This study examines the impact of emotional distress and social relationships on health-related outcomes of parents living with HIV or AIDS, as mediated by active and passive coping styles (N = 295; 81% female). Social relationships are exemplified by conflict with children and social support. Health-related outcomes include AIDS illness distress, health-care satisfaction, and substance abuse. In a predictive latent variable model using cross-sectional data, social support was significantly associated with higher levels of active coping. Conflict with adolescent children and emotional distress were associated with passive coping styles. More active coping and less passive coping predicted greater health care satisfaction; active coping predicted less substance abuse. Emotional distress directly predicted distress over HIV or AIDS physical symptoms, and this relation was not mediated by coping style. Mothers reported more distress over symptoms and more health care satisfaction than fathers. Results indicate that interventions to enhance coping skills could lead to improved health-related outcomes for parents living with HIV or AIDS.
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