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Sinister psychotics. Left-handedness in schizophrenia and affective disorder.

The notion persists that psychotics, particularly schizophrenics, are less right-handed than the general population, and that this deviation is pathophysiologically important in some patients. We assessed handedness and psychopathology in 163 DSM-III schizophrenics, 103 affectives, and 112 normal subjects. Although schizophrenics were less right-handed than normal subjects, this difference was primarily due to more mixed handedness among schizoaffectives. Relationships between handedness and specific psychopathology were uninformative, and we conclude that handedness may not be an important consideration in the study of psychosis.

Adult↗

Associations among dissociative experiences, handedness, and demographic variables in a nonclinical population.

Handedness is considered an indirect marker for bilateral language capacity in the brain. The Edinburgh Inventory for Handedness and the Dissociative Experiences Scale (DES) were administered to 297 nonclinical volunteers. Female sex, young age, and non-right handedness accounted for 24% of the total variance on the DES, including both pathological and nonpathological dissociative experiences. This is consistent with the hypothesis that cerebral lateralization indicating handedness is a predisposing factor for dissociative episodes especially in female subjects.

Adolescent↗

Innate handedness and disease-specific mortality in women.

BACKGROUND: Left-handedness has been reported to be associated with reduced life expectancy, but the evidence is far from conclusive. METHODS: We studied the association between innate handedness and total mortality, as well as cause-specific mortality, in a cohort of 12,178 middle-aged Dutch women who were followed for almost 13 years. The relation between handedness and mortality was analyzed using Cox regression in a case-cohort approach, in which a random sample of 1500 women was used to represent person-years under observation for the entire cohort. RESULTS: During a median follow-up of 12.6 years, 252 women died. Hazard ratios comparing left-handed women with other women were 1.4 for all-cause mortality (95% confidence interval = 0.9-2.0), 1.7 for total cancer mortality (1.0-2.7), 2.0 for breast cancer mortality (0.8-4.6), 4.6 for colorectal cancer mortality (1.5-14.3), 1.3 mortality from diseases of the circulatory system (0.5-3.3), and 3.7 for cerebrovascular mortality (1.1-12.1), after adjusting for potential confounders (socioeconomic status, age, body mass index, and cigarette smoking status at study recruitment). CONCLUSIONS: Left-handedness is associated with higher mortality in women.

Adult↗

Handedness-related functional connectivity using low-frequency blood oxygenation level-dependent fluctuations.

Functional neuroimaging studies of handedness have traditionally focused on exploring regionally activated discrepancies, yet little is known regarding the effect of handedness on functional connections of brain regions. Here, we reported the relationship between cerebellar functional connectivity patterns and handedness by low-frequency blood oxygenation level-dependent fluctuations. Compared with the right-handers, the left-handers show higher cerebellar-prefrontal, cerebellar-parietal, and cerebellar-temporal functional connectivity, and lower cerebellar-limbic connectivity. Previous non-human primate studies have shown that these regions with known contributions to higher cognitive functions have afferent or efferent connections with the cerebellum. Our findings suggest that these observed low-frequency fluctuation correlations may reflect actually anatomic connections between the cerebellum and cerebral cortex, and the cerebellar involvement in higher function may be associated with handedness.

Adult↗

The distribution and development of handedness for manual gestures in captive chimpanzees (Pan troglodytes).

This article describes the distribution and development of handedness for manual gestures in captive chimpanzees. Data on handedness for unimanual gestures were collected in a sample of 227 captive chimpanzees. Handedness for these gestures was compared with handedness for three other measures of hand use: tool use, reaching, and coordinated bimanual actions. Chimpanzees were significantly more right-handed for gestures than for all other measures of hand use. Hand use for simple reaching at 3 to 4 years of age predicted hand use for gestures 10 years later. Use of the right hand for gestures was significantly higher when gestures were accompanied by a vocalization than when they were not. The collective results suggest that left-hemisphere specialization for language may have evolved initially from asymmetries in manual gestures in the common ancestor of chimpanzees and humans, rather than from hand use associated with other, non-communicative motor actions, including tool use and coordinated bimanual actions, as has been previously suggested in the literature.

Age Factors↗

Chirality and handedness: the Ruch "shoe-potato" dichotomy in the right-left classification problem.

Chirality and handedness are concepts that apply to the structure of molecules. Chirality is defined by the lack of certain features of symmetry, which lead to an object not being superimposable on its mirror image. Handedness is a different phenomenon relating to the ability to classify chiral objects into right-handed and left-handed objects. All handed objects are chiral, but not all chiral objects are handed. In 1968 through 1970, Ruch and coworkers developed a theory of chirality that provided a mathematical basis for the handedness of chiral objects. Handed chiral objects are considered to be analogous to shoes, which are readily classified into right and left shoes regardless of the size, material, style, or other attributes of the shoes in question. Nonhanded chiral objects are considered to be analogous to potatoes, which have no symmetry because of their irregular patterns of "bumps" and "eyes," thereby meeting the lack of symmetry requirements for chirality. There is, however, no unambiguous way to classify a set of potatoes into "left" and "right" potatoes. In the case of molecules, a tetrahedron with four different substituents such as an asymmetric carbon atom in organic chemistry can readily be classified into right and left tetrahedra, as is typical for organic molecules in biological systems. An octahedral molecule with six different substituents, however, exhibits nonhanded chirality. For this reason, the fact that the key building block of natural products is a tetrahedral carbon atom rather than an octahedral atom of some type may be a critical factor in the handedness of many molecules found in biological structures.

