The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.
Caffeine effects on learning, performance, and anxiety in normal school‐age children
Abstract
Objective The purpose of this investigation was to study the acute effects of caffeine on learning, performance, and anxiety in normal prepubertal children.Method Twenty-one children were evaluated in a double-blind, placebo-controlled crossover design. Subjects were studied during four sessions, 1 week apart, under the following conditions: baseline, placebo, 2.5 mg/kg caffeine, and 5.0 mg/kg caffeine. Subjects were randomized to order of placebo and the two dosages of caffeine. Dependent measures included tests of attention, manual dexterity, short-term memory, and processing speed. Anxiety rating scales were also administered. Saliva samples were analyzed for caffeine levels.Results Caffeine improved performance on two of four measures of the Test of Variables of Attention and on a test of manual dexterity in the dominant hand. There was a trend toward increased current level of self-reported anxiety after caffeine on a visual analogue measure of anxiety. Children reported feeling significantly less "sluggish" after caffeine ingestion than after placebo ingestion.Conclusions In a small sample size, there was indication that caffeine enhanced performance on a test of attention and on a motor task. Children also reported feeling less "sluggish" but somewhat more anxious. Because caffeine is so widely available and frequently consumed by children, these results are important and need replication.
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“Caffeine intake was not significantly associated with any of these measures of self-reported anxiety, whereas a significant linear association was reported between caffeine concentrations in saliva and the anxiety state item in the VAA-R scale only.”
From Scientific Opinion on the safety of caffeine (2015) · cites this paper as Bernstein et al., 1994
In the citing paper
“The Panel notes that caffeine intakes were not significantly associated with anxiety, and that caffeine concentrations in saliva were generally not associated with self-reported measures of anxiety in this study.”
From Scientific Opinion on the safety of caffeine (2015) · cites this paper as Bernstein et al., 1994
In the citing paper
“The Panel notes that these studies (Elkins et al., 1981;Rapoport et al., 1981b;Bernstein et al., 1994) do not show an effect of single doses of caffeine ranging from 2.5 to 10 mg/kg bw on most selfreported measures of anxiety in children.”
From Scientific Opinion on the safety of caffeine (2015) · cites this paper as Bernstein et al., 1994
Citations
Cites
(1991) · Medical Entomology and Zoology · Cited by 8,071
Variations in pattern of pubertal changes in girls
Marshall, W. A., & Tanner, J. M. (1969) · Archives of Disease in Childhood · doi:10.1136/adc.44.235.291 · Cited by 5,963
Variations in the pattern of pubertal changes in boys
Marshall, W. A., & Tanner, J. M. (1970) · Archives of Disease in Childhood · doi:10.1136/adc.45.239.13 · Cited by 5,147
Two Factor Index of Social Position
Hollingshead, A. B. (1957) · Cited by 3,757
What I Think and Feel: A Revised Measure of Children's Manifest Anxiety
Reynolds, C. R., & Richmond, B. O. (1997) · Research on Child and Adolescent Psychopathology · doi:10.1023/a:1025751206600 · Cited by 1,946
What i think and feel: A revised measure of children's manifest anxiety
Reynolds, C. R., & Richmond, B. O. (1978) · Journal of Abnormal Child Psychology · doi:10.1007/bf00919131 · Cited by 1,741
Manual for the Wechsler intelligence scale for children
Wechsler, D. (1974) · Psychological Corp. eBooks · Cited by 1,303
ARE STEROID INHALERS SAFER THAN TABLETS?
Brown, H. M., Jackson, F., & Herxheimer, H. (1979) · The Lancet · doi:10.1016/s0140-6736(79)91347-3 · Cited by 518
(2013) · David Fulton Publishers eBooks · doi:10.4324/9780203390269-11 · Cited by 488
Developmental Normative Data on The Test of Variables of Attention (T.O.V.A.™)
Greenberg, L. M., & Waldmant, I. D. (1993) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1993.tb01105.x · Cited by 449
Increased Anxiogenic Effects of Caffeine in Panic Disorders
Charney, D. S. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790260027003 · Cited by 428
Anxiety or Caffeinism: A Diagnostic Dilemma
Greden, J. F. (1974) · American Journal of Psychiatry · doi:10.1176/ajp.131.10.1089 · Cited by 274
Increased Sensitivity to Caffeine in Patients With Panic Disorders
Boulenger, J. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1983.01790220057009 · Cited by 193
Random regression models: a comprehensive approach to the analysis of longitudinal psychiatric data.
Gibbons, R. D., Hedeker, D., WATERNAUX, C. M., & Davis, J. M. (1988) · PubMed · Cited by 172
The methylxanthine beverages and foods: Chemistry, consumption, and health effects
(1985) · Food and Chemical Toxicology · doi:10.1016/0278-6915(85)90114-0 · Cited by 135
The Methylxanthine Beverages and Foods: Chemistry, Consumption and Health Effects
Wade, M. J. (1985) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/42.3.575 · Cited by 106
Anxiogenic Effects of Caffeine in Patients With Anxiety Disorders
Bruce, M. (1992) · Archives of General Psychiatry · doi:10.1001/archpsyc.1992.01820110031004 · Cited by 106
Caffeine as a Substitute for Schedule II Stimulants in Hyperkinetic Children
Schnackenberg, R. C. (1973) · American Journal of Psychiatry · doi:10.1176/ajp.130.7.796 · Cited by 102
Pharmacokinetic-pharmacodynamic modeling of caffeine: tolerance to pressor effects.
