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Participants included 142 parent\u2010child dyads (3\u20135 years\u2010old) who provided morning cortisol samples at Wave 1, and 98 dyads returned for the 3\u2010year follow\u2010up at Wave 2. Results indicated that for parents with a history of depression and for female children, stronger attunement predicted increases in parental hostility from Wave 1 to Wave 2. For females only, stronger attunement was related to children's depressive symptoms at Wave 1 and Wave 2. Stronger attunement was also associated with increases in children's depressive symptoms from Wave 1 to Wave 2, poorer psychosocial functioning at Wave 1, and ADHD symptoms at Wave 2. 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