Anxiety or caffeinism: a diagnostic dilemma.
Anxiety or caffeinism: a diagnostic dilemma.
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焦虑或咖啡因中毒：诊断困境。
DOI：
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发表时间：
1974
影响因子：
17.7
通讯作者：
J. Greden
中科院分区：
文献类型：
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作者：
J. Greden
作者报告说，大量摄入咖啡因（“咖啡因中毒”）会产生与焦虑性神经症难以区分的症状，如神经紧张、易怒、颤抖、偶尔肌肉抽搐、失眠、感觉障碍、呼吸急促、心悸、潮红、心律失常、利尿和胃肠道紊乱。咖啡因戒断综合征和与之相关的头痛也可能类似于焦虑。咖啡因中毒的患者通常只能通过常规询问他们的咖啡因摄入量来确定。精神科医生应特别怀疑对精神药物无反应的患者或有心理生理主诉和复发性头痛的患者，长期饮用咖啡的住院精神病患者和“运动过度”儿童的咖啡因中毒。三个病例报告说明了综合征。
The author reports that high intake of caffeine ("caffeinism") can produce symptoms that are indistinguishable from those of anxiety neurosis, such as nervouness, irritability, tremulousness, occasional muscle twitchings, insomnia, sensory disturbances, tachypnea, palpitations, flushing, arrhythmias, diuresis, and gastrointestinal disturbances. The caffeine withdrawal syndrome and the headache associated with it may also mimic anxiety. Patients with caffeinism will generally be identified only by routine inquiry into their caffeine intake. The psychiatrist should especially suspect caffeinism in patients who do not respond to psychopharmacological agents or who have psychophysiological complaints and recurrent headaches, chronic coffee-drinking patients on inpatient psychiatric services, and "hyperkinetic" children. Three case reports illustrate the syndrome.