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. 2003 Oct 20;2003(4):CD003391. doi: 10.1002/14651858.CD003391

Mitchell 1990.

Methods RCT, 10 weeks, physicians responsible for medication management were blind to randomization.
Participants Bulimia DSM‐III, 3 episodes/week/6 months, patients being evaluated in ED clinic and advertisements. Age 18‐40, mean 24, female, 80‐120% ideal body weight, mean 107%, duration of illness 6.5 years,binges/week baseline=7,3(i)/ 8,0(pl)/ 9,2(pt)/ 8.4(comb).HDRS baseline=11
Interventions Imipramine initial dose 50 mg, increments to 200 mg for 2 weeks, maintained for 2 weeks, if necessary 300 mg.CBT= 3 phases. 1= 2 hour sessions for each week 2 weeks: mael planning and CBT techniques. 2=arttempt to interrupt bulimic behaviors begin eating regular meals, use of CBT techniques,5 nights a week, 3 hour sessions, then 2 sessions/week (lecture+diner+psychotherapy). 3= last month: 1 and half hour sessions, exposure and relapse prevention
Outcomes Relapse 
 Drop‐outs due to any cause
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk B ‐ Unclear