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Jawad A, Mtairek MA, Awde MH, Kanso H, Kawssan A, Awada R, Khadra T, Moselmani M, Tarhini ZM, Al Bazzal A, Mohammed NA, Atef O, Hamdar H. Exploring the complex relationship between caffeine consumption and schizophrenia: A review of epidemiological and clinical studies. PROGRESS IN BRAIN RESEARCH 2024; 289:107-121. [PMID: 39168576 DOI: 10.1016/bs.pbr.2024.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/23/2024]
Abstract
This review delves into the intricate interplay between caffeine consumption and schizophrenia, examining evidence from epidemiological and clinical studies. While epidemiological research offers conflicting findings regarding the association between coffee intake and schizophrenia risk, clinical studies reveal diverse impacts of caffeine on symptomatology and cognition in individuals with schizophrenia. Some epidemiological studies suggest a potential protective effect of coffee consumption against schizophrenia, whereas others fail to establish a significant correlation. Clinical investigations highlight the complexity of caffeine's influence, with varied effects on symptom severity and cognitive function observed among schizophrenia patients. Notably, caffeine may exacerbate positive symptoms while alleviating negative symptoms and cognitive deficits in this population. However, limitations such as small sample sizes and reliance on self-reported data hinder the generalizability of these findings. Furthermore, genetic factors, prenatal exposure, and substance abuse contribute to the complexity of the relationship between caffeine and schizophrenia. Studies indicate that individuals with a genetic predisposition to schizophrenia may be more vulnerable to the effects of caffeine, while prenatal exposure to caffeine may elevate the risk of schizophrenia in offspring. Additionally, substance abuse, including high caffeine and nicotine consumption, is prevalent among individuals with schizophrenia, exacerbating symptom severity. Future research directions include addressing methodological limitations, such as small sample sizes and reliance on self-reported data, and exploring the effects of caffeine on schizophrenia using larger, more diverse cohorts and controlled methodologies. A deeper understanding of caffeine's impact on schizophrenia is crucial for informing clinical practice and developing personalized interventions for patients. Ultimately, this review underscores the need for further investigation into the complex relationship between caffeine consumption and schizophrenia to improve patient outcomes and inform evidence-based interventions.
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Affiliation(s)
- Ali Jawad
- Faculty of Medicine, Damascus University, Damascus, Syria; Medical Learning Skills Academy, Beirut, Lebanon
| | - Mohammad Ali Mtairek
- Faculty of Medicine, Damascus University, Damascus, Syria; Medical Learning Skills Academy, Beirut, Lebanon
| | - Mohammad Hadi Awde
- Faculty of Medicine, Damascus University, Damascus, Syria; Medical Learning Skills Academy, Beirut, Lebanon
| | - Haidar Kanso
- Faculty of Medicine, Damascus University, Damascus, Syria; Medical Learning Skills Academy, Beirut, Lebanon
| | - Aya Kawssan
- Medical Learning Skills Academy, Beirut, Lebanon; Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
| | - Rim Awada
- Medical Learning Skills Academy, Beirut, Lebanon; Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
| | - Tia Khadra
- Medical Learning Skills Academy, Beirut, Lebanon; Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
| | - Mariam Moselmani
- Medical Learning Skills Academy, Beirut, Lebanon; Neuroscience Research Center (NRC), Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon
| | - Zahraa Mahdi Tarhini
- Medical Learning Skills Academy, Beirut, Lebanon; Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
| | - Abbas Al Bazzal
- Medical Learning Skills Academy, Beirut, Lebanon; Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon
| | | | - Omnia Atef
- Faculty of Sciences, Cairo University, Cairo, Egypt
| | - Hiba Hamdar
- Medical Learning Skills Academy, Beirut, Lebanon.
