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Question In people with bulimia nervosa, how do medication and cognitive behaviour therapy (CBT) compare in controlling binge and purge frequency, depression, and eating attitudes?
Studies were identified by searching Medline (1966–98) and PsycLIT (1974–98) using the terms bulimia, bulimia nervosa, treatment outcome, clinical trial, and double blind; the references of collected studies were reviewed; and journals specific to eating disorders were handsearched for the previous 8 years.
Studies were selected if they were randomised controlled trials of patients diagnosed with bulimia nervosa according to DSM-III criteria. Furthermore, studies of pharmacological interventions had to be double blind and placebo controlled. Psychosocial studies could involve CBT, behavioural therapy, or exposure and response prevention, but for the purposes of this review were all referred to as …
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