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. 2018;39(2):121–129.
Self-Medication High Risk Susceptibility Shared Vulnerability
PTSD increases risk for AUD.
  • Alcohol use is an attempt to reduce PTSD symptoms.

AUD increases risk for PTSD.
  • Alcohol use impairs detection of danger cues in the environment.

  • Alcohol use increases the risk of trauma exposure.

AUD increases risk for PTSD.
  • Alcohol use interferes with emotional processing after exposure to trauma.

  • Alcohol withdrawal symptoms increase anxiety and hyperarousal.

PTSD and AUD have similar risk factors and the association is noncausal. Risk factors can be:
  • Genetic

  • Environmental

  • Individual (e.g., personality)