Diminished cognitive control in alcohol use disorder (AUD) is thought to
be mediated by prefrontal cortex circuitry dysregulation. Research testing the
relationship between AUD and specific cognitive control psychophysiological
correlates, such as medial frontal (MF) theta-band EEG power, is scarce, and the
etiology of this relationship is largely unknown. The current report tested
relationship between pathological alcohol use through young adulthood and
reduced conflict-related theta at age 29 in a large prospective population-based
twin sample. Greater lifetime AUD symptomatology was associated with reduced MF
theta power during response conflict, but not alpha-band visual attention
processing. Follow-up analyses using cotwin control analysis and biometric
modeling suggested that genetic influences, and not the consequences of
sustained AUD symptomatology, explained the theta-AUD association. Results
provide strong evidence that AUD is genetically related to diminished
conflict-related MF theta, and advance MF theta as a promising
electrophysiological correlate of AUD-related dysfunctional frontal
circuitry.