Effects of caffeine, caffeine-associated stimuli, and caffeine-related information on physiological and psychological arousal

RATIONALE: To test the classical conditioning and expectancy theories of placebo effects. OBJECTIVE: Two experiments investigated whether administration of caffeine-associated stimuli elicited conditioned arousal, and whether information that a drink contained or did not contain caffeine modulated arousal. METHOD: Experiment 1 (n=21) used a 2 Caffeine (0 and 2 mg/kg) x 2 Solution (Coffee, Juice) x 2 Information (Told caffeine, Told not-caffeine) within-subjects design. Experiment 2 (n=48) used a 2 Solution (Coffee, Orange juice) x 3 Information (Told caffeine, Told not-caffeine, No information) between-subjects design. Indexes of arousal were skin conductance responses and levels, startle eyeblink reflexes, cardiovascular measures, and the Bond and Lader 1974 mood scale. RESULTS: Caffeine-associated stimuli increased alertness, contentedness and skin conductance levels, and information that the drink contained caffeine decreased calmness in Experiment 1. However, unexpected information about the caffeine content of the drink, and the order of the conditions, could have masked some effects of the experimental manipulations. Experiment 2 followed up this hypothesis. The results showed a conditioned increase in startle eyeblink reflexes, and that caffeine-associated stimuli together with information that the drink contained caffeine increased contentedness. CONCLUSIONS: Caffeine-associated stimuli increased arousal, and information about the content of the drink modulated arousal in the direction indicated by the information. Thus, both the classical conditioning and expectancy theories of placebo effects received support, and placebo effects were strongest when both conditioned responses and expectancy-based responses acted in the same direction.     

Expectations and placebo responses to caffeine-associated stimuli

Rationale To test the theory that expectations control placebo responses. Objective Subjects (n=20) were asked how much they expected their arousal to increase after one or two cups of coffee, and were subsequently exposed to one or two cups of decaffeinated coffee, or to caffeine equivalent to one or two cups of coffee (200 and 400 mg). The expectancy theory of placebo responses predicts a positive correlation between expectations and actual placebo responses. Methods Dependent variables were acoustic startle eyeblink and skin conductance responses, blood pressure and heart rate, and measures of subjective arousal. Results Caffeine increased startle eyeblink and skin conductance responses, as well as blood pressure and subjective arousal. Decaffeinated coffee increased startle eyeblink and skin conductance responses, but had no effect on subjective arousal, although the participants clearly expected increased subjective arousal after both one and two cups of coffee. However, there were significant correlations between the alertness expected after coffee, and the actual alertness recorded after decaffeinated coffee. Conclusions The main finding in this study was that relatively strong expectations about the effects of coffee did not generate placebo responses after administration of decaffeinated coffee. Expectations were dose dependent, whereas the placebo response was not. However, expected alertness after coffee predicted recorded alertness after coffee. In sum, the expectancy theory of placebo effects received only limited support.     

Stimulant and relaxant drugs combined with stimulant and relaxant information: a study of active placebo

Rationale The active placebo hypothesis states that placebo effects are potentiated when an active drug is administered.Objective This hypothesis was tested in an experiment where information about the effect of a drug was combined with administration of an active drug or placebo.Methods Information that a drug acted as a relaxant, a stimulant, or as a placebo was crossed with oral administration of a relaxant drug (700 mg carisoprodol), a stimulant drug (400 mg caffeine) or placebo (lactose) in healthy volunteers (n=94). Dependent variables were subjective and physiological measures of arousal, as well as serum carisoprodol and caffeine levels. Data were collected from 15 to 280 min after administration of drug or placebo.Results Caffeine increased alertness, systolic and diastolic blood pressure, startle blink reflexes, and skin conductance responses. Subjects were calmer after carisoprodol, and heart rate was increased. There was a positive correlation between increased arousal and carisoprodol levels when stimulant information had been provided. However, this was only seen when carisoprodol levels were very low. There was no evidence that caffeine modulated the placebo response.Conclusions Active placebo responses were seen only transiently when carisoprodol levels were low, and only in the subjective arousal data. Caffeine did not support active placebo responses. The overall findings did not favour the active placebo hypothesis.     

