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Mallet J, Godin O, Le Strat Y, Mazer N, Berna F, Boyer L, Capdevielle D, Clauss J, Chéreau I, D'Amato T, Dubreucq J, Leigner S, Llorca PM, Misdrahi D, Passerieux C, Rey R, Pignon B, Urbach M, Schürhoff F, Fond G, Dubertret C. Handedness as a neurodevelopmental marker in schizophrenia: Results from the FACE-SZ cohort. World J Biol Psychiatry 2022; 23:525-536. [PMID: 34918618 DOI: 10.1080/15622975.2021.2013094] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
OBJECTIVES High rates of non-right-handedness (NRH) including mixed-handedness have been reported in neurodevelopmental disorders. In schizophrenia (SZ), atypical handedness has been inconsistently related to impaired features. We aimed to determine whether SZ subjects with NRH and mixed-handedness had poorer clinical and cognitive outcomes compared to their counterparts. METHODS 667 participants were tested with a battery of neuropsychological tests, and assessed for laterality using the Edinburg Handedness Inventory. Clinical symptomatology was assessed. Learning disorders and obstetrical complications were recorded. Biological parameters were explored. RESULTS The prevalence of NRH and mixed-handedness was high (respectively, 42.4% and 34.1%). In the multivariable analyses, NRH was associated with cannabis use disorder (p = 0.045). Mixed-handedness was associated with positive symptoms (p = 0.041), current depressive disorder (p = 0.005)), current cannabis use (p = 0.024) and less akathisia (p = 0.019). A history of learning disorder was associated with NRH. No association was found with cognition, trauma history, obstetrical complications, psychotic symptoms, peripheral inflammation. CONCLUSIONS Non-right and mixed-handedness are very high in patients with SZ, possibly reflecting a neurodevelopmental origin. NRH is associated with learning disorders and cannabis use. Mixed-handedness is associated with positive symptoms, current depressive disorder, cannabis use and less akathisia. However, this study did not confirm greater cognitive impairment in these patients.
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Affiliation(s)
- Jasmina Mallet
- Institute of Psychiatry and Neuroscience of Paris, Université de Paris INSERM UMR1266, Paris, France.,AP-HP, Groupe Hospitalo-Universitaire AP-HP Nord, Service de Psychiatrie et Addictologie, Hôpital Louis Mourier, Colombes, France.,Fondation Fondamental F94010, Créteil, France
| | - Ophélia Godin
- Fondation Fondamental F94010, Créteil, France.,UPEC, Créteil, France Inserm, U955, Equipe 15 Psychiatrie Génétique, Créteil, France AP-HP, Hôpital H. Mondor-A. Chenevier, Pôle de Psychiatrie, Créteil, France Fondation FondaMental, Fondation de Cooperation Scientifique, Université Paris-Est, UMR_S955, Créteil, France
| | - Yann Le Strat
- Institute of Psychiatry and Neuroscience of Paris, Université de Paris INSERM UMR1266, Paris, France.,AP-HP, Groupe Hospitalo-Universitaire AP-HP Nord, Service de Psychiatrie et Addictologie, Hôpital Louis Mourier, Colombes, France.,Fondation Fondamental F94010, Créteil, France
| | - Nicolas Mazer
- Institute of Psychiatry and Neuroscience of Paris, Université de Paris INSERM UMR1266, Paris, France.,AP-HP, Groupe Hospitalo-Universitaire AP-HP Nord, Service de Psychiatrie et Addictologie, Hôpital Louis Mourier, Colombes, France.,Fondation Fondamental F94010, Créteil, France
| | - Fabrice Berna
- Fondation Fondamental F94010, Créteil, France.,Fédération de Médecine Translationnelle de Strasbourg, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, INSERM U1114, Strasbourg, France
| | - Laurent Boyer
- School of medicine - La Timone Medical Campus, EA 3279: CEReSS - Health Service Research and Quality of Life Center, AP-HM, Aix-Marseille University, Marseille, France
| | - Delphine Capdevielle
- Fondation Fondamental F94010, Créteil, France.,Service Universitaire de Psychiatrie Adulte, Hôpital la Colombière, CHRU Montpellier, Université Montpellier 1, Montpellier, France
| | - Julie Clauss
- Fondation Fondamental F94010, Créteil, France.,Fédération de Médecine Translationnelle de Strasbourg, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, INSERM U1114, Strasbourg, France
