This study aimed to provide up-to-date prevalence of energy drink (ED) consumption, as well as analyze the relationship of mental health symptoms and addictive behaviors (i.e. substance use, gambling, gaming, and social media) based on ED consumption. A total of 1189 students aged 14–18 years (Mage = 15.64; SD = 1.08; 52.5%girls) participated in the study. Past-month consumption of ED and substances (i.e. tobacco, alcohol, and cannabis) was assessed. Additionally, participants completed three questionnaires measuring gambling, video games, and mobile phones. Results showed that lifetime ED use was reported by 59.4% and 30.5% reported past 30-day use. ED users showed significantly greater psychological distress (p-values ⩽ 0.018) and higher rates of substance use, gambling, gaming, and social media than non-ED users (p-values ⩽ 0.035). The findings highlight the need for comprehensive intervention and prevention efforts to reduce ED use and its associated mental health symptoms and addictive behaviors among adolescents.
AjiboCVan GriethuysenAVisramS, et al. (2024) Consumption of energy drinks by children and young people: A systematic review examining evidence of physical effects and consumer attitudes. Public Health227: 274–281.
2.
Aonso-DiegoGKrotterAGarcía-PérezÁ (2024) Prevalence of energy drink consumption world-wide: A systematic review and meta-analysis. Addiction119(3): 438–463.
3.
Atienza-CarbonellBGuillénVIrigoyen-OtiñanoM, et al. (2022) Screening of substance use and mental health problems among Spanish medical students: A multicenter study. Journal of Affective Disorders311: 391–398.
4.
Barrense-DiasYBerchtoldAAkreC, et al. (2016) Consuming energy drinks at the age of 14 predicted legal and illegal substance use at 16. Acta Paediatrica105(11): 1361–1368.
5.
BecoñaE (1997) Pathological gambling in Spanish children and adolescents: An emerging problem. Psychological Reports81(1): 275–287.
BecoñaEMíguez-VarelaMCVázquez-GonzálezFL (2001) El juego problema en los estudiantes de Enseñanza Secundaria. Psicothema13(4): 551–556.
8.
Beranuy-FarguesMChamarroAGranerC, et al. (2009) Validación de dos escalas breves para evaluar la adicción a Internety el abuso de móvil. Psicothema21(3): 480–485.
9.
BlackDWShawMMcCormickB, et al. (2013) Pathological gambling: Relationship to obesity, self-reported chronic medical conditions, poor lifestyle choices, and impaired quality of life. Comprehensive Psychiatry54(2): 97–104.
10.
BlancoCMyersJKendlerKS (2012) Gambling, disordered gambling and their association with major depression and substance use: A web-based cohort and twin-sibling study. Psychological Medicine42(3): 497–508.
11.
BoyleSCBaezSTragerBM, et al. (2022) Systematic bias in self-reported social media use in the age of platform swinging: Implications for studying social media use in relation to adolescent health behavior. International Journal of Environmental Research and Public Health19(16): 9847.
12.
BujaAMortaliCMastrobattistaL, et al. (2020) Stimulant substance use and gambling behaviour in adolescents. Gambling and stimulant use. Adicciones32(4): 273–280.
13.
BurkhartGTomczykSKoningI, et al. (2022) Environmental prevention: Why do we need it now and how to advance it?Journal of Prevention43(2): 149–156.
14.
ChamarroACarbonellXManresaJM, et al. (2014) El Cuestionario de Experiencias Relacionadas con los Videojuegos (CERV): Un instrumento para detectar el uso problemático de videojuegos en adolescentes españoles. Adicciones26(4): 303–311.
CooperRDi BiaseMABeiB, et al. (2023) Associations of changes in sleep and emotional and behavioral problems from late childhood to early adolescence. JAMA Psychiatry80(6): 585–596.
17.
CostantinoAMaieseALazzariJ, et al. (2023) The dark side of energy drinks: A comprehensive review of their impact on the human body. Nutrients15(18): 3922.
18.
CostelloEJMustilloSErkanliA, et al. (2003) Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry60(8): 837–844.
19.
CramérH (1946) A contribution to the theory of statistical estimation. Scandinavian Actuarial Journal1946(1): 85–94.
20.
Cruz-MuñozVUrquizu-RoviraMValls-IbañezV, et al. (2020) Consumption of soft, sports, and energy drinks in adolescents. The BEENIS study. Anales de Pediatría93(4): 242–250.
