Yngvild Sørebø Danielsen
- E-mailYngvild.Danielsen@uib.no
- Phone+47 55 58 88 63
- Visitor AddressAlrek helseklynge, Årstadveien 175009 Bergen
- Postal AddressPostboks 78075020 Bergen
Research interests:
- Treatment and psychological aspects of obesity
- Sleep and weight
- Etiology and treatment of eating disorders
- Psychotherapy research (process and effectiveness)
- Therapist training and deliberate practice
Danielsen is a member of the research group Bergen Psychoteraphy Change Lab at the Department of Clinical Psychology. The group researches change processes and outcomes in psychotherapy, and good ways to train future therapists. The goal of the research is to describe how change happens in different forms of psychological treatment, and how we can train and develop good therapists.
She is also deputy leader of the Research group for treatment of eating disorders (BEAT) at the Psychiatric Division in Helse Bergen and is part of the research group BarneBORG at the Obesity Outpatient Clinic in Helse Bergen. These research groups study the treatment of eating disorders and severe obesity. Danielsen is part of the steering group for the regional research registers for eating disorders and childhood obesity in Western Norway. She is also a member of the National Professional Council for Eating Disorder Treatment and the National Quality Register for Eating Disorders (NORSPIS).
Examples of communication of knowledge to health professionals:
Books and book chapters:
Lyngstad, Mette Bøe og Yngvild Sørebø Danielsen(2021): Drama og livsmestring. Kap.8 s.141-162. I Tjomsland, Hege Eikeland, Nina Grieg Viik og Geir Kåre Resaland; Folkehelse og livsmestring i fag, på tvers av fag og som en helhetlig tilnærming. Bergen. Fagbokforlaget.
Danielsen, Yngvild Sørebø. (2014). Fedme hos barn-Intervensjoner og atferdsendringer i praksis. Kommuneforlaget AS.
- Danielsen, Yngvild Sørebø; Rekkedal, Guro. (2022). How may cognitive behavioural therapy help individuals with eating difficulties? 285-293. I: The Practical Handbook of Eating Difficulties. Pavilion Publishing.
Popular science articles:
Skjåkødegård, Hanna Flækøy; Danielsen, Yngvild Sørebø. (2020). Søvn i behandling av fedme hos barn- Sammenheng mellom søvn og annen livsstilsatferd. Tidsskriftet SØVN.
Danielsen, Yngvild Sørebø. (2012). Fører lite søvn til overvekt hos barn? SØVN. 14-15
Pod casts:
Lyngstad, Mette Bøe og Yngvild Danielsen (2021).Podcast i Lektor Lomsdalens infall: Drama og livsmestring. A podcast for teachers
BOB-Cast: Bergen Public Library's pod cast. Det vanskelige regnestykket-Hvordan møter vi mennesker med overvekt og fedme? (2022)
“It is often said that the key to weight loss is a simple calculation - fewer calories in than out - but in reality, it is very difficult to achieve lasting weight loss. This despite more knowledge about diet and exercise in the population than ever. How does this fit together? How are people with overweight and obesity met in the health service, what treatment are they offered, and what seems to work?This conversation is led by Marianne Clementine Håheim, interest policy advisor at ROS. In the sofa are Yngvild Sørebø Danielsen, Finn Markussen and Daniel Spjeld.” https://podtail.com/es/podcast/bobcast/det-vanskelige-regnestykket-hvord...
Internet resources: Website for health care professionals and parents to children with obesity. I have contributed by creating a parent module for kostverktøyet.no
Education for health care professionals in clinical practice:
Development of courses for health personnel in the treatment of overweight and obesity in children.
https://www.siv.no/fra-kunnskap-til-handling-overvekt-og-fedme-hos-barn-...
Development of treatment guidelines: Participant in an expert reference group for the development of new guidelines for prevention and treatment of overweight and obesity in children and adolescents, organized by the Norwegian Directorate of Health (2023-)
Examples of communication in massmedia:
https://www.dagensmedisin.no/barn-og-unge-eldre-ikke-bruk-folkehelse-fed...
https://katarsisuib.no/nar-maten-tar/
https://www.tv2.no/nyheter/innenriks/sover-for-forskerne/12148941/
https://www.nettavisen.no/sovn/fedme/tykk-av-lite-sovn/s/12-95-2863471
https://forskning.no/internett-barn-og-ungdom-mat/fete-barn-sliter-ved-m...
