Methods: This study employed a sequential explanatory mixed-methods design integrating quantitative survey data with qualitative photovoice methods (Padgett, 2016; Wang & Burris, 1997). In Phase 1, a national cross-sectional survey was administered online to 312 adults in the United States who identified as cisgender women, transgender women, or gender-diverse individuals femme-identified individuals. Participants were recruited through a survey panel using quota sampling. Independent samples t-tests examined differences in religious trauma scores between high and low attachment to God groups. Phase 2 employed photovoice and utilized purposive sampling to recruit 18 participants who documented their experiences through photographs and discussed these images in focus groups and semi-structured interviews. Qualitative data were analyzed using reflexive thematic analysis (Braun & Clarke, 2006).
Results: Quantitative analyses revealed statistically significant differences in religious trauma across attachment styles to God. Participants with high anxious attachment to God reported significantly higher religious trauma scores than those with lower anxious attachment (t(154) = 5.54, p < .001), with a large effect size (d = 0.89). Participants with high avoidant attachment reported significantly higher religious trauma scores than those with lower avoidant attachment (t(110) = 6.24, p < .001), with a larger effect size (d = 1.18). Qualitative findings contextualized these results through three themes: God as a Conditional Presence, Inability to Connect with God, and Spiritualizing Distress. Participants described internalizing gendered religious teachings that framed divine care as conditional upon obedience, experiencing God as distant or silent during distress, and encountering religious messages that spiritualized emotional suffering as evidence of insufficient faith or moral failure.
Conclusions and Implications: By centering the experiences of cisgender, transgender, and gender-diverse women or femme-identified individuals, this study advances social work research on gender, religion, and trauma. Implications highlight the importance of assessing religious and spiritual experiences in trauma-informed practice and recognizing religious trauma as a form of gendered relational and institutional harm.
![[ Visit Client Website ]](images/banner.gif)