Journal Article↗

Considering handedness in studies involving manual control.

With studies of motor behavior that feature manual control, it is suggested that the methodology used to select subjects in reference to handedness be reviewed. This suggestion is in view of the recommendation that simply asking subjects to identify their writing hand is inadequate to define handedness. Complementing this are recent findings in neuroscience indicating differences, at times significant, in information-processing behavior based on handedness classification. A brief review of recently published studies in two prominent outlets for motor behavior research confirms that most reports provide minimal (and sometimes no) information regarding handedness and the method used for assessment. Recommendations for addressing the problem include using an acceptable preference inventory, selecting only those subjects with strong lateral characteristics, and briefly describing the methodology used for the reviewing audience.

Functional Laterality↗

Routine ultrasonography in utero and subsequent handedness and neurological development.

OBJECTIVE: To examine any associations between routine ultrasonography in utero and subsequent brain development as indicated by non-right handedness at primary school age and neurological development during childhood. DESIGN: Follow up of 8 and 9 year old children of women who took part in two randomised, controlled trials of routine ultrasonography during pregnancy. SETTING: Clinics of 60 general practitioners in Norway during 1979-81. Maternal and child health centres. SUBJECTS: 2161 (89%) of 2428 eligible singletons were followed up, partly through a questionnaire to their parents and partly through information from health centres. MAIN OUTCOME MEASURES: The dominant hand of the child was assessed by 10 questions. Deficits in attention, motor control, and perception were evaluated by five questions. Impaired neurological development during the first year of life was assessed by an abbreviated version of the Denver developmental screening test. RESULTS: The odds of non-right handedness were higher among children who had been screened in utero than among control children (odds ratio 1.32; 95% confidence interval 1.02 to 1.71). No clear differences were found between the groups with regard to deficits in attention, motor control, and perception or neurological development during the first year of life. CONCLUSION: Our data suggest a possible association between routine ultrasonography in utero and subsequent non-right handedness, whereas no association with impaired neurological development was found. As the question on non-right handedness was one of six initial hypotheses, the observed results may be due to chance. None the less, the results suggest that the hypothesis may have some merit and should be tested in future studies.

Child↗

Handedness and longevity: archival study of cricketers.

OBJECTIVE: To test whether handedness is associated with a change in longevity. DESIGN: Archival survey. SETTING: British Isles. SUBJECTS: All first class cricketers born before 1961 whose bowling hand was specified (right, n = 5041; left, n = 1132) in a comprehensive encyclopaedia. MAIN OUTCOME MEASURES: Bowling hand and life span. RESULTS: Regression analysis of the 5960 players born between 1840 and 1960 (3387 dead, 2573 alive) showed no significant relation between mortality and handedness (P = 0.3). Left handedness was, however, associated with an increased likelihood of death from unnatural causes (P = 0.03, log hazard 0.37, 95% confidence interval 0.04 to 0.70). This effect was especially related to deaths during warfare (P = 0.009, log hazard 0.53, 0.13 to 0.92). CONCLUSION: Left handedness is not, in general, associated with an increase in mortality.

Cause of Death↗

Inflammatory bowel disease and laterality: is left handedness a risk?

BACKGROUND: Left handedness has been associated with inflammatory bowel disease (IBD) and autoimmune diseases. AIMS: To determine whether left handedness is associated with IBD in two prospective national birth cohorts. METHODS: Subjects with Crohn's disease (CD) and ulcerative colitis (UC) were identified from two national longitudinal birth cohorts at age 26 years (1970 British Cohort Study (BCS70), born in 1970) and age 33 years (National Child Development Study (NCDS), born in 1958). Laterality was determined at age 10 (BCS70) or seven (NCDS) years, based on hand preference for writing and foot preference for kicking a ball (BCS70 only). Multiple logistic regression was used to assess the relationship of handedness with CD, UC, and IBD in the cohorts combined and adjusted for sex. RESULTS: Both cohorts combined showed increased adjusted relative odds of 2.13 (95% confidence interval (CI) 0.97--4.65; p=0.059), 2.13 (95% CI 0.92--4.91; p=0. 077), and 2.13 (95% CI 1.20--3.78; p=0.010) for CD, UC, and IBD, respectively in left handers. CONCLUSIONS: The study suggests a link between IBD and left handedness which may be genetic and/or environmental in origin.

Adult↗

Relationship between left-handedness and allergic symptomatology.

