Identifying Hidden Patterns in the Process of Existential Resilience Among Patients with Incurable Diseases

Abstract

The present study aimed to identify and explain the hidden patterns in the process of existential resilience among patients with incurable diseases. This research adopted a qualitative, phenomenological approach. Data were collected through semi-structured interviews with 20 patients with incurable diseases in Tehran, using purposive sampling. Interviews continued until theoretical saturation was reached. Data were analyzed using thematic analysis in Nvivo software, and data credibility was established through member checking and peer review. Data analysis led to the identification of three main themes: meaning-making and search for meaning, coping mechanisms, and identity and personality transformation. Patients progressed in their resilience process by searching for life’s meaning, turning to spirituality, revisiting values, accepting suffering and death, and seeking to leave a positive legacy. Key strategies included emotional regulation, social support, active coping styles, and acceptance of illness. Ultimately, self-redefinition, psychological growth, emotional maturity, and creation of hope emerged as signs of identity transformation. The results indicated that existential resilience in patients with incurable diseases is a multidimensional and dynamic process formed through meaning-making, social support, and personal growth. The findings may provide a basis for targeted psychological and care interventions to improve the quality of life in these patients.