Avoidance Interoceptive Disorder Treatment in Ankylosing Spondylitis

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Global Journal of Medical and Clinical Case Reports volume12-issue1 articles
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Submitted: December 13, 2024
Published: Jan 7, 2025
DOI: 10.17352/2455-5282.000190
Keywords:
Spondyloarthritis, ankylosing spondylitis Psychology, Panic, Anxiety, Interoceptive avoidance

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Fernando Gimeno Marco*
Department of Psychology and Sociology, Faculty of Health and Sports Sciences, University of Zaragoza, Spain
Isabel Castillo Salazar
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Gabriel Domínguez Almuzara
Department of Animal Production and Food Science, Faculty of Health and Sports Sciences, Zaragoza University, Spain
Javier Tenas Gonzalvo
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Susana Ara Gimeno
EXER-GENUD (Growth, Exercise, Nutrition and Development) Research Group, Zaragoza University, Spain
Cristina Hernández Jordán
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Héctor Gutiérrez Pablo
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Marta Pie Villacampa
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Adrián Najarro López
Association for the Permanent Rehabilitation of Rheumatic Diseases and other Chronic Pathologies (ARPER), Spain
Juan Carlos Carrión Pareja
Pain Management Unit, San Jorge Hospital, Huesca, Spain
Elena Charte Alegre
"Perpetual Help” Health Center, Huesca, Spain

Abstract

Abstract


In Ankylosing Spondylitis (AS), sub-axial cervical involvement associated with episodes of neck pain is often observed. The pain and the anticipation of physical damage in these episodes can trigger a conditioned anxiety response with panic attacks, resulting in an Interoceptive Avoidance Disorder (IAD). Using a multiple baseline n = 1 between-subjects design, in vivo exposure treatment was implemented using a joint mobility routine and cognitive-behavioral coping strategies in two cases of AD affected by IET. After 14 weeks, both cases were discharged. During treatment, the efficacy of the in vivo exposure technique used is verified. The possibility of application in other analogous cases, in which the characteristic symptoms of AD act as a trigger for the problem, and the contribution to the reduction of anxious symptoms, justifies the consideration of this treatment for the improvement of the state of health in the EA.

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Article Details

Fernando Gimeno Marco*, Isabel Castillo Salazar, Gabriel Domínguez Almuzara, Javier Tenas Gonzalvo, Susana Ara Gimeno, Cristina Hernández Jordán, Héctor Gutiérrez Pablo, Marta Pie Villacampa, Adrián Najarro López, Juan Carlos Carrión Pareja, & Elena Charte Alegre. (2025). Avoidance Interoceptive Disorder Treatment in Ankylosing Spondylitis. Global Journal of Medical and Clinical Case Reports, 12(1), 001–003. https://doi.org/10.17352/2455-5282.000190
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Copyright (c) 2025 Marco FG, et al.

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