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Bidirectional Associations Between Parent–Child Conflict and Child and Adolescent Mental Health - 26/11/25

Doi : 10.1016/j.jaac.2024.12.010 
Ross D. Neville, PhD a, , Sheri Madigan, PhD, RPsych b, c, Lisa R. Fortuna, MD, MPH d, Michelle V. Porche, EdD d, Kimberley D. Lakes, PhD, RPsych d
a University College Dublin, Dublin, Ireland 
b University of Calgary, Calgary, Alberta, Canada 
c Alberta Children’s Hospital Research Institute, Calgary, Alberta, Canada 
d University of California, Riverside, California 

Correspondence to Ross D. Neville, PhD, School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland School of Public Health Physiotherapy and Sports Science University College Dublin Belfield Dublin 4 Ireland

Abstract

Objective

To estimate the longitudinal bidirectional association between parent–child conflict and child externalizing and internalizing symptoms from the preschool years through adolescence.

Method

A nationally representative longitudinal study recruited 11,134 children at birth and followed them from December 2010 through June 2022. Primary caregivers completed validated measures at each follow-up, yielding data on parent–child conflict and child symptoms at ages 3, 5, 7, 9, and 13 years. Data were analyzed using a random-intercepts cross-lagged panel model.

Results

Assessment was performed in children at ages 3 (n = 9,793), 5 (n = 9,001), 7 (n = 5,344), 9 (n = 8,032), and 13 years (n = 6,655); 50% of participants were girls. Externalizing symptoms at ages 3, 5, and 7 years were prospectively associated with parent–child conflict at ages 5, 7, and 9 years. The opposite associations were not observed, indicating a unidirectional link between child externalizing symptoms and later parent–child conflict during childhood. However, parent–child conflict at age 9 years was prospectively associated with child externalizing symptoms at age 13 years. The opposite prospective association was not observed, indicating a reversal in the direction of the association between externalizing symptoms and parent–child conflict during early adolescence. Prospective associations between parent-reported internalizing symptoms and parent–child conflict were not observed in either direction.

Conclusion

Findings underscore the importance of both the timing and the targeted nature of interventions for children’s mental health. Supporting early self-regulation skills in children could be an effective intervention for preventing parent–child conflict later in development.

Plain language summary

This study examined the relationship between parent-child conflict and children’s mental health over time, using data from 10,172 families that participated in the Growing Up in Ireland project. Externalizing behaviors in children between the ages of 3 and 9 years, such as defiance, aggression, inattention, and impulsivity, predicted increased conflict with parents. Interestingly, this pattern reversed in children over the age of 9 years, with conflict in the parent-child relationship predicting externalizing problems in early adolescence. These findings emphasize the importance of child age in understanding family dynamics. They also suggest that helping young children develop self-regulation skills could reduce parent-child conflict, which in turn could benefit child mental health and family functioning.

Diversity & Inclusion Statement

We worked to ensure sex and gender balance in the recruitment of human participants. We worked to ensure race, ethnic, and/or other types of diversity in the recruitment of human participants. We worked to ensure that the study questionnaires were prepared in an inclusive way. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented racial and/or ethnic groups in science. One or more of the authors of this paper self-identifies as a member of one or more historically underrepresented sexual and/or gender groups in science. One or more of the authors of this paper received support from a program designed to increase minority representation in science. We actively worked to promote sex and gender balance in our author group. We actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our author group. While citing references scientifically relevant for this work, we also actively worked to promote sex and gender balance in our reference list. While citing references scientifically relevant for this work, we also actively worked to promote inclusion of historically underrepresented racial and/or ethnic groups in science in our reference list. The author list of this paper includes contributors from the location and/or community where the research was conducted who participated in the data collection, design, analysis, and/or interpretation of the work.

Le texte complet de cet article est disponible en PDF.

Key words : conflict, family, mental health, parents


Plan


 This article was reviewed under and accepted by Ad Hoc Editor Benjamin I. Goldstein, MD, PhD.
 Kimberley D. Lakes was supported in part by a Fulbright Global Scholar Award during her involvement in this project.
 Ethical approval was granted by an independent Research Ethics Committee convened by the Department of Health and Children of the Republic of Ireland.
  Data Sharing: Data dictionary, deidentified participant data, and study protocol will be made available upon publication through the Irish Social Science Data Archive (ISSDA): guiinfant/ . Data are available for specified research purposes from the ISSDA. Applications to access and use the data can be made via the ISSDA Data Request Form, available at: guiinfant/ .
  The authors acknowledge the ISSDA for granting permissions to access the Growing Up in Ireland dataset. Data were accessed via the ISSDA at issda .
 Disclosure: Ross D. Neville, Sheri Madigan, Lisa R. Fortuna, Michelle V. Porche, and Kimberley D. Lakes have reported no biomedical financial interests or potential conflicts of interest.


© 2025  American Academy of Child and Adolescent Psychiatry. Publié par Elsevier Masson SAS. Tous droits réservés.
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Vol 64 - N° 12

P. 1412-1419 - décembre 2025 Retour au numéro
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