Danielsen teaches various clinical topics on the professional program in psychology at the Univesity of Bergen (Profesjonsstudiet i psykologi). She is responsible for one of the largest treatment courses on the professional program (PROPSY311b). She teaches topics such as treatment of eating disorders and obesity, emotion-focused therapy, cognitive behavioral therapy, sleep problems in children, case formulation / treatment plan and clinical psychological work with families, children and adolescents. She has also been Section Leader at the Psychological University Clinic for Children and Adolescents and has experience in supervising psychology students in clinical practice.
She has extensive experience in supervising master theses and has developed and taught courses in research methods at PhD level. She is a supervisor for several PhD candidates.
She has also been involved in developing ab education in obesity treatment in children “From knowledge to action - overweight and obesity in children and adolescents” for health professionals and has been teaching this course in all health regions on several occasions. She has also been teaching on eating disorder treatment for health professionals in the “Body and self-esteem-program” financed by the Health Authorities of Western Norway.
Danielsen also has teaching experience from the studies in medicine, nursing, master in child welfare and clinical nutrition.
- (2023). Eating disorders in weight-related therapy (EDIT): Protocol for a systematic review with individual participant data meta-analysis of eating disorder risk in behavioural weight management. PLOS ONE.
- (2023). Differences in sleep patterns between patients with anorexia nervosa and healthy controls: a cross-sectional study. Journal of Eating Disorders.
- (2022). Perceived barriers in family-based behavioural treatment of paediatric obesity – Results from the FABO study. Pediatric Obesity. 11 pages.
- (2022). Objectively measured physical activity among treatment seeking children and adolescents with severe obesity and normal weight peers. Obesity Science & Practice. 801-810.
- (2022). Intestinal barrier integrity in anorexia nervosa (a pilot study). International Journal of Eating Disorders. 703-708.
- (2022). Family-based treatment of children with severe obesity in a public healthcare setting: Results from a randomized controlled trial. Clinical Obesity. 11 pages.
- (2022). Experiences when implementing enhanced cognitive behavioral therapy as a standard treatment for anorexia nervosa in outpatients at a public specialized eating-disorder treatment unit. Journal of Eating Disorders. 1-11.
- (2021). Polysomnographic comparison of sleep in children with obesity and normal weight without suspected sleep-related breathing disorder. Clinical Obesity. 8 pages.
- (2020). Weekday time in bed and obesity risk in adolescence. Obesity Science & Practice. 1-8.
- (2020). Livsstilsbehandling av barn og ungdom med alvorlig fedme – resultater etter ett år. Tidsskrift for Den norske legeforening. 11 pages.
- (2020). Beyond sleep duration: Sleep timing as a risk factor for childhood obesity. Pediatric Obesity. 11 pages.
- (2020). Association between gastrointestinal complaints and psychopathology in patients with anorexia nervosa. International Journal of Eating Disorders. 532-536.
- (2017). Severe obesity is a limitation for the use of body mass index standard deviation scores in children and adolescents. Acta Paediatrica. 307-314.
- (2016). Study Protocol: A randomized controlled trial evaluating the effect of family-based behavioral treatment of childhood and adolescent obesity–The FABO-study. BMC Public Health. 1-9.
- (2016). Effectiveness of enhanced cognitive behavioral therapy (CBT-E) in the treatment of anorexia nervosa: a prospective multidisciplinary study. BMC Psychiatry. 1-14.
- (2013). Effect of a family-based cognitive behavioural intervention on body mass index, self-esteem and symptoms of depression in children with obesity (aged 7-13): A randomised waitinglist controlled trial. Obesity Research and Clinical Practice. E116-E128.
- (2012). Factors associated with low self-esteem in children with overweight. Obesity Facts. 722-733.
- (2011). The relationship between life-style and cardio-metabolic risk indicators in children: the importance of screen time. Acta Paediatrica. 253-259.
