most consistent results from a number of studies is
that moderate doses of caffeine effect the decrease in
spectral power in the lower alpha and theta ranges. In
addition, P300 amplitude increases with confidence,
attention, arousal level, and reward. Such changes
have been demonstrated with caffeine consumption.
Physiological Effects of Caffeine on the
Neuroendocrine Function
0032 The effects of caffeine in humans on the endocrine
system appear to be confined to the endocrine res-
ponse to stress, especially production of catechol-
amines and cortisol, although other hormones may
be important too, e.g., growth hormone. Plasma con-
centrations and urinary excretion of epinephrine and
norepinephrine are increased by caffeine consump-
tion. Although the methods of augmentation have
not been described in detail, it has been suggested
that caffeine-stimulated release of adrenomedullary
catecholamines is mediated by peripheral sympa-
thetic nerves. Thus caffeine antagonism of adensoine
receptors may result in increased sympathetic stimu-
lation of the adrenal gland, leading to increased thy-
roxine hydroxylase activity and thus catecholamine
synthesis. Like increased adrenaline production, nor-
epinephrine synthesis is controlled centrally by sym-
pathetic outflow.
0033 Cortisol production is similarly augmented by caf-
feine and stress. This is thought to be mediated by an
increase in adrenocorticotrophin. This action could
also be partly due to caffeine’s action on prosta-
glandins. The effects of caffeine on growth hormone
and prolactin are less well defined.
Psychological Effects of Caffeine
Consumption
0034 Having previously discussed the effects of caffeine at
a receptor and neuronal level, this section discusses
the effects of caffeine on psychological responses. A
large number of functions are affected, which would
be beyond the range of this review, and so three
specific functions are considered.
Behavior
0035 Caffeine is erratically self-administered in animal
models of drug self-administration. In humans, both
self-administration and choice procedures have
shown that caffeine acts as a reinforcer. In choice
studies, subjects typically first sample caffeine or pla-
cebo and later have the opportunity to choose to self-
administer one. Caffeine is chosen in preference to
placebo in subjects with or without a prior history of
caffeine consumption and is especially marked in
those with a history of drug abuse. To date, the mech-
anism of action of caffeine on behavior in humans has
not been extensively investigated. It is likely that an
interaction between adenosine and dopamine recep-
tors is important.
Performance
0036Owing to the enormous consumption of caffeine
worldwide, there has been a vast amount of work
on the performance effects of caffeine. It is far from
clear how the benefits and drawbacks of its consump-
tion balance out. In this section, the evidence for the
psychostimulant effects of caffeine on performance is
considered, as these are widely held to be the main
benefits of caffeine use.
0037Numerous placebo-controlled studies have been
published. Although the results are varied, with
some studies showing no effect of caffeine, taken as
a whole, they confirm a psychostimulant action of
caffeine.
0038Whilst a wide spectrum of cognitive tests have been
investigated in the above studies, usually, prior ab-
stinence of caffeine was required at least overnight.
This limits the relevance to caffeine consumption in
everyday life. The problem with caffeine deprivation
prior to testing, especially for a short period, means
that symptoms of caffeine withdrawal can be
invoked. Thus, it is not possible to describe the net
effects of caffeine with these studies, especially as
caffeine withdrawal has also been shown to decrease
performance in both humans and animals. However,
evidence in this area is inconclusive. A caffeine chal-
lenge of only 70 mg with 1.5 h of caffeine deprivation
has been shown to improve simple reaction time.
0039Another standpoint in this discussion is founded
on the demonstration of improved psychomotor
performance in noncaffeine-deprived individuals. A
large (9003 subjects) correlational study showed that
there was a relationship between habitual caffeine
consumption and performance (reaction time –
simple and choice, verbal memory, and visuospatial
reasoning), even when all variables were controlled
for.
Mood
0040The effects of caffeine on mood have been studied
extensively, and the results of these studies have been
more consistent than in other areas of caffeine re-
search. Caffeine in lower doses (up to 250 mg) has
positive effects on mood in both caffeine-deprived
and caffeine-tolerant studies. From these and many
other studies, the benefits of acute caffeine ingestion
on mood include an increase in energetic, confident,
and alert feelings, as well as motivation to work,
concentrate, or socialize.
CAFFEINE 749