Hyde A P
Psychiatric Hospital, Columbia, SC 29203.
Schizophr Bull. 1990;16(3):371-2; discussion 373-5. doi: 10.1093/schbul/16.3.371.
This article addresses itself to the apparent conflict between those reports indicating that caffeine affects schizophrenic behavior and the present study which failed to show substantial behavior or medication changes with caffeine. It is suggested that there are important subgroups of schizophrenic patients who are unusually sensitive to caffeine's apparent psychotogenic actions as reported in case reports and data on violence and destruction. It is also suggested that there are subgroups of schizophrenia which seem to require increased medication doses to "cover" caffeine effects.
本文探讨了那些表明咖啡因会影响精神分裂症患者行为的报告与本研究之间明显的冲突,本研究未能显示出咖啡因会导致显著的行为或药物变化。有观点认为,正如病例报告以及关于暴力和破坏行为的数据中所报道的那样,存在重要的精神分裂症患者亚组,他们对咖啡因明显的致精神病作用异常敏感。还有观点认为,存在一些精神分裂症亚组,似乎需要增加药物剂量来“抵消”咖啡因的影响。