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Cortica

Articles

Vol. 5 No. 2 (2026): Educationl neurosciences : Supporting young minds in the era of uncertainty

Méta-analyse en neuroimagerie (SDM-PSI) sur les variations de l'activation cérébrale en fonction des souvenirs autobiographiques chez les personnes avec un trouble de la personnalité borderline

  • Laurine Barbet
DOI
https://doi.org/10.26034/cortica.2026.11660
Submitted
October 5, 2026
Published
2026-10-09

Abstract

Cette méta-analyse explore l’influence de la valence émotionnelle des souvenirs autobiographiques sur l’activation cérébrale chez les adultes présentant un trouble de la personnalité borderline (TPB), en comparaison à un groupe témoin. Neuf études en IRMf, totalisant 229 participants TPB et 166 témoins, ont été synthétisées à l’aide de la méthode Seed-based d Mapping with Permutation of Subject Images (SDM-PSI). L’analyse globale révèle une hyperactivation du gyrus frontal inférieur droit chez les patients TPB, suggérant un engagement accru des mécanismes de rumination auto-référentielle et de régulation émotionnelle. Lors du rappel exclusif de souvenirs négatifs, un cluster supplémentaire apparaît dans le gyrus temporal supérieur droit, témoignant d’une sensibilité exacerbée aux contenus affectifs négatifs. En analyse exploratoire des souvenirs positifs—par rapport aux souvenirs négatifs—les participants TPB présentent une activation plus marquée du gyrus lingual droit, bien que ce résultat repose sur un jeu de données limité. Ces schémas d’activation soulignent une dysrégulation des réseaux fronto-limbiques et visuo-corticaux sous-tendant la mémoire autobiographique et la gestion émotionnelle dans le TPB. Ils apportent un éclairage neurobiologique sur la fragmentation identitaire et la difficulté de modulation émotionnelle caractéristiques de ce trouble, ouvrant la voie à l’identification de biomarqueurs spécifiques. Il serait pertinent de coupler ces résultats à une analyse qualitative du contenu des souvenirs (intensité émotionnelle, cohérence narrative) pour établir des corrélations directes entre activation cérébrale et dimensions psychologiques. De plus, l’utilisation de protocoles longitudinales permettraient de préciser l’évolution temporelle de ces altérations et de tester l’impact d’interventions thérapeutiques ciblées sur la mémoire autobiographique.

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