“…Cognitive appraisals of adversity such as self-blame, uncontrollability, threat, catastrophic negativity, and challenge are particularly strong predictors of psychological adjustment following SCI (deRoon-Cassini, de St Aubin, Valvano, Hastings, & Brasel, 2013; Galvin & Godfrey, 2001; Kennedy et al, 2012; Mignogna, Christie, Holmes, & Ames, 2015; Peter et al, 2014; van Leeuwen, Kraaijeveld, Lindeman, & Post, 2012). People instinctively, and constantly, evaluate their environment and self-assess for indications of threat and of well-being.…”