Shi, J., Benowitz, N. L., Denaro, C. P., & Sheiner, L. B. (1993) · Clinical Pharmacology and Therapeutics · doi:10.1038/clpt.1993.3 · Cited by 99
Self-citationCharney, D. S., Galloway, M. P., & Heninger, G. R. (1984) · Life Sciences · doi:10.1016/0024-3205(84)90132-2 · Cited by 95
Mumford, G. K., & Holtzman, S. G. (1991) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(25)20490-6 · Cited by 90
ABSORPTION OF CAFFEINE FROM TEA, COFFEE, AND COCA COLA
Marks, V., & Kelly, J. F. (1973) · The Lancet · doi:10.1016/s0140-6736(73)90625-9 · Cited by 89
Relationship between caffeine concentrations in plasma and saliva
Zylber, E. A., Granit, L., & Levy, M. (1984) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1984.151 · Cited by 88
Gilbert, R. M. (1984) · PubMed · Cited by 87
Behavioral and Cognitive Effects of Caffeine in Boys and Adult Males
Rapoport, J. L., JENSVOLD, M., Elkins, R., Buchsbaum, M. S., Weingartner, H., LUDLOW, C., Zahn, T. P., Berg, C. J., & NEIMS, A. H. (1981) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-198111000-00007 · Cited by 82
Amount and dietary sources of caffeine and saccharin intake by individuals ages 5 to 18 years
Morgan, K. J., Stults, V. J., & Zabik, M. E. (1982) · Regulatory Toxicology and Pharmacology · doi:10.1016/0273-2300(82)90003-4 · Cited by 78
Huestis, R. D., Arnold, L. E., & Smeltzer, D. J. (1975) · American Journal of Psychiatry · doi:10.1176/ajp.132.8.868 · Cited by 71
The visual analogue scale for anxiety — Revised: Psychometric properties
Bernstein, G. A., & Garfinkel, B. D. (1992) · Journal of Anxiety Disorders · doi:10.1016/0887-6185(92)90035-6 · Cited by 66
Self-citationMethylphenidate and caffine in the treatment of children with minimal brain dysfunction
Garfinkel, B. D., Webster, C. D., & Sloman, L. (1975) · American Journal of Psychiatry · doi:10.1176/ajp.132.7.723 · Cited by 62
Random regression models for multicenter clinical trials data.
Hedeker, D., Gibbons, R. D., & Davis, J. M. (1991) · PubMed · Cited by 57
Barry, D. G., Christopher, D., & Sloman, L. (1981) · The Canadian Journal of Psychiatry · doi:10.1177/070674378102600602 · Cited by 43
The effects of caffeine on reaction time in hyperkinetic and normal children
Reichard, C. C., & Elder, S. T. (1977) · American Journal of Psychiatry · doi:10.1176/ajp.134.2.144 · Cited by 41
The Effects of Caffeine and Methylphenidate on Hyperactive Children
Firestone, P., Davey, J., Goodman, J. T., & Peters, S. (1978) · Journal of the American Academy of Child Psychiatry · doi:10.1016/s0002-7138(09)62300-1 · Cited by 39
Caffeine intakes of children from a biracial population: The Bogalusa Heart Study
Arbeit, M. L., Nicklas, T. A., Frank, G. C., Webber, L. S., Miner, M. H., & Berenson, G. S. (1988) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(21)06860-7 · Cited by 35
Evenden, J. L., Turpin, M., Oliver, L., & Jennings, C. A. (1993) · Psychopharmacology · doi:10.1007/bf02246968 · Cited by 31
A Placebo-Crossover Study of Caffeine Treatment of Hyperkinetic Children
Conners, C. K. (1975) · International Journal of Mental Health · doi:10.1080/00207411.1975.11448679 · Cited by 30
Baer, R. A. (1987) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1987.20-225 · Cited by 29
Alternate selective reminding forms for children
Evans, R. W., Gualtieri, C. T., & Ruff, R. M. (1986) · Developmental Neuropsychology · doi:10.1080/87565648609540336 · Cited by 5
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Metadata
- Authors
- BERNSTEIN, G. A., CARROLL, M. E., CROSBY, R. D., PERWIEN, A. R., GO, F. S., & BENOWITZ, N. L.
- Affiliations
- University of Minnesota (US)
- San Francisco General Hospital (US)
- Corresponding author
- CARROLL, MARILYN E.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1994-03
- Volume
- 33
- Issue
- 3
- Pages
- 407-415
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2019483208
- Cited by
- 108
- References
- 39
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 1 · 2018: 4 · 2017: 3 · 2016: 7 · 2015: 6 · 2014: 2 · 2013: 2 · 2012: 9
- FWCI
- 0.90
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p50da001696-18)
- National Institute on Drug Abuse (NIDA R37 DA03240, P01DA008131, R37DA003240, NIDA DAO1696, P01-DA-08131)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Coffee research and impacts
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Arts and Humanities › Philosophy › Neuroethics, Human Enhancement, Biomedical Innovations
- Keywords
- caffeine, children, attention, manual dexterity, short-term memory, processing speed, anxiety, cognitive performance, prepubertal children, caffeine dose-response
- MeSH terms
- Anxiety, Caffeine, Child, Dose-Response Relationship, Drug, Humans, Learning, Psychometrics, Saliva, Task Performance and Analysis
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