Table 1. Caffeine Use Disorder Criteria.

Criteria	Description	DSM-IV-TR Criteria	DSM-5 Criteria	Endorsed
Tolerance	Compared to first regular caffeine use, have to use at least twice as many caffeinated beverages, or the same number of beverages that were at least twice as strong, to get the same effect, or Compared to first regular caffeine use, now get half or less than half of the effect.	X	X	75%
Withdrawal	Experiencing any of the three classic withdrawal symptoms (headache, fatigue, or drowsiness) when abstaining from caffeine, or Used caffeine or a similar substance to avoid withdrawal symptoms	X	X	97%
Caffeine is taken in larger amounts or over longer periods of time than intended	Using caffeine in larger amounts or over longer periods of time than wanted or intended, for example, intending to consume only one cup of coffee but consuming three or more; or intending to consume four cups but consuming six.	X	X	43%
Persistent desire or unsuccessful efforts to cut down	A strong desire to stop, control, or cut down caffeine at least on a monthly basis in the last year, or Has unsuccessfully tried to stop, control, or cut down caffeine in the past.	X	X	91%
Spending a great deal of time obtaining, using, or recovering from caffeine effects	Spending at least 20 minutes per day obtaining, using, or recovering from the effects of caffeine.	X	X	70%
Important social, occupational, or recreational activities are given up or reduced because of caffeine	Caffeine consumption resulted in a clinically significant reduction or loss in important social, occupational, or recreational activities.	X		10%
Caffeine is used despite knowledge of persistent or recurrent physical or psychological problems	Caffeine use continues despite physical or psychological problems believed to be caused or exacerbated by caffeine.	X	X	91%
Caffeine use persisted despite social or interpersonal problems	Caffeine use continues despite social or interpersonal problems believed to be caused or exacerbated by caffeine.		X	1.5%
Caffeine use resulting in a failure to fulfill major role obligations	Caffeine use continues despite a failure to fulfill major role obligations at work home or school.		X	0%
Craving	Craving for caffeine.		X	87%

Note: Criteria endorsement was determined by a trained test administrator who took into account the severity and frequency of the problem and the relationship between caffeine use and the problem.