Date of Graduation

Summer 2026

Document Type

Dissertation

Degree Name

Doctor of Clinical Psychology (PsyD)

Department

Psychology

Committee Chairperson

Lauren Brumley, PhD

Committee Member

Lia O'Brien, PhD

Committee Member

Lauri Hyers, PhD

Abstract

Purpose: Childhood trauma has detrimental immediate and lifelong impacts on health. Black and African Americans experience higher rates of potentially traumatic events (PTEs) than the general population. Religiosity, a common coping mechanism for many who experience trauma, could serve to moderate the impacts. This study examines whether the importance of religion buffers against the impact of childhood exposure to PTEs on adult perceptions of health and assesses whether social support and/or coping mediate the relationship between religiosity and perceived health.

Method: This study analyzed data from 2,537 Black and African American participants in the National Longitudinal Study of Adolescent to Adult Health. Retrospective reports of childhood PTEs were from Waves III and IV, and data on demographics, importance of religion, religious service attendance, social support, coping, and perceived health were from Wave V.

Results: Greater childhood exposure to PTEs predicted poorer adult health perceptions. Importance of religion did not buffer this association, though religious service attendance showed a small promotive effect on perceived health. Mediation analyses indicated that religiosity, particularly service attendance, promoted better health perceptions partly through greater emotional support, specifically having people to talk to. Coping did not mediate these associations, and trauma consistently predicted lower support and poorer coping.

Conclusion: Findings support the essential role of social support for Black and African Americans. Although religiosity did not buffer against the impact of PTEs, this study highlights the importance of emotional support through religious systems and the need for culturally-sensitive interventions which include community-based support systems.

Final Version Confirmation

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