A naturalistic investigation of the effects of day-long consumption of tea, coffee and water on alertness, sleep onset and sleep quality

Rationale: The effects of caffeine, especially caffeinated coffee, on human performance have been extensively studied. However, few studies have been naturalistic representations of how tea/coffee is normally consumed in terms of dose and time of consumption. Objectives: This study investigated the effects of day-long consumption of tea, coffee and water on cognitive and psychomotor performance, and sleep quality at night. Methods: Thirty healthy volunteers received equal volume drinks equivalent to either 1 or 2 cups of tea (containing 37.5 mg or 75 mg caffeine), or coffee (75 mg or 150 mg caffeine), or water, in a randomised five-way crossover design. Drinks were administered on four occasions during the day (0900, 1300, 1700 and 2300 hours). A psychometric battery consisting of critical flicker fusion (CFF), choice reaction time (CRT) and subjective sedation (LARS) tests, was administered pre-dose and at frequent time points post-dose. The Leeds Sleep Evaluation Questionnaire (LSEQ) was completed each morning and a wrist actigraph was worn for the duration of the study. Results: Caffeinated beverages maintained CFF threshold over the whole day (P<0.05), independent of caffeine dose or beverage type. During the acute phase of beverage ingestion, caffeine significantly sustained performance compared to water after the first beverage for CFF and subjective sedation (P<0.05), and after the second beverage for the Recognition component of the CRT task (P<0.05). Additionally, there were significant differences between tea and coffee at 75 mg caffeine after the first drink. Compared to coffee, tea produced a significant increase in CFF threshold between 30 and 90 min post-consumption (P<0.01). However, following the second beverage caffeinated coffee at 75 mg significantly improved reaction time (P<0.05), compared to tea at the same dose, for the Recognition component of the CRT task. Caffeinated beverages had a dose dependent negative effect on sleep onset (P<0.001), sleep time (P<0.001) and sleep quality (P<0.001). Conclusions: These results indicate that ingestion of caffeinated beverages may maintain aspects of cognitive and psychomotor performance throughout the day and evening when caffeinated beverages are administered repeatedly. This study also demonstrates that day-long tea consumption produces similar alerting effects to coffee, despite lower caffeine levels, but is less likely to disrupt sleep. Other differences between tea and coffee were more subtle, and require further investigation. Received: 16 February 1999 / Final version: 20 December 1999     

Effects of hot tea, coffee and water ingestion on physiological responses and mood: the role of caffeine, water and beverage type

Psychopharmacological studies using caffeinated beverages or caffeine have rarely considered temporal effects on psychological and physiological function or the specific contribution of caffeine, hot water, or beverage type to the observed effects. The effect of 400 ml hot tea, coffee, and water consumption on systolic and diastolic blood pressure (SBP and DBP), heart rate, skin conductance (a measure of sympathetic nervous system activation), skin temperature, salivary cortisol, and mood were monitored in 16 healthy caffeine-withdrawn (14 h) subjects in a complete crossover design. Beverages were ingested with/without 100 mg caffeine and milk (tea/coffee only). Hot beverage ingestion rapidly increased skin conductance and temperature (+1.7°C) with peak effects observed only 10–30 min post-consumption. Caffeine in the beverage rapidly augmented skin conductance responses but, in contrast to the effect of hot water, reduced the skin temperature response and increased SBP (+2.8 mmHg) and DBP (+2.1 mmHg) 30–60 min post-consumption. Both caffeine and milk addition to beverages independently improved mood and reduced anxiety 30 and 60 min post-consumption. Milk addition had no other effects apart from attenuating the transient increase in physiological responses associated with the drinking phase. There were no effects of beverage consumption on salivary cortisol or of beverage vehicle on salivary caffeine levels, the latter indicating that caffeine pharmacokinetics was similar in both tea and coffee, and not different from caffeinated water. In keeping with this, the responses to tea and coffee ingestion were similar and largely accounted for by the effects of hot water and caffeine. However, tea potentiated the increase in skin temperature compared to coffee and water indicative of a greater vasodilatory response plausibly related to the presence of flavonoids in tea. We conclude that ingestion of hot caffeinated beverages stimulates physiological processes faster than hitherto described, primarily via the effects of hot water and caffeine, but with beverage type and milk playing important modulatory roles. Received: 15 March 1997/Final version: 23 May 1997     