- (2010). The relationship between school day sleep duration and body mass index in Norwegian children (aged 10-12). International Journal of Pediatric Obesity. 214-220.
- (2010). Fedme hos barn og unge - implikasjoner for psykologisk praksis. Tidsskrift for Norsk Psykologforening. 23-28.
- (2014). Fedme hos barn-Intervensjoner og atferdsendringer i praksis. Kommuneforlaget AS.
- (2020). Søvn i behandling av fedme hos barn- Sammenheng mellom søvn og annen livsstilsatferd. Tidsskriftet SØVN.
- (2012). Fører lite søvn til overvekt hos barn? SØVN. 14-15.
- (2016). Når spising blir sykdom. Bergens Tidende.
- (2010). Vi kan hjelpe barn med fedme. Bergens Tidende. 33-33.
- (2003). Forskningens forgubbing. Bergens Tidende. 27.
- (2018). Implementation of enhanced cognitive behaviour therapy (CBT-E) for adults with anorexia nervosa in an outpatient eating disorder unit at a public hospital. Journal of Eating Disorders. 8 pages.
- (2012). Childhood overweight – characteristics and treatment. Psychological perspectives.
- (2021). Drama og livsmestring. 19 pages.
- (2022). Sleep habits in patients with anorexia nervosa assessed in their natural environment. Sleep Medicine. S1-S301.
- (2021). Late Sleep Timing, and Less Organized Sport are Related to Lower Physical Activity Levels in Children and Adolescents with Severe Obesity. Annals of Nutrition and Metabolism. 14-14.
- (2018). Is outpatient cognitive behavior therapy (CBT-E) for eating disoreders a suitable treatment method for adults with severe Anorexia Nervosa? European psychiatry. 421-421.
- (2017). Lifestyle treatment of children and adolescents with obesity in Bergen, Norway: Impact of follow-up frequency and self-monitoring during the first year. Obesity Facts. 240-240.
- (2017). Family-based behavioural treatment for childhood and adolescent obesity: Are parenting practices and parental cohabitation associated with pre-post changes in BMI Standard Deviation Score (BMI-SDS) during treatment? Acta Paediatrica. 19-33.
- (2017). Disordered Eating in Children and Adolescents with Severe Obesity: Pre-post Changes During Family-Based Behavioural Treatment for Obesity. Acta Paediatrica. 34-40.
- (2016). Effectiveness of Enhanced Cognitive Behavioral Therapy (CBT-E) in the treatment of anorexia nervosa–A prospective multidisciplinary study. European psychiatry.
- (2016). Cognitive functioning in patients suffering from anorexia nervosa: A longitudinal study. European psychiatry.
- (2015). Mental health problems as predictors of weight change from adolescence to young adulthood, 11 years follow-up. The HUNT-study Norway. Acta Paediatrica. 10-10.
- (2015). Family-based behavioural treatment of obesity-The FABO-study. Acta Paediatrica. 22-22.
- (2015). A polysomnographic comparison of sleep in children with obesity and normal weight. Acta Paediatrica. 13-13.
- (2008). The relationship between sleep duration and body mass index in Norwegian children (age 10-12). International Journal of Obesity. S192-S192.
- (2008). Effects of a manualized cognitive behavioral treatment for childhood obesity. International Journal of Psychology (IJP). 693-693.
- (2022). Therapist responsiveness to ambivalence in eating disorder (ED) treatment- A qualitative study of therapist perspectives.
- (2022). Sleep habits in patients with anorexia nervosa assessed in their natural environment.
- (2021). Exploring life coping skills through drama, theatre and storytelling – a qualitative study of high school students experience with participation in a preventive mental health intervention .
- (2021). Barriers experienced in Family-based cognitive behavioural treatment of childhood obesity and pre-mature drop-out from treatment.
- (2019). The challenge of keeping it off, a descriptive systematic review of high-quality, follow-up studies of obesity treatments. .
- (2018). Beyond Sleep Duration:Sleep Timing as a Risk Factor for Childhood Obesity. .
- (2016). Treatment of Anorexia Nervosa Using Cognitive Behavior Therapy for Eating Disorders; Changes in BMI.
- (2015). Two years obesity intervention program in children and adolescents: The importance of age at enrollement.
