A motor adjustment drive for a vehicle steering column includes a threaded spindle with an axis. The threaded spindle engages a spindle nut. A drive unit and a gear wheel which is connected to the spindle nut or the threaded spindle for rotation therewith is driveable to rotate by the drive unit and is rotatably mounted in a bearing housing between two outer bearing rings that are axially supported at the bearing housing. The outer bearing rings each have, on their sides facing one another, a circumferential outer bearing face that is coaxial to the axis. Each outer bearing face lays opposite a bearing face embodied on the end side at the gear wheel. An outer bearing ring is axially resiliently supported at the bearing housing via an elastic element, which exerts an axial force that biases the two outer bearing rings toward each other.