“…Retrospective and prospective studies of time-course indicate that PTSD symptoms generally precede and predict onset of alcohol or other substance use disorder (Haller & Chassin, 2013; Jakupcak et al, 2010; Ouimette, Read, Wade, & Tirone, 2010). Alcohol may be used to reduce the occurrence of intrusive traumatic memories (Reynolds, Nayak, & Kouimtsidis, 2012) and provide acute symptom relief (Leeies, Pagura, Sareen, & Bolton, 2010). Also, alcohol has physiological effects that may minimize hyperarousal symptoms (Jacobsen, Southwick & Kosten, 2001; Jakupcak et al, 2010).…”