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February 21, 2026Discover Public Health0 citationsOpen Access

Sibling rivalry in dysfunctional families and its toll on maternal mental health: a scoping review

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KKKendra Chime Kpea

Key Points

  • This review aims to assess the relationship between sibling rivalry and maternal mental health in dysfunctional families.
  • Conducted a scoping review using the Population-Context-Concept framework and PRISMA-ScR guidelines.
  • Searched PubMed and PsycINFO for studies published between 2010 and 2024.
  • Screened and synthesized 11 eligible studies focusing on sibling rivalry and maternal mental health.
  • Included cross-sectional, longitudinal, and intervention studies primarily from high-income settings.
  • Identified links between sibling aggression and factors like poverty, large families, and parenting styles.
  • Few studies directly assessed maternal mental health; most inferred from parenting stress or caregiver burden.
  • Longitudinal evidence indicated bidirectional relationships between sibling dynamics and maternal distress.
  • Highlighted the need for targeted interventions to address maternal mental health within family systems.

Abstract

Although sibling rivalry is a normal part of development, in high-stress or dysfunctional families it can become a chronic stressor that is associated with increased maternal distress. This scoping review mapped the available evidence on the associations between sibling rivalry or conflict, and maternal mental health, including proxy indicators, in these contexts. Following the Population-Context-Concept framework and PRISMA-ScR guidelines, a search of PubMed and PsycINFO was conducted for studies published between 2010 and 2024 that reported on sibling rivalry, conflict, or relationship quality alongside maternal mental health or clearly defined proxies. Two reviewers independently screened, charted, and thematically synthesized the eligible studies. Eleven studies met the inclusion criteria, comprising cross-sectional surveys, longitudinal cohorts and interventions, primarily from high-income settings. Sibling aggression, bullying and antagonism were found to be linked with a number of factors, including poverty, large families, step- or blended families, care demands and harsh or low-warmth parenting. Maternal mental health was assessed directly in few studies, being more often inferred from parenting stress, caregiver burden, or conflictual parent-child relationships. Evidence from longitudinal and intervention studies suggested interdependent, bidirectional links between sibling adjustment and maternal distress. Mothers are rarely the focus of attention in the study of sibling conflict, despite the fact that current evidence places it within a broader context of family stress. Theory-driven longitudinal research and trials that measure and target maternal mental health within sibling and family systems interventions are therefore needed to inform more holistic practice.

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Kendra Chime Kpea (2026) studied this question.

synapsesocial.com/papers/69994b01873532290d01f5d2https://doi.org/10.1186/s12982-026-01552-7
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