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Trained observers rated positive and negative escalation, mutuality, relationship quality, and satisfaction. Concurrently and two years later, girls\u2019 maladaptive traits were assessed via self- and caregiver-reports based on the DSM-5 Alternative Model for Personality Disorders (AMPD) domains (negative affect, detachment, antagonism, disinhibition, and psychoticism). Using a series of path models, we assessed whether dyadic interactions predicted changes in maladaptive traits. In dyads exhibiting reduced positive interaction patterns, specifically a lack of mutuality and relationship satisfaction, we observed increases in girls\u2019 negative affect, detachment, disinhibition, and psychoticism. These patterns were more pronounced in girls\u2019 self-reports. Negative escalation predicted girl- and caregiver-rated increases in antagonism. 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