Evidence map›Paper›PMID 41978115›Full record

ReviewNutrients2026

Coffee and Caffeine in Depression: Symptom-Level Modulation and Challenges in Nutripsychiatric Interpretation.

Iwona Turkowska, Aleksandra M Rogowska, Mariusz Konieczny, Przemysław Domaszewski

Abstract readReview
In one paragraph

Review in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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.

Iwona TurkowskaInstitute of Health Sciences, University of Opole, Katowicka 68, 45-060 Opole, Poland.ORCID 0009-0002-1802-8661
Aleksandra M RogowskaInstitute of Psychology, University of Opole, 45-052 Opole, Poland.ORCID 0000-0002-4621-8916
Mariusz KoniecznyFaculty of Physical Education and Physiotherapy, Opole University of Technology, 45-758 Opole, Poland.ORCID 0000-0001-7995-0882
Przemysław DomaszewskiInstitute of Health Sciences, University of Opole, Katowicka 68, 45-060 Opole, Poland.ORCID 0000-0003-4967-8923

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence on the relationship between coffee, caffeine and depression remains inconsistent. Observational studies often report inverse associations, whereas experimental findings indicate potential adverse effects on anxiety and sleep. As a psychostimulant, caffeine increases alertness and perceived energy and may transiently improve mood and task engagement.

objectiveThis narrative review aims to reinterpret existing evidence on coffee and caffeine in depression from a symptom-level perspective, with emphasis on sleep-wake regulation, anxiety sensitivity, habitual use and withdrawal-related phenomena.

methodsHuman studies published between 2000 and 2025 were synthesised narratively based on their relevance to depressive symptoms, arousal regulation, sleep and behavioural patterns of caffeine use, rather than for pooled effect estimation.

resultsCaffeine may transiently alleviate fatigue and psychomotor slowing, but these effects are context-dependent and frequently counterbalanced by sleep disruption, anxiety and withdrawal-related fluctuations. Inverse associations observed in cohort studies may partly reflect reverse causality, residual confounding and relief of withdrawal symptoms rather than true antidepressant effects.

conclusionsCoffee and caffeine should not be conceptualised as antidepressant interventions. Instead, they appear to act as context-dependent modulators of symptom expression in depression, particularly affecting fatigue, alertness and sleep-wake stability. Failure to account for dose, habitual use, withdrawal and individual vulnerability may lead to overinterpretation of epidemiological findings in nutripsychiatric research.

Indexed as

CaffeineCoffeeDepressionAnxietyFatigueHumansSleepCaffeineCoffeeanxiety sensitivityarousal regulationfatiguepsychomotor slowingsleep-wake regulationwithdrawal symptoms

Identifiers

PMID41978115
PMCPMC13074629

What OpenQuestion holds

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Registered trials

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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.