Abstract
Objectives
High rates of non-right-handedness (NRH) and mixed-handedness exist in neurodevelopmental disorders. Dysfunctional neurodevelopmental pathways may be implicated in the underlying pathophysiology of bipolar disorders (BD), at least in some subgroups. Yet little is known about correlates of NRH and mixed-handedness in BD. The objectives of this national study are to determine (i) the prevalence of NRH and mixed-handedness in a well-stabilized sample of BD individuals; (ii) if NRH/mixed-handedness in BD is associated with a different clinical, biological and neurocognitive profile.
Methods
We included 2174 stabilized individuals. Participants were tested with a comprehensive battery of neuropsychological tests. Handedness was assessed using a single oral question. Learning and/or language disorders and obstetrical complications were recorded using childhood records. Common environmental, clinical and biological parameters were assessed.
Results
The prevalence of NRH and mixed-handedness were, respectively, 11.6 and 2.4%. Learning/language disorders were found in 9.7% out of the total sample and were associated with atypical handedness (only dyslexia for mixed-handedness (p < 0.01), and dyslexia and dysphasia for NRH (p = 0.01 and p = 0.04, respectively). In multivariate analyses, NRH was associated with a younger age of BD onset (aOR 0.98 (95% CI 0.96–0.99) and lifetime substance use disorder (aOR 1.40 (95% CI 1.03–1.82) but not with any of the cognitive subtasks. Mixed-handedness was associated in univariate analyses with lifetime substance use disorder, lifetime cannabis use disorder (all p < 0.01) and less mood stabilizer prescription (p = 0.028). No association was found between NRH or mixed-handedness and the following parameters: trauma history, obstetrical complications, prior psychotic symptoms, bipolar subtype, attention deficit/hyperactivity disorder, peripheral inflammation or body mass index.
Conclusions
Handedness may be associated with specific features in BD, possibly reflecting a specific subgroup with a neurodevelopmental load.
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Availability of data and materials
The data that support the findings of this study are available from Foundation Fondamental. Restrictions apply to the availability of these data, which were used under license for this study. Data are available the corresponding author with the permission of Fondation Fondamental.
Code availability
Analyses were conducted using SAS-9.3 (SAS Statistical Institute, Cary, North Carolina).
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Acknowledgements
Authors express all our thanks to the nurses, and to the patients who were included in the present study. Authors thank Hakim Laouamri and his team for the development of the FACE-BD computer interface, data management, quality control and regulatory aspects. J. Mallet is a member of Labex BioPsy.
List of FondaMental Advanced Center of Expertise (FACE-BD) collaborators: FACE-BD Clinical Coordinating Center (Fondation FondaMental); B. Etain, E. Olié, M. Leboyer. FACE-BD Data Coordinating Center (Fondation FondaMental); V. Barteau, S. Bensalem, O. Godin, H. Laouamri, and K. Souryis. FACE-BD Clinical Sites and Principal Collaborators in France; AP-HP. DHU PePSY, Pôle de Psychiatrie et d’Addictologie des Hôpitaux Universitaires H Mondor, Créteil; S. Hotier, A. Pelletier, N. Drancourt, J. P. Sanchez, E. Saliou, C. Hebbache, J. Petrucci, L. Willaume and E. Bourdin; AP-HP, GH Saint-Louis–Lariboisière–Fernand Widal, Pôle Neurosciences, Paris; F. Bellivier, M. Carminati, B. Etain, E. Marlinge and J. Meheust; Hôpital C. Perrens, Centre Expert Trouble Bipolaire, Service de Psychiatrie Adulte, Pôle 3-4-7, Bordeaux; B. Antoniol, A. Desage, S. Gard, A. Jutant, K. Mbailara, I. Minois, and L. Zanouy; Département d’Urgence et Post Urgence Psychiatrique, CHRU Montpellier, Montpellier; C. Abettan, L. Bardin, A. Cazals, P. Courtet, B. Deffinis, D. Ducasse, M. Gachet, A. Henrion, E. Martinerie, F. Molière, B. Noisette, E. Olié and G. Tarquini; Pôle de Psychiatrie, addictologie et pédopsychiatrie, Hôpital Sainte Marguerite, Assistance Publique Hôpitaux de Marseille; J. M. Azorin, R. Belzeaux, N. Correard, I. Muraccioli, F. Groppi, L. Lescalier, M. Rebattu and N. Viglianese; Service de Psychiatrie et Psychologie Clinique, CHU de Nancy, Hôpitaux de Brabois, Vandoeuvre Les Nancy; R. Cohen, J. P. Kahn, M. Milazzo, and O. Wajsbrot-Elgrabli; Clinique Universitaire de Psychiatrie, CHU de Grenoble et des Alpes, Grenoble; T. Bougerol, B. Fredembach, A. Suisse, L. Tassan, A. Pouchon, and M. Polosan; Centre Hospitalier de Versailles, Service Universitaire de Psychiatrie d’adultes et d’addictologie, Le Chesnay; A. S. Cannavo, A. Crea, V. Feuga, A. M. Galliot, N. Kayser, C. Passerieux, and P. Roux; Service de Psychiatrie, Centre Hospitalier Princesse Grace, Monaco; V. Aubin, I. Cussac, M. A. Dupont, J. Loftus, and I. Medecin; AHPH, Departement de Psychiatrie, Hopital Louis Mourier, Colombes, France; A. Bing, C. Dubertret and N. Mazer; CHU de Clermont-Ferrand, Centre Expert Troubles Bipolaires FondaMental, Clermont-Ferrand, France: P. M. Llorca, L. Samalin, L. Foures, D. Lacelle, S. Pires, C. Doriat and O. Blanc.
Funding
This work was funded by AP-HP (Assistance Publique des Hôpitaux de Paris), Fondation FondaMental (RTRS Santé Mentale), by the “Investissements d’Avenir” programs managed by the Agence Nationale de Recherche (ANR), France under references ANR-11-IDEX-0004-02 and ANR-10-COHO-10-01, and by INSERM (Institut National de la Santé et de la Recherche Médicale).
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All authors acquired the data, which JM, OG, CD analyzed. OG completed the statistical analyses. JM had the idea and wrote the article, which all authors reviewed. All authors approved the final version to be published and can certify that no other individuals not listed as authors have made substantial contributions to the paper.
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The members of the FondaMental Advanced Center of Expertise (FACE-BD) are listed in acknowledgements section.
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Mallet, J., Godin, O., Mazer, N. et al. Handedness in bipolar disorders is associated with specific neurodevelopmental features: results of the BD-FACE cohort. Eur Arch Psychiatry Clin Neurosci 272, 827–838 (2022). https://doi.org/10.1007/s00406-021-01314-3
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DOI: https://doi.org/10.1007/s00406-021-01314-3