Given that bulimia nervosa has only recently been described, there has been a remarkable amount of research on its treatment. Over 50 randomized controlled trials have been completed/57) Although almost all these studies have been 'efficacy' rather than 'effectiveness' studies, there are reasons to think that their findings are of direct relevance to routine patient care not least because the patients studied have been similar to those seen in clinical practice. (58) Nevertheless, there is a definite need for effectiveness research particularly now that main treatment options are clear.

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