- (2015). Family-based behavioral treatment of obesity-the FABO study.
- (2015). FABO-studien.Familiebasert kognitiv atferdsbehandling for barn og unge med fedme.
- (2015). Correlations between anthropometric measures and cardiometabolic risk factors in morbid obese children: are measures of sitting height useful?
- (2015). Changes in body mass index (BMI) standard deviation score (sds)during one-year outpatient obesity intervention program in children and adolescents.
- (2014). Factors associated with low domain spesific self-esteem in children with overweight.
- (2010). Effects of a manualized cognitive behavioral treatment for childhood obesity.
- (2009). Effects of a Manualized Cognitive Behavioral Treatment for Childhood Obesity (age 8-12).
- (2008). The relationship between sleep duration and body mass index in Norwegian children (age 10-12).
- (2008). Effects of a manualized cognitive behavioral treatment for childhood obesity.
- (2004). Conners' CPT and symptoms of ADHD.
- (2019). The challenge of keeping it off, a descriptive systematic review of high-quality, follow-up studies of obesity treatments. . Obesity Reviews. 1-15.
- (2008). Behandling av fedme hos barn og unge. Pediatrisk Endokrinologi. 64-69.
- (2022). How may cognitive behavioural therapy help individuals with eating difficulties? 285-293. In:
- (2022). The Practical Handbook of Eating Difficulties. Pavilion Publishing.
More information in national current research information system (CRIStin)
The eBATTLE Obesity- study
The eBATTLE obesity study is a multicenter RCT that investigates the effect of the drug semaglutide in the treatment of severe obesity in adolescents aged 12-18 years. It is a 60-week prospective pragmatic clinical trial consisting of two phases. Phase 1 is a single-arm feasibility study of a low-calorie intervention (eLED) over 8 weeks. The second phase of the study, which starts right after eLED, is a 52-week RCT, two-armed, double-blinded multicenter study that compares semaglutide versus placebo, as an addition to a family-based cognitive behavioral therapy for obesity (25 sessions; E-BT) mainly conducted through telehealth. 220 adolescents with severe obesity will be recruited to the first part of the study, and 150 to the RCT.
Duration: 2023-
REK-number:EU CT NR: 2023-506289-29-00
Funding: The study is funded by the program KlinBeForsk
Collaborators: The study is led and coordinated by the Center for Morbid Obesity at Vestfold Hospital (PI: Professor Jøran Hjælmseth), but includes the specialized units for obesity treatment of children and adolescents in all health regions in Norway. Department of Digital Health Research, Oslo University Hospital. And an international advisory board from University of Queensland, Karolinska Institutet in Stockholm and University of Washington St. Louis.
Role: Member of the steering group, leader for work package (E-BT), training of health personnel in all health regions, mentor for postdoctoral fellow in the project, development of content for app as support tool for E-BT together with department for digital health research, OUS.
The FABO-study: A randomized controlled trial that evaluates the effect of family-based behavioral therapy for obesity in children and adolescents
The main objective of the FABO-study is to evaluate the effectiveness of family-based behavioral therapy, developed for work with lifestyle changes in families, compared to standard treatment for obesity in children and young people in a normal clinical setting in Norway. The study also examines sleep, physical activity, mental health, self-image and disturbed eating behavior in children and adolescents with severe obesity. https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-37...
Collaboration: The study is a collaborative project between the University of Bergen, The Obesity Outpatient Clinic at Haukeland University Hospital and Washington University, St. Louis, and Department of Psychiatry, University of Pittsburgh. (PI: Professor Petur Juliusson).
Role: Co-PI, researcher and main supervisor for PhD candidate in the project. Link to thesis: https://bora.uib.no/bora-xmlui/handle/11250/3057906
REK-number: 8109
Duration: 2014-2029
The study is funded by The Health Authorities of Western Norway, University of Bergen and The Norwegian Competence Service for Sleep Disorders (sovno).
