Introduction: Cancer is one of the most significant chronic diseases that profoundly affects biological, psychological, and emotional dimensions of life. Patients’ psychological adaptation to cancer plays a decisive role in their quality of life. Among psychological factors, emotional master narratives—as cultural and cognitive frameworks for experiencing and expressing emotions—may influence patients’ coping strategies. Therefore, the present study aimed to examine a model of cancer adaptation based on emotional master narratives with the mediating role of coping strategies. Methods: This study employed a descriptive-correlational design using structural equation modeling (SEM). The statistical population consisted of all cancer patients receiving treatment in medical centers in Tehran in 2025. A total of 400 participants were selected through convenience sampling. The research instruments included the Mental Adjustment to Cancer Scale (Leonard & Derogatis, 1990, Coping Strategies Questionnaire (Lazarus & Folkman, 1984), and the Emotional Master Narratives Questionnaire (Yazdani et al., 2025). Data were analyzed using SPSS-24 and AMOS-24 software. Results: The findings indicated that heroic, victim, personal growth, connectedness, acceptance, and emotional contradiction narratives had significant indirect effects on cancer adaptation through problem-focused and emotion-focused coping strategies (p < .001). Conclusion: The results suggest that adaptation to cancer is not solely determined by biological factors but is strongly influenced by patients’ emotional narratives and coping styles. Enhancing adaptive emotional narratives and promoting cognitive restructuring in psychotherapeutic interventions may improve psychological adjustment among cancer patients.
Monirpoor N, Yazdani P S, Lotfi Kashani F. The model of adaptation to cancer based on emotional metanarratives with the mediating role of coping strategies. IJNR 2026; 21 (2) URL: http://ijnr.ir/article-1-3071-en.html