Электронный научный журнал

In major chronic noncommunicable diseases, the need for psychological rehabilitation arises not only from anxiety and depressive symptoms but also from difficulties adapting to illness, loss of independence, and challenges in following treatment plans. This narrative review summarizes current evidence on these needs and examines how health systems can respond. We reviewed World Health Organization documents, clinical practice guidelines, and research publications available through October 2026. Evidence was considered for patients with cardiovascular and oncological diseases, diabetes mellitus, chronic obstructive pulmonary disease, chronic kidney disease, and the consequences of stroke. The literature indicates that timely identification of psychological and functional difficulties, coordinated clinical care, and repeated assessment of outcomes are particularly important for older people and those living with multimorbidity. A practical sequence of care is proposed: identifying rehabilitation needs, clarifying the causes of limitations, selecting accessible interventions, and reassessing progress. Integrating psychological rehabilitation into routine chronic disease care may help maintain functional ability and quality of life, provided that services are accessible and care is coordinated across professionals.