Beliefs,Behaviors, and Contexts of Adolescent Caffeine Use: A Focus Group Study

Background: Caffeinated products are widely available to adolescents, and consumption of caffeine products—energy drinks and coffee in particular—is on the rise in this age group (Branum, Rossen, & Schoendorf, 2014). Yet, little is known about the psychosocial context of caffeine use. Previous studies on adolescent caffeine use have focused on caffeine's acute physiological effects, rather than the psychosocial contexts and beliefs regarding different types of caffeinated beverages (e.g., coffee, energy drinks, soda). Objectives: The current research examines the contexts and beliefs associated with adolescents' use of caffeinated beverages (e.g., coffee, energy drinks, soda) using a focus group approach. Methods: Eleven focus group interviews (49 total participants) addressed adolescents' motivations for and patterns of caffeine use; they were transcribed and axial coding was used to identify common themes. Results: Coffee and energy drinks were perceived to be the most popular caffeinated beverages. Reasons for consuming caffeine included the effect of caffeine as a stimulant, the pleasant feelings experienced when drinking it, and the fact that caffeine was available. As for contexts, coffee was consumed in more diverse social contexts than other caffeinated beverages. Friends and sports were the most popular contexts for energy drink use. Conclusions: The present findings inform adolescent health promotion efforts and provide researchers and practitioners alike detailed information in adolescents' own words about how and why they use caffeine. Adolescents' beliefs about caffeinated products are not uniform; the reasons adolescents articulate regarding their use of coffee, soda, and energy drinks are different across contexts and beverage type.     

Caffeine-induced arousal modulates somatomotor and autonomic differential classical conditioning in humans

Two experiments (n = 48 and n = 45) investigated the effects of caffeine-induced arousal on differential classical conditioning of eyeblink (experiment 1) and autonomic (experiment 2) responses. Three groups of human subjects received double-blind administration of 0, 2, and 4 mg/kg oral caffeine (groups 0, 2, and 4, respectively). Twenty minutes after caffeine administration, a differential classical conditioning procedure was in effect. Physiological and subjective arousal was assessed by readings of blood pressure, skin conductance level, and a questionnaire, administered before caffeine administration, and after the conditioning procedure. The results showed increased indexes of physiological arousal in groups 2 and 4. In experiment 1, differential classical eyeblink conditioning was observed in groups 0 and 4, whereas no differential conditioning was seen in group 2. In experiment 2, differential classical conditioning was seen in group 0, whereas caffeine-induced arousal masked acquisition of conditioned skin conductance responses in group 4. This group displayed increased resistance to extinction compared to the other groups. Group 2, which had an intermediate level of arousal, did not display differential conditioning in either experiment. Taken together, the results indicate that small increases in arousal may be detrimental to learning, and larger increases in arousal may reverse this effect. Received: 10 March 1997/Final version: 13 June 1997     

Buspirone decreases physiological reactivity to unconditioned and conditioned aversive stimuli

Abstract Rationale. Serotonergic pathways are thought to be important in mediating the effects of aversive events. Objective. To investigate the effects of buspirone, a 5-HT_1A partial agonist, on habituation and extinction in an aversive classical conditioning model. Methods. Forty healthy male volunteers were randomly assigned to a single dose of buspirone (10 mg) or placebo. They filled in questionnaires of anxiety and depression at baseline and visual analogue scales of tension and anxiety before and at 60, 120 and 150 min after drug administration. Their skin conductance responses to auditory stimuli were measured on the conditioning model 2 h after drug intake. Results. There were no differences between groups on depression or anxiety. Buspirone decreased the amplitude of the skin conductance response and the number of spontaneous fluctuations in both the habituation and extinction phases but had no effect on skin conductance level. Buspirone also attenuated the unconditioned response to the white noise and the response to the first tone. Visual analogue ratings of tension and anxiety decreased after buspirone. Conclusions. Buspirone decreased physiological reactivity in an aversive classical conditioning model. It had anxiolytic effects on both conditioned and unconditioned anxiety. This might be due to its multiple actions on 5-HT receptors. Electronic Publication     

The acute physiological and mood effects of tea and coffee: the role of caffeine level