Handedness and health parameters were assessed in 70 infants. Video recordings were employed for handedness analysis. The infants' growth and health were periodically followed up from birth and information was retrieved from medical records. A significant association between left-handedness and allergy score was found (P < .05). Age (P < .02) and sex (P < .01) appear to be significant covariates. It appears that the possible association between left-handedness and immune-based diseases among adults applies to infants as well. A possible biologic marker for allergy should be incorporated in future research.

Age Factors↗

Handedness in psychiatric patients.

Eight hundred psychiatric patients and eight hundred controls completed a handedness preference questionnaire. There was no significant difference in handedness between the two samples, but, contrary to some previous reports, excess of sinistrality was not associated with male sex. The distribution of handedness was similar in neurotics and controls, but among psychotics in general there was a higher proportion of fully right-handed subjects. Among schizophrenics there was a significantly higher proportion of left-handed writers among males than females. There were relatively few left-handed writers of either sex among patients with affective psychosis. Female patients with personality disorders had a significantly higher proportion of mixed handedness than controls. The findings are considered in relation to suggestions that functional psychoses may be associated with asymmetrical cerebral dysfunction, and that poorly lateralized function may be related to anomalous psychological development.

Adolescent↗

Handedness in schizophrenia.

Handedness was assessed in 272 schizophrenics and compared with findings in normal controls. The schizophrenics differed significantly from the normal controls in their handedness patterns, having a higher proportion of fully right-handed subjects. Findings in brain-damaged and elderly schizophrenic patients are also reported. The lack of consistency of reporting of handedness in a schizophrenic populations in previous studies is discussed. While it is probable that differences in the methods of study of handedness account for some of the variance, differences in the type of schizophrenic illness seem likely to be of greater importance.

Adult↗

Handedness in mental handicap: investigation into populations of Down's syndrome, epilepsy and autism.

The handedness in three randomly sampled groups of people with learning disabilities consisting of patients with Down's syndrome, epilepsy, and autism were studied using a validated instrument. All subjects were controlled for neurological and other medical disorders. A statistically significant increase in left-handedness and ambiguous handedness compared with the general population was found in all groups. There was no significant difference in the rate of left-handedness between the three groups.

Adult↗

Special twin environments, genetic influences and their effects on the handedness of twins and their siblings.

It has been suggested that twinning may influence handedness through the effects of birth order, intra-uterine crowding and mirror imaging. The influence of these effects on handedness (for writing and throwing) was examined in 3657 Monozygotic (MZ) and 3762 Dizygotic (DZ) twin pairs (born 1893-1992). Maximum likelihood analyses revealed no effects of birth order on the incidence of left-handedness. Twins were no more likely to be left-handed than their singleton siblings (n = 1757), and there were no differences between the DZ co-twin and sibling-twin covariances, suggesting that neither intra-uterine crowding nor the experience of being a twin affects handedness. There was no evidence of mirror imaging; the co-twin correlations of monochorionic and dichorionic MZ twins did not differ. Univariate genetic analyses revealed common environmental factors to be the most parsimonious explanation of familial aggregation for the writing-hand measure, while additive genetic influences provided a better interpretation of the throwing hand data.

Birth Order↗

Effect of the Tfm mutation on handedness in mice.

The hyposthesis has been proposed that testosterone is involved in the determination of handedness in man: a high sensitivity to testosterone being associated with left handedness. Handedness in mice is tested according to Collins' paradigm: most mice present either a right or a left paw preference but others are ambilateral. The hypothesis that there is an association between a low neonatal imprinting by testosterone and a strong handedness (right or left) is tested here using Tfm male mice which are testosterone insensitive. Our results confirmed the hypothesis, since Tfm males were as well lateralized as their female siblings and significantly more strongly lateralized than their male siblings not carrying the mutation.

Androgen-Insensitivity Syndrome↗

Which handedness: preference or performance?

Two ways of measuring handedness, questionnaires and hand-efficiency tests, are compared. A method for combining performance scores of 128 children from different hand-efficiency tests to obtain a single handedness score based on efficiency is presented. Handedness classifications according to different thresholds of preference as well as of performance are shown. To select pure right- or left-handers, it is argued that handedness should be established simultaneously through preference questionnaires and performance tests and that only subjects falling simultaneously into the same category on both measures be kept. Advantages and disadvantages of each classification are discussed as well as the relations between efficiency and motor control of upper limb and hand.

Age Factors↗

Edinburgh Handedness Inventory scores: Caucasian and American Indian college students.

Laterality Quotients for 80 American Indian college students were less right-biased than those for 80 Caucasian college students on the Edinburgh Handedness Inventory. Oldfield's 1971 empirically derived deciles for the Edinburgh Handedness Inventory were used to assign decile levels to the data. Deciles were then used to assign data to one of three proposed handedness phenotype classifications. Phenotype classifications were based on Annett's 1985 proposed distribution for a single gene theorized to underlie human handedness. Chi-squared goodness-of-fit analysis showed that the data for Caucasian college students did not differ significantly from what would be anticipated by Annett's model, but American Indians differed significantly. Results provide empirical support for the hypothesis that frequency distributions for Annett's hypothesized right-shift gene may differ across racial groups.

Adult↗