21.
DavisonMLBershadskyBBieberJ, et al. (1997) Development of a brief, multidimensional, self-report instrument for treatment outcomes assessment in psychiatric settings: Preliminary findings. Assessment4(3): 259–276.
22.
DerogatisLRRickelsKRockAF (1976) The SCL-90 and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychiatry128(3): 280–289.
23.
DüringSWMøller-PedersenTBHovmandOR (2025) Psychotic symptoms following consumption of energy drinks: A systematic review. Nordic Journal of Psychiatry79(5): 325–332.
EvattDPJulianoLMGriffithsRR (2016) A brief manualized treatment for problematic caffeine use: A randomized control trial. Journal of Consulting and Clinical Psychology84(2): 113–121.
26.
FleissJL (1994) Measures of effect size for categorical data. In: CooperHHedgesLV (eds) The Handbook of Research Synthesis. Russell Sage Foundation, pp.245–260.
27.
GalimovAHanewinkelRHansenJ, et al. (2020) Association of energy drink consumption with substance-use initiation among adolescents: A 12-month longitudinal study. Journal of Psychopharmacology34(2): 221–228.
28.
GallimbertiLBujaAChindamoS, et al. (2016a) Problematic cell phone use for text messaging and substance abuse in early adolescence (11- to 13-year-olds). European Journal of Pediatrics175(3): 355–364.
29.
GallimbertiLBujaAChindamoS, et al. (2016b) Problematic use of video games and substance abuse in early adolescence: A cross-sectional study. American Journal of Health Behavior40(5): 594–603.
30.
GórkaKKruczyńskaALenardT, et al. (2025) Energy drinks-trend or awareness choice? A mini-review. Journal of Nutrition155(9): 2825–2845.
31.
GrantJEChamberlainSR (2018) Caffeine’s influence on gambling behavior and other types of impulsivity. Addictive Behaviors76: 156–160.
32.
Hasselgård-RoweJSenchynaABroersB, et al. (2022) Heterogeneity of definitions and measurements of binge drinking in research on adolescents and young adults. Drug and Alcohol Dependence241: 109650.
HyderSCoomberKPennayA, et al. (2018) Correlates of verbal and physical aggression among patrons of licensed venues in Australia. Drug and Alcohol Review37(1): 6–13.
35.
KaurAYousufHRamgobin-MarshallD, et al. (2022) Energy drink consumption: A rising public health issue. Reviews in Cardiovascular Medicine23(3): 083.
36.
KimHSHodginsDC (2018) Component model of addiction treatment: A pragmatic transdiagnostic treatment model of behavioral and substance addictions. Frontiers in Psychiatry9: 406.
37.
KimKMLeeIKimJW, et al. (2021) Dietary patterns and smartphone use in adolescents in Korea: A nationally representative cross-sectional study. Asia Pacific Journal of Clinical Nutrition30(1): 163–173.
38.
LesieurHRBlumeSB (1987) The South Oaks Gambling Screen (SOGS): A new instrument for the identification of pathological gamblers. American Journal of Psychiatry144(9): 1184–1188.
39.
LoParoDFonsecaACMatosAPM, et al. (2024) Anxiety and depression from childhood to young adulthood: Trajectories and risk factors. Child Psychiatry and Human Development55(1): 127–136.
40.
MandatoJKolaRTysonT, et al. (2025) The effects of energy drinks on the cardiovascular system: A systematic review. Current Cardiology Reports27(1): 156.
41.
MarinoniMParpinelMGaspariniA, et al. (2022a) Psychological and socio-educational correlates of energy drink consumption in children and adolescents: A systematic review. European Journal of Pediatrics181(3): 889–901.
42.
MarinoniMParpinelMGaspariniA, et al. (2022b) Risky behaviors, substance use, and other lifestyle correlates of energy drink consumption in children and adolescents: A systematic review. European Journal of Pediatrics181(4): 1307–1319.
43.
MarmetSStuderJWickiM, et al. (2019) Unique versus shared associations between self-reported behavioral addictions and substance use disorders and mental health problems: A commonality analysis in a large sample of young Swiss men. Journal of Behavioral Addictions8(4): 664–677.
44.
MasengoLSampasa-KanyingaHChaputJP, et al. (2020) Energy drink consumption, psychological distress, and suicidality among middle and high school students. Journal of Affective Disorders268: 102–108.