The objective of this study was to determine the effect of caffeine level in tea and coffee on acute physiological responses and mood. Randomised full crossover design in subjects after overnight caffeine abstention was studied. In study 1 (n = 17) the caffeine level was manipulated naturalistically by preparing tea and coffee at different strengths (1 or 2 cups equivalent). Caffeine levels were 37.5 and 75 mg in tea, 75 and 150 mg in coffee, with water and no-drink controls. In study 2 (n = 15) caffeine level alone was manipulated (water, decaffeinated tea, plus 0, 25, 50, 100, and 200 mg caffeine). Beverage volume and temperature (55 degrees C) were constant. SBP, DBP, heart rate, skin temperature, skin conductance, and mood were monitored over each 3-h study session. In study 1, tea and coffee produced mild autonomic stimulation and an elevation in mood. There were no effects of tea vs. coffee or caffeine dose, despite a fourfold variation in the latter. Increasing beverage strength was associated with greater increases in DBP and energetic arousal. In study 2, caffeinated beverages increased SBP, DBP, and skin conductance and lowered heart rate and skin temperature compared to water. Significant dose-response relationships to caffeine were seen only for SBP, heart rate, and skin temperature. There were significant effects of caffeine on energetic arousal but no consistent dose-response effects. Caffeinated beverages acutely stimulate the autonomic nervous system and increase alertness. Although caffeine can exert dose-dependent effects on a number of acute autonomic responses, caffeine level is not an important factor. Factors besides caffeine may contribute to these acute effects.     

Subjective and cardiovascular responses to nicotine combined with caffeine during rest and casual activity

Although nicotine and caffeine have separately been shown to acutely increase subjective arousal, their combined effects are unclear. Furthermore, their effects during casual physical activity, the condition under which individuals usually experience nicotine and caffeine, are unknown. Smokers who were regular coffee drinkers (n=19, 9 males, 10 females) participated in eight morning sessions, involving nicotine/placebo, caffeine/no caffeine, and rest/physical activity (i.e. 2×2×2 within-subjects design). Nicotine (15 µg/kg) or placebo was given via measured-dose nasal spray intermittently after consumption of decaf coffee with or without added caffeine (5 mg/kg), followed by subjective [Profile of Mood States (POMS), Stress-Arousal Checklist, visual analog scales] and cardiovascular (heart rate, blood pressure) measures. Casual physical activity was standardized by low-intensity bicycle riding while sitting comfortably. Results indicated significant subjective and cardiovascular effects of nicotine and caffeine individually, with the combination of nicotine and caffeine generally producing additive or greater than additive effects for each measure. However, activity mediated some of the subjective effects of nicotine, as nicotine appeared to be stimulating during rest but not during activity. There were no differences between males and females. These findings suggest that nicotine per se and caffeine generally have additive subjective and cardiovascular effects, and that nicotine may influence subjective stimulation differentially depending on whether a smoker is resting or engaged in casual activity.This research was supported by Grants DA-04174 and DA-05807 from the National Institute on Drug Abuse     

Effects of coffee on driving performance during prolonged simulated highway driving

Rationale

Coffee is often consumed to counteract driver sleepiness. There is limited information on the effects of a single low dose of coffee on prolonged highway driving in non-sleep deprived individuals.

Objectives

The aim of this study was to examine the effects of a single cup of coffee (80?mg caffeine) on simulated highway driving performance.

Methods

Non-sleep deprived healthy volunteers (n?=?24) participated in a double-blind, placebo-controlled, crossover study. After 2?h of monotonous highway driving, subjects received caffeinated or decaffeinated coffee during a 15-min break before continuing driving for another 2?h. The primary outcome measure was the standard deviation of lateral position (SDLP), reflecting the weaving of the car. Secondary outcome measures were speed variability, subjective sleepiness, and subjective driving performance.

Results

The results showed that caffeinated coffee significantly reduced SDLP as compared to decaffeinated coffee, both in the first (p?=?0.024) and second hour (p?=?0.019) after the break. Similarly, the standard deviation of speed (p?=?0.024; p?=?0.001), mental effort (p?=?0.003; p?=?0.023), and subjective sleepiness (p?=?0.001; p?=?0.002) were reduced in both the first and second hour after consuming caffeinated coffee. Subjective driving quality was significantly improved in the first hour after consuming caffeinated coffee (p?=?0.004).

Conclusions

These findings demonstrate a positive effect of one cup of caffeinated coffee on driving performance and subjective sleepiness during monotonous simulated highway driving.     

