We agree with the conclusions of a recent article in this journal [Jam
es, Neuropsychobiology 1994;30:124-125] that studies on the psychoacti
ve effects of caffeine need to take into account the possibility that
the results obtained might represent merely the reversal of deleteriou
s effects of caffeine deprivation rather than an actual net benefit du
e to caffeine use. However, in a review of recent studies we find no u
nequivocal evidence of impaired psychomotor performance associated wit
h caffeine withdrawal. This is in contrast to a clear deterioration of
mood which occurs even after overnight caffeine deprivation. We concl
uded that current evidence points to true performance-enhancing effect
s of caffeine, although the extent of these and the conditions under w
hich caffeine is most effective have yet to be fully determined. At th
e same time, the existence of significant detrimental effects of caffe
ine deprivation on psychomotor performance has not been ruled out.