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Chunk #22 — Conclusions

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The impact of gene-environment interaction on alcohol use disorders.
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Although there is a burgeoning literature surrounding gene–environment interactions in the field of alcohol use and related disorders, far more remains to be understood. In general, the findings from gene-by-environment twin studies have been relatively consistent and have suggested general mechanisms for interaction effects. The common theme that emerges across findings of gene–environment interactions from the twin literature is that environments that exert more social control (e.g., higher parental monitoring, less migratory neighborhoods, etc.) tend to reduce genetic influences, whereas other environments allow greater opportunity to express genetic predispositions, such as those characterized by more deviant peers and greater alcohol availability. Conversely, the gene–environment literature that has been developed surrounding specific genes has focused largely on the role of stress as a moderator of genetic effects. Clearly, there is a disconnect between these literatures. In addition, it is likely that there are other important mechanisms of gene–environment interaction effects in relation to alcohol use and the development of problems. Many other variables, both individual and psychosocial, are known to affect drinking behavior, such as beliefs about alcohol, self-esteem, school attitudes,