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N Bissonnette J, Anderson TJ, McKearney KJ, Tibbo PG, Fisher DJ. EEG Microstates in Early Phase Psychosis: The Effects of Acute Caffeine Consumption. Clin EEG Neurosci 2022; 53:335-343. [PMID: 35257622 PMCID: PMC9174612 DOI: 10.1177/15500594221084994] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Individuals with schizophrenia use on average twice as much caffeine than the healthy population, but the underlying cortical effects of caffeine in this population are still not well understood. Using resting electroencephalography (EEG) data, we can determine recurrent configurations of the electric field potential over the cortex. These configurations, referred to as microstates, are reported to be altered in schizophrenia and can give us insight into the functional dynamics of large-scale brain networks. In the current study, we use a placebo-controlled, randomized, double-blind, repeated-measures design to examine the effects of a moderate dose of caffeine (200mg) on microstate classes A, B, C, and D in a sample of individuals within the first five years of psychosis onset compared to healthy controls. The results support the reduction of microstate class C and D, as well as the increase of microstate class A and B in schizophrenia. Further, acute caffeine administration appears to exacerbate these group differences by reducing class D, and increasing occurrences of class A and B states in the patient group only. The current results support the hypothesis of a microstate class D reduction as an endophenotypic marker for psychosis and provide the first descriptive account of how caffeine is affecting these microstate classes in an early phase psychosis sample.
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Affiliation(s)
| | - T-Jay Anderson
- 3684Mount Saint Vincent University, Halifax, Nova Scotia, Canada.,3688Dalhousie University, Halifax, Nova Scotia, Canada
| | - Katelyn J McKearney
- 3688Dalhousie University, Halifax, Nova Scotia, Canada.,3690Saint Mary's University, Halifax, Nova Scotia, Canada
| | | | - Derek J Fisher
- 3688Dalhousie University, Halifax, Nova Scotia, Canada.,3684Mount Saint Vincent University, Halifax, Nova Scotia, Canada.,3688Dalhousie University, Halifax, Nova Scotia, Canada.,3690Saint Mary's University, Halifax, Nova Scotia, Canada
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Apostolakopoulou XA, Kontopoulou L, Karpetas GE, Marakis G, Vasara E, Katsaras IG, Maraki Z, Papathanasiou IV, Bonotis KS. Sugars, Alcohol, and Caffeine Intake From Drinks Among Outpatients With Mental Health Disorders in Greece: A Pilot Study. Cureus 2022; 14:e21563. [PMID: 35228922 PMCID: PMC8873368 DOI: 10.7759/cureus.21563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2022] [Indexed: 11/30/2022] Open
Abstract
Background and aim Excessive intake of sugars and energy from drinks has been postulated to increase the risk of obesity, which may in turn be associated with mental health disorders. In addition, excessive intakes of alcohol and caffeine may co-occur with psychiatric disorders. The purpose of the present pilot study was to estimate energy, sugar, caffeine, and alcohol intakes through the consumption of drinks in patients with schizophrenia and affective disorders and assess potential differences in drink consumption between the two disorders. Methodology The current study included 89 outpatients with schizophrenia (n = 36) and affective disorders (n = 53) attending the psychiatric clinic of the University General Hospital of Larissa (UGHL) in Greece. In addition to anthropometric measurements, the patients were asked to complete a specific, previously validated questionnaire on the frequency of drink consumption in order to estimate sugar, caffeine, and alcohol intakes. Results The participants had a mean body mass index (BMI) of 28.9 ± 5.6 kg/m2 without significant differences between the two types of mental disorders. Similarly, the mean waist circumference (102.6 ± 15.7 cm) and mean body fat percentage (32.9% ± 10.8%) were above the recommended values. The total energy intake from drinks was more than a third of the estimated daily energy requirements. Although there was no significant difference in the mean daily caffeine intake, those with affective disorders had a significantly higher intake of sugars from drinks (median (Mdn) = 80.0 (interquartile range (IQR) = 89.8) g/day) and alcohol (Mdn = 45.6 (IQR = 31.1) g/day), compared to those with schizophrenia (Mdn = 60.0 (IQR = 45.4) g/day and Mdn = 24.9 (IQR = 19.8) g/day, respectively). Conclusions Considering the link between high sugar and alcohol intake with excess body weight and mental health, these preliminary data are of particular concern and point to the need for better dietary counseling in order to improve the dietary behaviors of these patients.
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