Do genetic and individual risk factors moderate the efficacy of motivational enhancement therapy? Drinking outcomes with an emerging adult sample

Addict Biol. 2009 Jul;14(3):356-65. doi: 10.1111/j.1369-1600.2009.00149.x. Epub 2009 Mar 5.

Abstract

Research indicates that motivational enhancement therapy (MET) helps catalyze reductions in problem drinking among emerging adults. However, moderators of this intervention remain relatively unknown. Therefore, the objectives of this study were: (1) to test whether a single session of MET increased motivation to reduce drinking and drinking outcomes; and (2) to examine whether genetic dopamine D(4) receptor L (DRD4 L) and individual personality risk factors (impulsivity and novelty seeking) moderated the effects of the MET. These hypotheses were evaluated by randomly assigning a sample of emerging adult problem drinkers (n = 67) to receive a single session of MET or alcohol education. Follow-up data indicated that only individuals who were low in impulsivity, novelty seeking and/or who had the short DRD4 variable number of tandem repeats genotype evidenced differentially increased behavior change (taking steps toward reducing drinking) following the MET.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Alcoholism / genetics*
  • Alcoholism / psychology
  • Alcoholism / rehabilitation*
  • Exploratory Behavior
  • Female
  • Genotype*
  • Humans
  • Impulsive Behavior / genetics
  • Impulsive Behavior / psychology
  • Individuality
  • Male
  • Motivation*
  • Patient Education as Topic
  • Personality Inventory
  • Psychotherapy, Brief / methods*
  • Receptors, Dopamine D4 / genetics*
  • Risk Factors
  • Temperance / psychology
  • Treatment Outcome
  • Young Adult

Substances

  • DRD4 protein, human
  • Receptors, Dopamine D4