“…Several studies have shown that psychological factors affect the societal participation of patients with chronic diseases like rheumatic disorders, cardiovascular diseases, Alzheimer’s Disease, MS, and Spinal Cord Injury (Adler & Matthews, 1994; Cameron & Leventhal, 2003; Stanton et al, 2007; Stein & Baum, 2013). Psychological factors found to be related to societal participation include successful performance of adaptive tasks, adjustment to disability, maintenance of emotional balance, the absence of psychological disorders (Maes et al, 1996), coping styles (Demers et al, 2009; Kennedy et al, 2006; Levasseur & Couture, 2015; Lindwall et al, 2012; Peter et al, 2014), and appraisal (Barnwell & Kavanagh, 1997; Peter et al, 2014). …”