EDIT-collaboration. International research collaboration on eating disorders in obesity treatment
https://www.editcollaboration.com/
The EDIT Collaboration is a collaboration between researchers, clinicians and users with the goal of improving treatment for people with obesity and eating disorders. There is a lack of knowledge about which factors in different interventions in obesity treatment can increase or decrease the risk of developing eating disorders. The same applies to individual characteristics that can affect the risk of developing eating disorders during and after obesity treatment. By conducting meta-analyses where data from lifestyle treatments for obesity from around the world are combined, this study tries to examine these objectives: 1) To identify characteristics of adolescents and adults with obesity that are associated with increased risk of developing eating disorders during and after obesity treatment 2) To deconstruct behavioral treatments aimed at obesity and examine whether subcomponents and strategies in the treatments increase or reduce the risk of developing eating disorders
Collaborators: The project is led by Hiba Jebeile at University of Sydney, but represents a collaboration between researchers from around the world.
Role: Contributes with data from the FABO-study to the meta-analyses, input to protocol, sits in specialist group that discusses/investigates dietary restraint as a risk factor for developing eating disorders
Cognitive behavioral therapy and emotion-focused therapy for depression. A randomized clinical trial In this study, we want to compare the effect of two treatment approaches that are in widespread use in public and private mental health care in Norway, Cognitive behavioral therapy (CBT) and Emotion-focused therapy (EFT). The comparison will be done through a randomized controlled trial. The main objective will be to investigate whether the treatment method EFT has a similar effect on the treatment of depression as CBT. There is a need for more knowledge about what works for whom in psychological treatment of depression. We lack scientific knowledge about what characterizes treatment courses that have good and bad outcomes. Increased knowledge about who benefits from what, can help to better select which patients should be offered different treatment approaches, and in this way contribute to increased cost-effectiveness and better prioritization within mental health care. In this study, we want to investigate what characterizes processes that give satisfactory and less satisfactory outcomes within and across the conditions. In the study, we will investigate treatment effect, patient experiences and change processes for patients with moderate depression who participate in the intervention "Back to work". The intervention is a short-term treatment offered in the public mental health care and is aimed at people with depression and anxiety who experience a reduction in work ability. We will collect quantitative data in the form of self-report and analysis of video recordings of therapy courses. In addition, we will collect qualitative data in the form of interviews where we map user experiences among the involved patients.
Duration: 2020-2030
REK number: 180904
Funding sources: Norwegian Research Council, Institute for Psychological Counseling (IPR) and The Heath Authorities of Western Norway
Collaborators: Institute for Psychological Counseling (IPR). (PI: PhD. Jan Reidar Stiegler)
Role: Member of the steering group, researcher
Factors that affect treatment and dropout from eating disorder treatment in specialist health care
Eating disorders often involve a lot of ambivalence and anxiety related to undergoing treatment. It is one of the mental disorders that has the highest dropout from treatment and where many go untreated for a long time. The purpose of this study is to produce knowledge that can help us understand more about dropout from treatment for eating disorders and to help develop the treatment offered so that more people with eating disorders get good help. The study consists of several parts, in order to explore the perspective of the key stakeholders in the treatment of eating disorders - patients, therapists and general practitioners. Focus group interviews will be conducted with therapists and general practitioners, individual interviews with people who have chosen to end treatment for eating disorder before it was completed. Patients and general practitioners will also be invited to fill out an anonymous survey. Data from the regional register for treatment of eating disorders will also be analyzed to see which factors predict dropout from treatment, such as comorbidity, duration of eating disorder, severity of illness and network.
Duration: 2020-2031
REK number: 55304
Collaborators: The project is carried out by the Department of Clinical Psychology at the University of Bergen and the Regional Department of Eating Disorders at Haukeland University Hospital in collaboration with the userorganization Counseling on Eating Disorders Bergen, The General Medical Research Unit at NORCE and psychiatric outpatient clinics in the Bergen area.
Funding: The study is funded by the University of Bergen and The Haelth Authorities of Western Norway via double competence (DK) PhD-scholarship.
Role: Principal Investigator and main supervisor for PhD candidate in the project
Mindfulness and eating disorders
The project investigates the participants’ experiences with, and effects of, a mindfulness-based low-threshold intervention for eating disorders. The aim is to examine whether changes in problematic eating, were related to the participants’ changes in self-compassion from week to week. Further, we want to learn more about how it is to live with, and cope with, a problematic relationship with food over time, through conversation with the participants four years later. The project forms the basis for a doctoral degree for PhD fellow Anders Ohnstad, UiB.