Effects of morphine and LSD on the classically conditioned nictitating membrane response

Two experiments were carried out to determine the effects of LSD and morphine on the unconditioned nictitating membrane response of the rabbit elicited by 5 intensities of a 100 msec puff of air directed at the cornea, and on the acquisition of conditioned responses to a tone and light conditioned stimulus using the air-puff as an unconditioned stimulus. In Experiment 1, LSD tartrate (0.013 mg/kg) had no effect of the frequency, amplitude, magnitude or latency of the unconditioned response. However, LSD significantly enhanced the rate of acquisition of conditioned responses to both tone and light conditioned stimuli. In Experiment 2, morphine sulfate (5 mg/kg) had no effect on the frequency, amplitude, magnitude or latency of the unconditioned response, but significantly retarded the acquisition of conditioned responses to both tone and light conditioned stimuli. The results indicated that the enhancement of acquisition produced by LSD and the retardation of acquisition produced by morphine were not due to effects of the drugs on either the sensory processing of the air-puff unconditioned stimulus or on the motoric expression of the unconditioned response.     

Effects of Caffeine and Noise on Mood,Performance and Cardiovascular Functioning

An experiment was conducted to examine the effects of caffeine and noise on mood, mental performance and cardiovascular function. One hundred and six young adults (mean age 21·2 years) took part in the study. Subjects were assigned to one of six groups formed by combining noise/quiet and drink (caffeinated coffee, decaffeinated coffee and fruit juice) conditions. Subjects were familiarized with the tasks and then completed a pre-drink baseline session (conducted in the quiet). Subjects were then given either caffeinated coffee (1·5 mg/kg caffeine), decaffeinated coffee or fruit juice. Following consumption of the drink subjects were re-tested 1 h later, either in noise (75 dBA conglomerate noise, consisting of speech, music and machinery noise) or in quiet. The subjects exposed to noise felt more anxious and showed an increase in blood pressure. Their performance of a cognitive vigilance task also declined over time. There were no significant main effects of caffeine, although simple reaction time was quickest in the caffeinated coffee group. Caffeine did not modify the effects of noise on mood, cardiovascular functioning or sustained attention. Indeed, the only interaction between drinks and noise was found in recall and recognition memory tasks, with the caffeine/noise group having better memory performance than the decaffeinated/noise subjects. Overall, the results show that low levels of caffeine do not increase the behavioural and physiological changes observed in a stressful situation. © 1997 John Wiley & Sons, Ltd.     

The effects of drugs on conditioning and habituation to arousal stimuli in animals

Summary The effects of a number of drugs on conditioned and unconditioned arousal responses (behavioural and electroencephalographic) produced by auditory stimuli in cats are reported. Positive conditioning was achieved by pairing certain auditory stimuli with a painful stimulus (electric shock).Chlorpromazine increased thresholds for both conditioned and unconditioned stimuli and eventually blocked arousal responses completely. Reserpine, which had a delayed effect, caused only a slight rise in the conditioned response but blocked the unconditioned response although this latter effect may have been in part due to habituation.Amphetamine caused a fall in the threshold for unconditioned arousal responses but did not change that for conditioned responses. However, these thresholds could no longer be assessed when doses which produced full alerting were used.LSD 25 also caused a fall in the threshold for arousal to unconditioned stimulus and no change in the conditioned response, but it restored the response to a stimulus which had previously been habituated.The results are discussed in relation to the hypothesis for the sites of action of these drugs in the brain which has been expounded previously.This work has been sponsored by the Office of Scientific Research of the Air Research and Development Command, United States Air Force, Contract No. AF 61 (514)-1184.     

Comparison of amphetamine sulphate and caffeine citrate in man

Summary Ten male volunteer subjects were administered single doses of one of the following compounds on five successive weekly occasions using a fully balanced design: 5 mg and 10 mg of amphetamine sulphate, 300 mg and 600 mg of caffeine citrate and lactose placebo. Two hours after ingestion subjective estimations of several mood attributes were made using graphic rating scales. The palmar skin conductance (sweat gland activity) and pulse rate were recorded during the presentation of twenty identical auditory stimuli consisting of one sec 1 kHz tones of 100 dB intensity, the interval between the tones varying randomly from 45 to 80 sec.The rate of diminution of the skin conductance responses to the repeated stimuli (habituation rate) was slowed by both drugs. The number of spontaneous fluctuations in the skin conductance tracing was increased by both drugs. Sloperatio bioassays were computed for both these variables which were then combined in a discriminant-function analysis to increase the precision of the assay. Pulse rate was elevated by amphetamine but not by caffeine.The subjective effects of the drugs were complicated because one subject demonstrated a paradoxical response to amphetamine being relaxed, drowsy and slow while under its influence.Some problems in comparisons of psychopharmacological agents in normal humans are discussed in the light of the results obtained.     

