Randomized controlled trial2021Industry fundedOpen access

Funded in part by Volkswagen Foundation

Cognitive enhancement effects of stimulants: a randomized controlled trial testing methylphenidate, modafinil, and caffeine

Repantis D, Bovy L, Ohla K, Kühn S, Dresler M

Psychopharmacology · 41 citations

Review labels

Industry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
Government
Deutsche Forschungsgemeinschaft
Company
Volkswagen Foundation
Nonprofit
Jacobs Foundation
Government
H2020 European Research Council
Government
European Research Council
Grants
Deutsche Forschungsgemeinschaft (SFB936/C7); Deutsche Forschungsgemeinschaft (SFB 936); H2020 European Research Council (ERC-2016-StG-Self-Control-677804); Jacobs Foundation (SFB 936/C7); Deutsche Forschungsgemeinschaft (DFG KU 3322/1-1); Deutsche Forschungsgemeinschaft (KU 3322/1–1); Deutsche Forschungsgemeinschaft (936/C7); Deutsche Forschungsgemeinschaft (3322/1-1); Volkswagen Foundation (85648); Jacobs Foundation (JRF 2016–2018)

Based on 5 listed funder(s) and full-text disclosure statement.

Publication

Published
2020-11-17 · Psychopharmacology (Berl) · vol. 238 · issue 2 · pp. 441–451
Publisher
Springer Science+Business Media
Cited
66 citations · more than 93% of similar papers · 3.2× the field average
Impact
Top 10% most cited in its field
References
50 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Neuroethics, Human Enhancement, Biomedical Innovations · Attention Deficit Hyperactivity Disorder · Forensic Toxicology and Drug Analysis
Keywords
Modafinil, Methylphenidate, Caffeine, Randomized controlled trial, Psychology, Pharmacology, Cognition, Psychiatry, Medicine, Clinical psychology, Attention deficit hyperactivity disorder, Internal medicine
MeSH
humans, fatigue, methylphenidate, caffeine, central nervous system stimulants, nootropic agents, treatment outcome, pilot projects, double-blind method, cognition, attention, adult, male, young adult, modafinil

5 authors

From DE, NL

  • Dimitris Repantis · correspondingHumboldt-Universität zu Berlin; Max Planck Institute for Human Development; Berlin Institute of Health at Charité - Universitätsmedizin Berlin; Freie Universität Berlin; Charité - Universitätsmedizin Berlin
  • Leonore BovyRadboud University Nijmegen; Radboud University Medical Center; Donders Institute for Brain, Cognition and Behaviour
  • Kathrin OhlaForschungszentrum Jülich
  • Simone KühnUniversität Hamburg; University Medical Center Hamburg-Eppendorf; Max Planck Institute for Human Development
  • Martin DreslerRadboud University Nijmegen; Radboud University Medical Center; Donders Institute for Brain, Cognition and Behaviour

Abstract

Rational

At all times humans have made attempts to improve their cognitive abilities by different means, among others, with the use of stimulants. Widely available stimulants such as caffeine, but also prescription substances such as methylphenidate and modafinil, are being used by healthy individuals to enhance cognitive performance.

Objectives

There is a lack of knowledge on the effects of prescription stimulants when taken by healthy individuals (as compared with patients) and especially on the effects of different substances across different cognitive domains.

Methods

We conducted a pilot study with three arms in which male participants received placebo and one of three stimulants (caffeine, methylphenidate, modafinil) and assessed cognitive performance with a test battery that captures various cognitive domains.

Results

Our study showed some moderate effects of the three stimulants tested. Methylphenidate had positive effects on self-reported fatigue as well as on declarative memory 24 hours after learning; caffeine had a positive effect on sustained attention; there was no significant effect of modafinil in any of the instruments of our test battery. All stimulants were well tolerated, and no trade-off negative effects on other cognitive domains were found.

Conclusions

The few observed significant positive effects of the tested stimulants were domain-specific and of rather low magnitude. The results can inform the use of stimulants for cognitive enhancement purposes as well as direct further research to investigate the effects of stimulants on specific cognitive domains that seem most promising, possibly by using tasks that are more demanding.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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