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Considering the high frequency and known impact of traumatic loss, it is important to understand if and how traumatic loss may impede posttraumatic stress disorder (PTSD) treatment progress in military personnel. Additionally, experiencing a traumatic loss elevates the risk of developing prolonged grief disorder (PGD), which is associated with higher levels of PTSD symptoms, more functional impairment, and more lifetime suicide attempts among military personnel. Given what is known about the association between PGD and PTSD in treatment\u2010seeking service members and veterans, it is also important to understand whether grief\u2010related symptom severity negatively impacts PTSD treatment response. The current study examined associations among traumatic loss, complicated grief, depressive symptoms, and PTSD treatment response among military personnel (<jats:italic>N<\/jats:italic> = 127) who participated in variable\u2010length cognitive processing therapy (CPT). There was no direct, <jats:italic>F<\/jats:italic>(2, 125) = 0.77, <jats:italic>p<\/jats:italic> =\u00a0.465, or indirect, \u03b2 =\u00a0.02, <jats:italic>p<\/jats:italic> =\u00a0.677, association between a traumatic loss index event and PTSD treatment response compared with other trauma types. Prior assessments of depressive symptom severity were directly related to PTSD at later assessments across two models, <jats:italic>p<\/jats:italic>s &lt;\u00a0.001\u2013<jats:italic>p<\/jats:italic> =\u00a0.021 Participants with a traumatic loss index trauma demonstrated significant reductions in complicated grief, depressive symptoms, and PTSD following CPT, <jats:italic>p<\/jats:italic>s &lt;\u00a0.001, <jats:italic>d<\/jats:italic>s = \u22120.61\u2013\u22120.83. Implications, study limitations, and suggestions for future research are presented.<\/jats:p>","DOI":"10.1002\/jts.23080","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T05:04:18Z","timestamp":1722575058000},"page":"984-997","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["An evaluation of the associations among posttraumatic stress disorder, depression, and complicated grief in active duty military personnel with traumatic loss"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1704-7847","authenticated-orcid":false,"given":"Vanessa M.","family":"Jacoby","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8875-1906","authenticated-orcid":false,"given":"Casey L.","family":"Straud","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0217-0850","authenticated-orcid":false,"given":"Hannah","family":"Tyler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4204-7926","authenticated-orcid":false,"given":"Katherine A.","family":"Dondanville","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-874X","authenticated-orcid":false,"given":"Jeffrey S.","family":"Yarvis","sequence":"additional","affiliation":[{"name":"Department of Behavioral Health C.R. Darnall Army Medical Center  Fort Cavazos Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8299-5851","authenticated-orcid":false,"given":"Jim","family":"Mintz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Department of Epidemiology and Biostatistics University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3327-5233","authenticated-orcid":false,"given":"Stacey","family":"Young\u2010McCaughan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas 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