Evidence map›Paper›PMID 23750693›Full record

ArticleExperimental and clinical psychopharmacology2013

The combined effects of alcohol, caffeine, and expectancies on subjective experience, impulsivity, and risk-taking.

Adrienne J Heinz, Harriet de Wit, Todd C Lilje, Jon D Kassel

Abstract read
In one paragraph

Article in Experimental and clinical psychopharmacology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Domain-General Neural Effects of Associative Learning and Expectations on Pain and Hedonic Taste Perception.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Trial
  4. Trial
  5. Faster self-paced rate of drinking for alcohol mixed with energy drinks versus alcohol alone.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The Relationships between Addiction to Highly Caffeinated Drinks, Burnout, and Attention-Deficit/ Hyperactivity Disorder.Soa--ch'ongsonyon chongsin uihak = Journal of child & adolescent psychiatry · 2019
    Article
  12. Article
  13. Article
  14. Adenosine AFrontiers in molecular neuroscience · 2018
    Article
  15. E-cigarette use, perceptions, and cigarette smoking intentions in a community sample of young adult nondaily cigarette smokers.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Article
  16. Article
  17. Review
  18. Desire to Drink Alcohol is Enhanced with High Caffeine Energy Drink Mixers.Alcoholism, clinical and experimental research · 2016
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Adrienne J HeinzCenter for Health Care Evaluation, VA Palo Alto Health Care System and Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, Menlo Park, CA 94025, USA. aheinz@stanford.edu
Harriet de Wit
Todd C Lilje
Jon D Kassel
University of Chicago · USVA Palo Alto Health Care System · US

Funding

Determinants of Drug Preference in Humans--Administrative SupplementR01DA002812 · NIDA · UNIVERSITY OF CHICAGO · PI DE WIT, HARRIET · 1985 to 2024
$10.6M
Combined effects of alcohol and caffeine on agency judgment, impulsivity and riskF31AA018918 · NIAAA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HEINZ, ADRIENNE JULIE · 2009 to 2011
$73k
NIAAA NIH HHS F31 AA018918NIDA NIH HHS DA02812NIDA NIH HHS R01 DA002812
6 · The paper itself

Abstract

Caffeinated alcoholic beverage (CAB) consumption is a rapidly growing phenomenon among young adults and is associated with a variety of health-risk behaviors. The current study examined whether either caffeinated alcohol or the expectation of receiving caffeinated alcohol altered affective, cognitive, and behavioral outcomes hypothesized to contribute to risk behavior. Young adult social drinkers (N = 146) participated in a single session where they received alcohol (peak Breath Alcohol Content = .088 g/dL, SD = .019; equivalent to about four standard drinks) and were randomly assigned to one of four further conditions: 1) no caffeine, no caffeine expectancy, 2) caffeine and caffeine expectancy, 3) no caffeine but caffeine expectancy, 4) caffeine but no caffeine expectancy. Participants' habitual CAB consumption was positively correlated with measures of impulsivity and risky behavior, independently of study drugs. Administration of caffeine (mean dose = 220 mg, SD = 38; equivalent to about 2.75 Red Bulls) in the study reduced subjective ratings of intoxication and reversed the decrease in desire to continue drinking, regardless of expectancy. Caffeine also reduced the effect of alcohol on inhibitory reaction time (RT) (faster incorrect responses). Participants not expecting caffeine were less attentive after alcohol, whereas participants expecting caffeine were not, regardless of caffeine administration. Alcohol decreased response accuracy in all participants except those who both expected and received caffeine. Findings suggest that CABs may elevate risk for continued drinking by reducing perceived intoxication, and by maintaining the desire to continue drinking. Simply expecting to consume caffeine may reduce the effects of alcohol on inattention, and either expecting or consuming caffeine may protect against other alcohol-related performance decrements. Caffeine, when combined with alcohol, has both beneficial and detrimental effects on mechanisms known to contribute to risky behavior.

Indexed as

Impulsive BehaviorRisk-TakingAdultCaffeineDouble-Blind MethodDrug SynergismEthanolFemaleHumansMaleYoung AdultCaffeineEthanol

Identifiers

PMID23750693
PMCPMC4354945
OpenAlexW2057829605

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.