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We characterized maternal reports of parent\u2013child relationships using the five\u2010factor Parent\u2013Child Relationship Questionnaire (PCRQ) in 60 families (30 PBD youth and 30 matched controls). Data on child proband and parental psychopathology were also obtained. Compared to controls, parent\u2013child relationships in the PBD group were characterized by significantly less warmth, affection, and intimacy, and more quarreling and forceful punishment. Among PBD participants, elevated symptoms of mania, comorbid ADHD, an earlier age of illness onset, living in a single parent home, and the presence of a parental mood disorder were associated with greater parent\u2013child relationship difficulties. These findings have implications for the development of interventions that focus on the quality of parent\u2013child relationships, in addition to symptom management, in the treatment of PBD. \u00a9 2008, Wiley Periodicals, Inc. 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