). Levende eller utopiske kropper?.
• Vrabel, Kari-Anne (2010). Når følelser blir farlig - behandling av PTSD og spiseforstyrrelser.
• Vrabel, Kari-Anne (2010). Om forståelse av spiseforstyrrelsene.
• Vrabel, Kari-Anne (2010). Om spiseforstyrrelser - hvor er vi i dag?.
• Vrabel, Kari-Anne (2010). Om spiseforstyrrelser og selvskade - forståelse og behandling.
• Vrabel, Kari-Anne (2010, 26. mars). Optimisme med bismak. [Internett].  www.forskning.no.
• Vrabel, Kari-Anne (2009). A five-year prospective follow-up study of longstanding eating disorders. Influence from personality disorders and child sexual abuse.
• Vrabel, Kari-Anne (2009, 01. juni). Forskningsfunn bidrar til at enda flere kan bli friske.  Kvinnekraft.
• Vrabel, Kari-Anne Rasmussen; Rosenvinge, Jan H; Martinsen, Egil; Hoffart, Asle & Rø, Øyvind (2008). Personality disorders and diagnostic crossovers in a longitydinal prospective follow up study of longstanding eating disorders.
• Isaksson Rø, Karin Elisabet & Vrabel, Kari-Anne (2008, 01. mars). "Fikk en million av sanitetskvinnene".  Bygdeposten.

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