Abstract
Maternal treatment of sibling pairs with affectively ill and well mothers was examined longitudinally in relation to child psychiatric status. Mothers and children in 77 families (34 unipolar, 16 bipolar, and 27 control mothers) were observed in interaction across early, middle, and late childhood and early adolescence. Interaction was assessed on dimensions of maternal engagement and critical-irritable behavior. The study examined the relative contributions of maternal depression, the quality of maternal treatment, and differential treatment of siblings to each child's psychiatric status. By maternal report, older siblings' symptoms were predicted by maternal bipolar or unipolar illness; younger siblings' symptoms were predicted by lower maternal engagement and higher maternal critical-irritable behavior in early childhood, in addition to maternal affective illness. For the younger sibling, persistent patterns of maternal treatment were also related to both maternal and child reports of problems
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