Background: Ineffective coping skills and rumination can worsen existing health conditions and contribute to disease and illness. Sense of coherence (SOC) positively influences coping and is one's belief that life is meaningful, manageable, and understandable. People with higher rumination are much less likely to offer problem solving coping skills. The purpose of the study is to determine the relationship between SOC and rumination. Survey questionnaires were administered to 211 participants concerning sense of coherence (SOC), demographics and rumination. Linear regression was used to assess the association between SOC and rumination while controlling for gender, race, age and marital status. The model was found to be significant with a R2 value of 0.30. Results indicated that SOC has an inverse relationship with rumination, with a β coefficient of 0.38. Females are also much more likely to ruminate compared to males, with a β coefficient of 4.17. It is important to understand the relationship between SOC, a variable that can improve health, and rumination, a variable that can decrease health so that health educators and therapists can offer improved skills and techniques to improve thinking patterns, resilience and stress management.