Consistency of hand use and sleep problems

Non-Right Handedness is Associated with More Time Awake After Sleep Onset and Higher Daytime Sleepiness Than Right Handedness: Objective (Actigraphic) and Subjective Data from a Large Community Sample

PURPOSE

Handedness has been linked to various physiological and pathological phenomena including memory function and psychiatric disorders. Also for sleep, several studies have reported associations. However, large-scale studies including a broad age span of participants and studies analyzing women and men separately are lacking.

METHODS

Therefore, objective sleep data were determined using at-home actigraphy from 1764 healthy participants (18 to 80 years, 908 women), averaging five consecutive nights. In addition, subjective sleep-related data were captured by self-report diaries, the Pittsburgh Sleep Quality Index (PSQI), the Epworth Sleepiness Scale (ESS) and the Morningness-Eveningness-Questionnaire (MEQ). Handedness was determined with the Edinburgh Handedness Inventory (EHI) providing information on the direction (left vs right) and the degree of handedness (strong vs weak). To address the potential endocrine effects, premenopausal women (≤45 years) and postmenopausal women (≥55 years) were analyzed separately. This was also done for men.

RESULTS

The degree and direction of handedness were correlated with "wake after sleep onset" (WASO) in the total sample and all women (the more right-handed/lateralized the shorter WASO). In postmenopausal women, additionally, time in bed (TIB) and total sleep time (TST) were correlated. There were no other significant associations between an objective sleep variable and handedness. In both premenopausal women and >55-year-old men subjective quality of sleep (PSQI) was correlated with direction and degree of handedness (the more right-handed/lateralized the better). In the total sample and postmenopausal women, the degree and direction of handedness were negatively correlated with daytime sleepiness. The chronotype was not associated with handedness in any group.

CONCLUSION

While associations were not consistent in all groups, overall, right-handedness tended to be associated with better sleep and less daytime sleepiness. Handedness and sleep seemed to be differentially associated in women and men, being in line with endocrine interactions.

Sleep Behaviors and Handedness in Gifted and Non-Gifted Children

Patterns of sleep behaviors appear to differ across students with special needs including those classified with developmental disorders, attention-deficit/hyperactivity disorder, and autism. One understudied segment of the special needs population is that of gifted children, students who bring their own unique set of behavioral characteristics. In the present study, it was hypothesized that because of unique cognitive and socio-emotional intensities, gifted children would experience elevated levels of sleep disturbance in comparison to their non-gifted peers. Handedness was also surveyed for additional insight into cerebral organization. The study's participants were 35 gifted and 23 non-gifted students between the ages of 8-12. To measure sleep behaviors, data from the Child Sleep Habits Questionnaire (Abbreviated), Sleep Self-Report, and a sleep diary were collected. To assess handedness, the Edinburgh Handedness Inventory was administered. Results indicated that although gifted students did trend toward experiencing more sleep disturbance, when compared to non-gifted students, no significant differences were found in mean bedtime, hours slept, sleeping problems, or use of electronic devices before bedtime. In terms of handedness, gifted participants displayed more left-hand bias. Although no differences were found between sleep patterns of gifted vs. non-gifted children, this study adds to the limited evidential base on gifted children, handedness, and sleep. Additional research on sleep behaviors within this special needs cohort may be warranted.

Handedness Correlates with Actigraphically Measured Sleep in a Controlled Environment

The relationship between hand preference and duration of sleep was assessed in 40 healthy subjects using self-report estimates, sleep diaries, and wrist activity monitors during an uncontrolled 7-day at-home phase and during a controlled overnight stay in a sleep laboratory. Handedness was unrelated to any index of sleep duration when assessed in the unregulated home environment. In the controlled environment of the laboratory, however, greater right-hand dominance was positively correlated with more minutes of obtained sleep and greater sleep efficiency. Findings were consistent with previous reports which suggest measures of brain lateralization may be related to sleep and health but further suggest that these relationships may be easily obscured by extraneous environmental factors when assessed in an uncontrolled setting.

Home-recorded sleep architecture as a function of handedness II: Consistent right- versus consistent left-handers

Examination of individual differences in sleep architecture may help elucidate the mechanisms involved in sleep-related pathologies and cerebral processes involved in sleep. We (Propper et al., Brain Cogn. 2004;54:186-197) previously reported that degree or strength (i.e., inconsistent vs. consistent) of hand preference was more important than direction (i.e., left vs. right) of hand preference in examining sleep architecture-hand preference relationships. However, that study confounded direction and degree of hand preference; only 1 consistently left-handed individual was included in the consistently handed group. Here, we describe a comparison of the sleep of consistently left- versus consistently right-handed individuals. The basic pattern of results here and in previous work suggests that individual differences in sleep architecture are influenced by both degree and direction of handedness. Handedness differences in sleep architecture may reflect individual differences in cerebral organization on one hand and sleep stage mediated differences in cerebral interaction on the other.

An assessment of sleep architecture as a function of degree of handedness in college women using a home sleep monitor

The present study examined sleep architecture as a function of handedness in a population of undergraduate college women using a home sleep monitor. Compared to strongly handed individuals, participants with a tendency toward mixed-handedness had a shorter sleep latency and spent a greater percentage of their sleep period asleep and less awake. Increasing mixed-handedness was also associated with increased NREM; strong-handedness was associated with increased REM. Results are placed in a neurophysiological framework wherein corpus callosum mediated differences in interhemispheric interaction during Wake, REM, and NREM on the one hand, and individual differences in corpus callosum morphology and hemispheric communication as a function of handedness on the other, interact to result in handedness differences in sleep architecture.