Caffeine expectancies influence the subjective and behavioral effects of caffeine

Objectives

This study investigated the independent and interactive effects of caffeine pharmacology and expected effects of caffeine on performance and subjective outcomes.

Methods

Abstinent coffee drinkers (n?=?60) consumed decaffeinated coffee with either 280 mg or 0 mg added caffeine. Caffeine dose was crossed with varying instructions that the coffee would either enhance or impair performance in a 2?×?2 factorial design. Performance, mood, caffeine withdrawal, and negative somatic effects were assessed.

Results

Relative to placebo, caffeine improved reaction time and accuracy on the rapid visual information processing task, a measure of vigilance. However, there was a significant dose by expectancy interaction that revealed that among participants given placebo coffee, “impair” instructions produced better performance than “enhance” instructions. Caffeine also improved psychomotor performance as indicated by a finger tapping task with no main effects of expectancy or interactions. Impair instructions produced greater reports of negative somatic effects than enhance instructions, but only when caffeine was administered.

Conclusions

Manipulating the expected effects of caffeine altered the behavioral and subjective effects of caffeine. A significant dose by expectancy interaction revealed a somewhat paradoxical outcome in the placebo conditions whereby those told “impair” performed better than those told “enhance.” This may reflect compensatory responding as has been observed in similar studies using alcohol (Fillmore et al. Psychopharmacology 115:383–388, 1994). Impair instructions led to greater negative somatic effects only when caffeine was administered supporting the active placebo hypothesis.     

Sensory and associative effects of morphine and naloxone in classical conditioning of the rabbit nictitating membrane response

In Experiment I, classical conditioning of the rabbit's nictitating membrane response was accomplished by the pairing of tone and light conditioned stimuli with a shock unconditioned stimulus applied to the paraorbital region of the head. Morphine (5 mg/kg) significantly retarded the acquisition of conditioned responses to both conditioned stimuli. Moreover, morphine had no effect on nonassociative responding (baseline responding or responding to tone and light stimuli) or on the latency and amplitude of the unconditioned response elicited by shock during the explicitly unpaired presentations of tone, light and shock stimuli. The retardant effect of morphine on acquisition of conditioned responses was blocked by naloxone (1 mg/kg). In Experiment II, morphine (0.2–10 mg/kg) had no effect on the intensity threshold of the shock unconditioned stimulus for elicitation of unconditioned responses or on the latencies of the elicited responses. However, morphine (5 and 10 mg/kg) did produce a small but significant decrease in the amplitude of unconditioned responses elicited by the two highest shock intensities employed (3 and 4 mA). This latter effect of morphine was completely blocked by naloxone (1 mg/kg). In Experiment III, morphine (5 mg/kg) blocked the sensory processing of a tone conditioned stimulus, in previously trained animals, as measured by a significant (24 dB) elevation in the intensity threshold of the conditioned stimulus for elicitation of conditioned responses and an increase in the latency of the elicited response. Naloxone (1 mg/kg) completely blocked the effects of morphine on the sensory processing of the tone-conditioned stimulus. The retardant effect of morphine on the acquisition of conditioned responses appears to be primarily due to an action on opioid receptors that produces a decrease in the sensory processing of the conditioned stimulus.     

The effects of tea on psychophysiological stress responsivity and post-stress recovery: a randomised double-blind trial

