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RCTs were sought for evidence of treatment effectiveness because of the obvious bias that results from less rigorous research methods. Index Medicus and Psychological Abstracts were searched, but the Cochrane Collaboration, Oxford, England, indicated that all RCTs may not be reported in these two primary sources and that hand searching of journals may be required to locate most of the studies reported (C. Adams, personal communication, April 1994). Index Medicus, Psychological Abstracts, and the Cochrane Library (including the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials) were searched by the authors in the preparation of this update.

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