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Frequent trauma\u2010related rumination has been linked to posttraumatic stress disorder (PTSD) and depression in civilian samples but has yet to be examined among military veterans. This study extended previous research by examining trauma\u2010related rumination in female veterans who presented to a Veterans Affairs women's trauma recovery clinic (<jats:italic>N<\/jats:italic> = 91). The study had two main aims: (a) to examine associations between trauma\u2010related rumination and specific PTSD symptoms, adjusting for the overlap between trauma\u2010related rumination and other relevant cognitive factors, such as intrusive trauma memories and self\u2010blame cognitions; and (b) to assess associations between trauma\u2010related rumination, PTSD, and depression, adjusting for symptom comorbidity. At intake, patients completed a semistructured interview and self\u2010report questionnaires. Primary diagnoses were confirmed via medical record review. Trauma\u2010related rumination was common, with more than 80% of patients reporting at least sometimes engaging in this cognitive style in the past week. After adjusting for other relevant cognitive factors, trauma\u2010related rumination was significantly associated with several specific PTSD symptoms, <jats:italic>r<\/jats:italic><jats:sub>p<\/jats:sub>s = .33\u2013.48. Additionally, the severity of trauma\u2010related rumination was associated with overall PTSD symptom severity, even after adjusting for comorbid depression symptoms, <jats:italic>r<\/jats:italic><jats:sub>p<\/jats:sub><jats:sup>2<\/jats:sup> = .35. In contrast, the association between trauma\u2010related rumination and depressive symptom severity was not significant after adjusting for comorbid PTSD symptoms, <jats:italic>r<\/jats:italic><jats:sub>p<\/jats:sub><jats:sup>2<\/jats:sup> = .008. These results highlight trauma\u2010related rumination as a unique contributing factor to the complex clinical presentation for a subset of trauma\u2010exposed veterans.<\/jats:p>","DOI":"10.1002\/jts.22385","type":"journal-article","created":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T16:17:59Z","timestamp":1555949879000},"page":"260-268","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Associations Between Trauma\u2010Related Rumination and Symptoms of Posttraumatic Stress and Depression in Treatment\u2010Seeking Female Veterans"],"prefix":"10.1002","volume":"32","author":[{"given":"Kimberly A.","family":"Arditte Hall","sequence":"first","affiliation":[{"name":"VA National Center for PTSD  Boston Massachusetts USA"},{"name":"Boston University School of Medicine  Boston Massachusetts USA"},{"name":"VA Boston Healthcare System  Boston Massachusetts 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