Diabetes mellitus frequently triggers profound psychological distress among older adults following diagnosis, necessitating resilience to adapt and maintain their quality of life. This phenomenological qualitative study sought to investigate the resilience profiles and identify the underlying factors contributing to resilience among older adults living with DM in Indonesia. Utilizing purposive sampling, data were collected through in-depth interviews and behavioral observations involving three female older adults diagnosed with DM for three to five years. The data were triangulated with insights from six supporting informants (close family members) and analyzed thematically using the seven dimensions of resilience and the three sources of resilience (I have, I am, I can). The findings revealed that all participants experienced a prolonged phase of emotional distress before achieving resilience through highly individualized pathways, including religious coping, maternal responsibilities, and behavioral activation. Unwavering family support (I have) emerged as the most dominant catalyst, providing a psychological scaffold that facilitated the internal development of personal strength (I am) and, ultimately, the maturation of emotional management skills (I can). The study concludes that resilience is a dynamic, idiosyncratic process. These findings highlight the necessity of integrating family psychoeducation and continuous psychological accompaniment into standard holistic care to effectively mitigate diabetes distress and foster resilience.
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