Abstract
A multiple baseline single case study design was used to examine the effects of a narrative and resiliency-based intervention for couples with adverse childhood experiences (ACEs). Using piecewise multilevel modeling (MLM), the study evaluated changes in depressive symptoms, dyadic coping (DCI), and growth and empowerment measure (Emotional Empowerment Scale [EES-14] and 12 Scenarios [12S]) across waitlist and treatment phases. Five couples (10 individuals) participated in up to 17 waves, with staggered baseline and treatment lengths across dyads. Results indicated significant fixed effects of the 12S subscale for growth and empowerment during the treatment phase. There were no statistically significant fixed effects for either the waitlist or treatment slopes for depression, DCI, and EES-14. Visual inspection of the trajectories highlighted heterogeneity in response, with couples demonstrating improved empowerment, DCI, and depression scores. Post hoc qualitative responses (n = 7) suggested perceived improvements in anxiety management, relational trust, communication, and self-compassion, while one participant reported increased conflict following the surfacing of trauma narratives.
Degree
PhD
College and Department
Family, Home, and Social Sciences; Family Life
Rights
https://lib.byu.edu/about/copyright/
BYU ScholarsArchive Citation
Allen, Emma Elizabeth, "Multiple Baseline Single-Case Study: Narrative Resiliency Intervention for Couples with Adverse Childhood Experiences" (2025). Theses and Dissertations. 11116.
https://scholarsarchive.byu.edu/etd/11116
Date Submitted
2025-12-11
Document Type
Dissertation
Keywords
single-case, narrative, couples, multilevel model, dyadic data, intervention, resilience
Language
english