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Yet, it is unclear whether the process or content of RNT is more important in the development of internalizing symptoms in sexual minorities. Consequently, the goal of the current study was to use structural equation modeling to determine whether there are significant indirect effects of repetitive negative thought content in the relationship between minority stress and internalizing psychopathology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Measures of RNT, internalizing symptoms, and proximal minority stress were completed online by 205 cisgender sexual minority adults. Structural equation modeling was used to examine indirect effects of proximal stress on internalizing symptoms through content\u2010independent RNT, depressive rumination, and sexual orientation\u2010related rumination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Significant direct effects of proximal minority stress on internalizing symptoms were observed. Indirect effects of proximal stress on internalizing symptoms were observed for content\u2010independent RNT and depressive rumination, but not sexual orientation\u2010related rumination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The current study provides evidence that the process and affective valence of RNT contributes more to internalizing symptoms in sexual minorities when compared with sexual orientation\u2010related content. Theoretical and clinical implications are discussed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jclp.23491","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T10:11:06Z","timestamp":1675764666000},"page":"1452-1466","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Minority stress, repetitive negative thinking, and internalizing symptoms in sexual minorites: Does cognitive content matter?"],"prefix":"10.1002","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5182-9554","authenticated-orcid":false,"given":"Michael J.","family":"Pellicane","sequence":"first","affiliation":[{"name":"Department of Psychological Sciences Kent State University Kent Ohio USA"},{"name":"Department of Counseling &amp; Clinical Psychology, Teachers College Columbia University New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8915-3019","authenticated-orcid":false,"given":"Melanie E.","family":"Brewster","sequence":"additional","affiliation":[{"name":"Department of Counseling &amp; Clinical Psychology, Teachers College Columbia University New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey A.","family":"Ciesla","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences Kent State University Kent Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-020-01862-0"},{"key":"e_1_2_9_4_1","volume-title":"Best practices for asking questions about sexual orientation on surveys (SMART)","author":"Badgett M. 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