45.
McMillanCDowerJIkedaI, et al. (2024) Chronic pancreatitis pain associated with energy drink consumption: A case report. Journal of Investigative Medicine High Impact Case Reports Epub ahead of print 23 May 2024. DOI:10.1177/23247096241255806
46.
MillerKEDermenKHLuckeJF (2018) Caffeinated energy drink use by U.S. adolescents aged 13-17: A national profile. Psychology of Addictive Behaviors32(6): 647–659.
NavehGMansourBBaderM, et al. (2024) Physiological impacts of energy drink consumption: A clinical analysis in adolescents. Nutrients16(14): 2328.
49.
OkyereJSaluSAyebengC, et al. (2025) Lifetime prevalence of psychotic experience, and its associated factors among Senegalese women: A cross-sectional study. BMC Psychiatry25(1): 425.
50.
Oliver AnglèsACamprubí CondomLValero CoppinO, et al. (2021) [Prevalence and associated factors to energy drinks consumption among teenagers in the province of Barcelona (Spain)]. Gaceta Sanitaria35(2): 153–160.
51.
PuupponenMTynjäläJVälimaaR, et al. (2023) Associations between adolescents’ energy drink consumption frequency and several negative health indicators. BMC Public Health23(1): 258.
52.
ReissigCJStrainECGriffithsRR (2009) Caffeinated energy drinks–a growing problem. Drug and Alcohol Dependence99(1–3): 1–10.
53.
Riera-SampolARodasLMartínezS, et al. (2022) Caffeine intake among undergraduate students: Sex differences, sources, motivations, and associations with smoking status and self-reported sleep quality. Nutrients14(8): 1661.
54.
RosenthalR V (1994) Parametric measures of effect size. In: CooperHHedgesL (eds) The Handbook of Research Synthesis. Russell Sage Foundation, pp.231–244.
55.
RostamiMBabashahiMRamezaniS, et al. (2024) A scoping review of policies related to reducing energy drink consumption in children. BMC Public Health24(1): 2308.
56.
Sampasa-KanyingaHMasengoLHamiltonHA, et al. (2020) Energy drink consumption and substance use among middle and high school students. International Journal of Environmental Research and Public Health17(9): 3110.
57.
SandínBValienteRMChorotP, et al. (2009) [SA-45: A brief form of the SCL-90]. Psicothema20(2): 290–296.
58.
SchröderHCruz MuñozVUrquizu RoviraM, et al. (2021) Determinants of the consumption of regular soda, sport, and energy beverages in Spanish adolescents. Nutrients13(6): 1858.
59.
SperoniJFanniffAMEdgemonJM, et al. (2023) Alcohol mixed with energy drinks and aggressive behaviors in adolescents and young adults: A systematic review. Clinical Psychology Review104: 102319.
60.
SteeleDWBeckerSJDankoKJ, et al. (2020) Brief behavioral interventions for substance use in adolescents: A meta-analysis. Pediatrics146(4): e20200351.
61.
StrileyCWKhanSR (2014) Review of the energy drink literature from 2013: Findings continue to support most risk from mixing with alcohol. Current Opinion in Psychiatry27(4): 263–268.
62.
SweeneyMMMeredithSEJulianoLM, et al. (2019) A randomized controlled trial of a manual-only treatment for reduction and cessation of problematic caffeine use. Drug and Alcohol Dependence195: 45–51.
63.
Tanner-SmithEESteinka-FryKTHennessyEA, et al. (2015) Can Brief alcohol Interventions for youth also address concurrent illicit drug use? Results from a meta-analysis. Journal of Youth and Adolescence44(5): 1011–1023.
VienoACanaleNPotenteR, et al. (2018) The Multiplicative Effect of Combining Alcohol With Energy Drinks on Adolescent Gambling. Addictive Behaviors82. Elsevier Science, pp.7–13.
66.
von ElmEAltmanDGEggerM, et al. (2008) The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Journal of Clinical Epidemiology61(4): 344–349.
67.
WintersKCStinchfieldRDFulkersonJ (1993) Toward the development of an adolescent gambling problem severity scale. Journal of Gambling Studies9(1): 63–84.
68.
YasumaNImamuraKWatanabeK, et al. (2021) Association between energy drink consumption and substance use in adolescence: A systematic review of prospective cohort studies. Drug and Alcohol Dependence219: 108470.