Rationale Tea has anecdotally been associated with stress relief, but this has seldom been tested scientifically.Objectives To investigate the effects of 6 weeks of black tea consumption, compared with matched placebo, on subjective, cardiovascular, cortisol and platelet responses to acute stress, in a parallel group double-blind randomised design.Materials and methods Seventy-five healthy nonsmoking men were withdrawn from tea, coffee and caffeinated beverages for a 4-week wash-out phase during which they drank four cups per day of a caffeinated placebo. A pretreatment laboratory test session was carried out, followed by either placebo (n = 38) or active tea treatment (n = 37) for 6 weeks, then, a final test session. Cardiovascular measures were obtained before, during and after two challenging behavioural tasks, while cortisol, platelet and subjective measures were assessed before and after tasks.Results The tasks induced substantial increases in blood pressure, heart rate and subjective stress ratings, but responses did not differ between tea and placebo treatments. Platelet activation (assessed using flow cytometry) was lower following tea than placebo treatment in both baseline and post-stress samples (P < 0.005). The active tea group also showed lower post-task cortisol levels compared with placebo (P = 0.032), and a relative increase in subjective relaxation during the post-task recovery period (P = 0.036).Conclusions Compared with placebo, 6 weeks of tea consumption leads to lower post-stress cortisol and greater subjective relaxation, together with reduced platelet activation. Black tea may have health benefits in part by aiding stress recovery.Funding: This research was supported by a Link award from the Biotechnology and Biological Sciences Research Council, UK, by Unilever Research Colworth, and by the British Heart Foundation.An erratum to this article can be found at     

Comparison of buspirone with diazepam and fluvoxamine on aversive classical conditioning in humans.

The effects of buspirone, fluvoxamine and diazepam were investigated, using healthy volunteers, in an aversive conditioning paradigm, a putative model for conditioned anxiety. The main prediction was that buspirone, an anxiolytic agent which reduces activity in serotonin (5-hydroxytryptophan, 5-HT) neurones, would attenuate aversively conditioned skin conductance responses. Skin conductance responses were recorded to 10 neutral tones (habituation phase). Tone 11 was immediately followed by a 1-s 90-dB aversive white noise (unconditioned stimulus). The conditioning trial reinstated responding to a second presentation of the tones (extinction phase). Skin conductance response amplitude, inter-response level and spontaneous fluctuations were recorded. There were five treatment groups comprising five men and five women. One control group took placebo, another control group received nothing; there was no effect of placebo on any measure. Diazepam (2 mg, p.o.), a positive comparator, markedly reduced the amplitude of skin conductance responses at all phases of the experiment, but only in women. Buspirone (5 mg, p.o.) had the predicted effect of accelerating extinction but also of unexpectedly accelerated habituation of skin conductance responses. There was a trend to reduce spontaneous fluctuations and no effect on skin conductance level. The effects of buspirone were thus specific to responses to stimuli. Fluvoxamine (25 mg, p.o.) had similar effects to buspirone and diazepam in women. An action common to buspirone, fluvoxamine and diazepam, which may account for their shared effect on conditioned autonomic responses, is the suppression of neural activity in the dorsal raphe nucleus. It is argued that enhanced habituation must involve a different mechanism, such as enhanced 5-HT1A function in the terminal fields of the median raphe nucleus.     

The effects of black tea and other beverages on aspects of cognition and psychomotor performance

Nineteen healthy volunteers ingested 400 ml black tea, coffee, caffeinated water, decaffeinated tea or plain water on three occasions through the day (0900, 1400 and 1900 hours). A 2 × 2 factorial design with caffeine (0, 100 mg) and beverage type (water, tea) was employed, with coffee (100 mg caffeine) as a positive internal control, based on a five-way crossover. A psychometric test battery comprising critical flicker fusion (CFF), choice reaction time (CRT), short-term memory (STM) and subjective sedation (LARS) was performed at regular intervals throughout the day, and intensively so immediately following each beverage. Consumption of tea compared to water was associated with transient improvements in performance (CFF) within 10 min of ingestion and was not affected by the time of day. Caffeine ingestion was associated with a rapid (10 min) and persistent reduction in subjective sedation values (LARS), again independent of time of day, but did not acutely alter CFF threshold. Over the whole day, consumption of tea rather than water, and of caffeinated compared to decaffeinated beverages, largely prevented the steady decline in alertness (LARS) and cognitive capacity observed with water ingestion. The effects of tea and coffee were similar on all measures, except that tea consumption was associated with less variation in CFF over the whole day. No significant treatment effects were apparent in the data for the STM. Tea ingestion is associated with rapid increases in alertness and information processing capacity and tea drinking throughout the day largely prevents the diurnal pattern of performance decrements found with the placebo (no caffeine) condition. It appears that the effects of tea and coffee were not entirely due to caffeine per se; other factors either intrinsic to the beverage (e.g. sensory attributes or the presence of other biologically active substances) or of a psychological nature (e.g. expectancy) are likely to play a significant role in mediating the responses observed in this study. Received: 18 September 1997/Final version: 16 February 1998