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Despite the urgent need for clear guidance on how best to support parents with BD, current research lacks a unified analysis of the challenges and needs faced by these parents and their children. This review aims to explore the impact of BD on experiences of parent\u2013child interactions or relationships to inform effective policies and interventions. Following a preregistered PROSPERO protocol, we searched Medline, Embase, PsycINFO, SCOPUS, and CINAHL for qualitative studies on parents with BD and their children (under 19\u00a0years) published since 1994. Each study was independently screened and jointly assessed for quality using the Critical Appraisal Skills Program. Our thematic synthesis entailed coding in NVivo, followed by collaborative theme generation on the Miro platform. We reviewed 19 studies, of which 9 studies reported on parents, 8 on children, and 2 on both parents and children. Our analysis generated four themes: (1) \"The multifaceted landscape of parenting with BD,\" which outlines how mood swings affect parenting in diverse ways; (2) \"The evolving dynamic of child-parent relationship amidst parental BD,\" including how children adapt and grow in understanding and responsibility in response to their parent\u2019s BD; (3) \"The dual nature of childcare for parents with BD,\" which explores how childcare impacts parents\u2019 emotions and motivations, bringing both uplifting and challenging effects; (4) \"Navigating parental challenges in the context of BD,\" highlighting the importance of open communication, self-reflection, and timely, unbiased support to mitigate challenges associated with parental BD. This qualitative synthesis focuses specifically on the parenting experiences of families affected by parental BD. It highlights the complex, dynamic impact of BD on parenting behaviors and children\u2019s coping mechanisms, calling for tailored therapeutic interventions that benefit both parents and children. The scope of our study is limited by factors such as a predominance of Western perspectives and an underrepresentation of fathers\u2019 experiences, highlighting the need for more diverse research in this area.<\/jats:p>","DOI":"10.1007\/s10567-025-00513-x","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T21:17:47Z","timestamp":1739481467000},"page":"142-170","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Parenting Experiences in the Context of Parental Bipolar Disorder: A Systematic Review and Meta-Synthesis of the Qualitative Literature"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2488-718X","authenticated-orcid":false,"given":"En-Nien","family":"Tu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3448-9927","authenticated-orcid":false,"given":"Kate E. 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