Avoidance interoceptive disorder treatment in ankylosing spondylitis

Gimeno Marco, Fernando (Universidad de Zaragoza) ; Castillo Salazar, Isabel (Universidad de Zaragoza) ; Domínguez Almuzara, Gabriel ; Tenas Gonzalvo, Javier (Universidad de Zaragoza) ; Ara Gimeno, Susana (Universidad de Zaragoza) ; Hernández Jordán, Cristina ; Gutiérrez Pablo, Héctor ; Pie Villacampa, Marta ; Najarro López, Adrián ; Carrión Pareja, Juan Carlos ; Charte Alegre, Elena

Resumen: 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 AS affected by IAD. 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 AS 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.

Idioma: Inglés

DOI: 10.17352/2455-5282.000190

Año: 2025

Publicado en: Global journal of medical and clinical case reports 12, 1 (2025), 001-003
ISSN: 2455-5282

Financiación: info:eu-repo/grantAgreement/ES/UZ/PIIDUZ-13-255

Tipo y forma: Article (Published version)

Área (Departamento): Área Estadís. Investig. Opera. (Dpto. Métodos Estadísticos)
Área (Departamento): Área Nutrición Bromatología (Dpto. Produc.Animal Cienc.Ali.)
Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Psicolog.Evolut.Educac (Dpto. Psicología y Sociología)