Duration: 2022-2030
REK number: 353216
Collaborators: Counseling on eating disorders (user organization), Modum Bad, (PI: Associate Professor Ingrid Dundas).
Funding: University of Bergen
Role: Researcher, co-supervisor PhD candidate
Obesity and binge eating disorder: Prevalence, diagnosis and clinical implications
There is little knowledge about the prevalence of eating disorders among patients seeking treatment for severe obesity, and which screening tools for eating disorders work best for this group. The project will map eating disorder symptoms and symptoms of anxiety and depression in 200 patients with severe overweight who are referred to treatment for severe obesity at Haukeland University Hospital. The patients will undergo assessment with a wide range of questionnaires that address different types of eating disorder symptoms and disturbed eating behaviors that are common with obesity, as well as a comprehensive standardized clinical diagnostic interview (Eating Disorder Examination Interview). The aim of the project is to investigate the prevalence of eating disorders in adults seeking treatment for severe obesity, as well as compare the results from the different screening tools for eating disorders with the results from the clinical diagnostic interview.
REK number:634874
Duration: 2023-
Funding: The study is funded by Stiftelsen Dam and The Heath Authorities of Western Norway
Collaboration: The study is a collaboration between The Obesity Outpatient Clinic, Haukeland University Hospital, University of Bergen and the user organization Counseling on eating disorders. (PI: Chief Physician Pål Methlie)
Role: Part of the steering group, co-supervisor for PhD candidate, researcher
Cognitive behavioral therapy for eating disorders (CBT-E) in the treatment of anorexia nervosa (AN): a prospective multidisciplinary study
The study has as its main objective to evaluate the effectiveness of outpatient CBT-E in the treatment of patients with anorexia nervosa (age>16) at the Regional Department for Eating Disorders at Haukeland University Hospital in Bergen, Norway. The study has a longitudinal design with five main measurement points: before treatment, at 3 months, at the end of treatment, 20 weeks after treatment and 12 months after treatment. Outcome measures are eating disorder psychopathology, BMI, bone density, other symptoms of mental disorders, quality of life and changes in potassium, venous base, estradiol and FSH measured from blood samples. Biological samples are also collected in a biobank, for the purpose of analyzing gut microbiome and genetic variables. Sub-studies focus on therapeutic alliance in the treatment of eating disorders and excessive/compulsive exercise in AN. A comparison group without eating disorders will also be recruited. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5053175/
Duration: 2015-2026
REK number 2328
Collaboration: The study is a collaboration between the Regional Department for Eating Disorders at Haukeland University Hospital, University of Bergen and has international partners at University of Oxford and Department of Eating and weight disorders at Villa Garda, Verona, Italy. (PI: Chief Physician Ute Kessler)
Funding: The study is funded by the Health authorities of Western Norway and the Norwegian Competence Service for Sleep Disorders (sovno)
Role: Co-PI, researcher
How do adults with severe overweight understand their own weight development from childhood to present? A qualitative study
The purpose of the study is to investigate how people with severe overweight themselves experience and explain their weight development from childhood to present. Such knowledge is important both to increase the understanding of how obesity develops, in improving treatment options and in meeting the individual user with severe overweight in health services. 10 people with severe overweight (BMI over 35) have been recruited to the study via information to user organizations and treatment sites for severe overweight. Qualitative in-depth interviews have been conducted with informants and transcribed interview data will be analyzed using thematic analysis. Qualitative in-depth interviews are chosen as a method because we want to know more about the informants' own experience and understanding of how and why their overweight has developed. The goal is a deeper understanding of these phenomena.
Duration: 2019-2027
REK-identifier: 47767
Role: Principal investigator, researcher
PhD and specialist in clinical psychological work with children and adolescents. 3-year specialization in emotion-focused therapy. Has clinical work experiences from Child- and adolescent mental health services, specialist services for the treatment of eating disorders and obesity. Main competences are in emotion-focused therapy, cognitive behavioral therapy and family-based treatment, as well as treatment of eating disorders and obesity.