| | - Isabelle Chéreau
- Fondation Fondamental F94010, Créteil, France.,CHU Clermont-Ferrand, Department of Psychiatry, University of Clermont Auvergne, Clermont-Ferrand, France
| | - Thierry D'Amato
- Fondation Fondamental F94010, Créteil, France.,INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon, Université Claude Bernard Lyon 1, Equipe PSYR2, Centre Hospitalier Le Vinatier, Lyon, France
| | - Julien Dubreucq
- Fondation Fondamental F94010, Créteil, France.,Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), CH Alpes Isère, Saint-Egrève, France
| | - Sylvain Leigner
- Fondation Fondamental F94010, Créteil, France.,Centre Référent de Réhabilitation Psychosociale et de Remédiation Cognitive (C3R), CH Alpes Isère, Saint-Egrève, France
| | - Pierre-Michel Llorca
- Fondation Fondamental F94010, Créteil, France.,CHU Clermont-Ferrand, Department of Psychiatry, University of Clermont Auvergne, Clermont-Ferrand, France
| | - David Misdrahi
- Fondation Fondamental F94010, Créteil, France.,Department of Adult Psychiatry, Charles Perrens Hospital, Bordeaux, France, University of Bordeaux, Laboratory of Nutrition and Integrative Neurobiology (UMR INRA 1286), France
| | - Christine Passerieux
- Fondation Fondamental F94010, Créteil, France.,Service Universitaire de Psychiatrie d'Adultes, Centre Hospitalier de Versailles, Le Chesnay, France
| | - Romain Rey
- Fondation Fondamental F94010, Créteil, France.,INSERM U1028, CNRS UMR5292, Centre de Recherche en Neurosciences de Lyon, Université Claude Bernard Lyon 1, Equipe PSYR2, Centre Hospitalier Le Vinatier, Lyon, France
| | - Baptiste Pignon
- Fondation Fondamental F94010, Créteil, France.,UPEC, Créteil, France Inserm, U955, Equipe 15 Psychiatrie Génétique, Créteil, France AP-HP, Hôpital H. Mondor-A. Chenevier, Pôle de Psychiatrie, Créteil, France Fondation FondaMental, Fondation de Cooperation Scientifique, Université Paris-Est, UMR_S955, Créteil, France
| | - Mathieu Urbach
- Fondation Fondamental F94010, Créteil, France.,Service Universitaire de Psychiatrie d'Adultes, Centre Hospitalier de Versailles, Le Chesnay, France.,Laboratoire HandiRESP, EA4047, UFR des Sciences de la Santé Simone Veil, Université de Versailles Saint-Quentin-En-Yvelines, Montigny-le-Bretonneux, France
| | - Franck Schürhoff
- Fondation Fondamental F94010, Créteil, France.,UPEC, Créteil, France Inserm, U955, Equipe 15 Psychiatrie Génétique, Créteil, France AP-HP, Hôpital H. Mondor-A. Chenevier, Pôle de Psychiatrie, Créteil, France Fondation FondaMental, Fondation de Cooperation Scientifique, Université Paris-Est, UMR_S955, Créteil, France
| | - Guillaume Fond
- Fondation Fondamental F94010, Créteil, France.,School of medicine - La Timone Medical Campus, EA 3279: CEReSS - Health Service Research and Quality of Life Center, AP-HM, Aix-Marseille University, Marseille, France
| | - Caroline Dubertret
- Institute of Psychiatry and Neuroscience of Paris, Université de Paris INSERM UMR1266, Paris, France.,AP-HP, Groupe Hospitalo-Universitaire AP-HP Nord, Service de Psychiatrie et Addictologie, Hôpital Louis Mourier, Colombes, France.,Fondation Fondamental F94010, Créteil, France
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Mallet J, Godin O, Mazer N, Le Strat Y, Bellivier F, Belzeaux R, Etain B, Fond G, Gard S, Henry C, Leboyer M, Llorca PM, Loftus J, Olié E, Passerieux C, Polosan M, Schwan R, Roux P, Dubertret C. Handedness in bipolar disorders is associated with specific neurodevelopmental features: results of the BD-FACE cohort. Eur Arch Psychiatry Clin Neurosci 2022; 272:827-838. [PMID: 34374842 DOI: 10.1007/s00406-021-01314-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 07/26/2021] [Indexed: 11/26/2022]
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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Affiliation(s)
- Jasmina Mallet
- Fondation Fondamental, Créteil, France.
- Faculté de médecine, AP-HP, Department of Psychiatry, Université de Paris, Louis Mourier Hospital, CHU Louis Mourier, 178 rue des Renouillers, 92700, Colombes, France.
- INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, University Paris Descartes, Paris, France.
| | - Ophélia Godin
- Fondation Fondamental, Créteil, France
- UMR_S955, UPEC, Créteil, France Inserm, Université Paris-Est, U955, Equipe 15 Psychiatrie génétique, Créteil, France
- AP-HP, Hôpital H. Mondor-A. Chenevier, Pôle de psychiatrie, Créteil, France
| | - Nicolas Mazer
- Fondation Fondamental, Créteil, France
- Faculté de médecine, AP-HP, Department of Psychiatry, Université de Paris, Louis Mourier Hospital, CHU Louis Mourier, 178 rue des Renouillers, 92700, Colombes, France
- INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, University Paris Descartes, Paris, France
| | - Yann Le Strat
- Fondation Fondamental, Créteil, France
- Faculté de médecine, AP-HP, Department of Psychiatry, Université de Paris, Louis Mourier Hospital, CHU Louis Mourier, 178 rue des Renouillers, 92700, Colombes, France
- INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, University Paris Descartes, Paris, France
| | - Frank Bellivier
- Fondation Fondamental, Créteil, France
- AP-HP, GH Saint-Louis-Lariboisière-Fernand Widal, Pôle Neurosciences Tête et Cou, INSERM UMRS 1144, University Paris Diderot, Paris, France
| | - Raoul Belzeaux
- Fondation Fondamental, Créteil, France
- AP-HM, Department of Psychiatry, Marseille, France
- INT-UMR7289, CNRS Aix Marseille University, Marseille, France
| | - Bruno Etain
- Fondation Fondamental, Créteil, France
- AP-HP, GH Saint-Louis-Lariboisière-Fernand Widal, Pôle Neurosciences Tête et Cou, INSERM UMRS 1144, University Paris Diderot, Paris, France
| | - Guillaume Fond
- Fondation Fondamental, Créteil, France
- AP-HM, Aix-Marseille University, School of Medicine-La Timone Medical Campus, EA 3279: CEReSS-Health Service Research and Quality of Life Center, 27 Boulevard Jean Moulin, 13005, Marseille, France
| | - Sébastien Gard
- Fondation Fondamental, Créteil, France
- Centre Expert Troubles Bipolaires, Service de Psychiatrie Adulte, Hôpital Charles-Perrens, Bordeaux, France
| | - Chantal Henry
- Fondation Fondamental, Créteil, France
- Department of Psychiatry, Service Hospitalo-Universitaire, GHU Paris Psychiatrie and Neurosciences, 75014, Paris, France
| | - Marion Leboyer
- Fondation Fondamental, Créteil, France
- UMR_S955, UPEC, Créteil, France Inserm, Université Paris-Est, U955, Equipe 15 Psychiatrie génétique, Créteil, France
- AP-HP, Hôpital H. Mondor-A. Chenevier, Pôle de psychiatrie, Créteil, France
- Fondation de Cooperation Scientifique, Fondation FondaMental, Créteil, France
| | - Pierre-Michel Llorca
- Fondation Fondamental, Créteil, France
- CHU Clermont-Ferrand, Department of Psychiatry, University of Clermont Auvergne, EA 7280, Clermont-Ferrand, France
| | - Joséphine Loftus
- Fondation Fondamental, Créteil, France
- Pôle de Psychiatrie, Centre Hospitalier Princesse Grace, Monaco, France
| | - Emilie Olié
- Fondation Fondamental, Créteil, France
- Department of Emergency Psychiatry and Acute Care, CHU Montpellier, INSERM U1061, Montpellier University, Montpellier, France
| | - Christine Passerieux
- Fondation Fondamental, Créteil, France
- Service Universitaire de Psychiatrie d'Adultes et d'Addictologie, Centre Hospitalier de Versailles, 177 rue de Versailles, 78157, Le Chesnay, France
- CESP, INSERM, Université Paris Saclay, Université de Versailles Saint-Quentin-En-Yvelines, 2 Avenue de la Source de la Bièvre, 78180, Montigny-le-Bretonneux, France
| | - Mircea Polosan
- Fondation Fondamental, Créteil, France
- Université Grenoble Alpes, Inserm, U1216, Grenoble Institut des Neurosciences, CHU Grenoble Alpes, 38000, Grenoble, France
| | - Raymund Schwan
- Faculté de médecine, AP-HP, Department of Psychiatry, Université de Paris, Louis Mourier Hospital, CHU Louis Mourier, 178 rue des Renouillers, 92700, Colombes, France
- CHRU de Nancy et Pôle de Psychiatrie et Psychologie Clinique, Université de Lorraine, Centre Psychothérapique de Nancy, Nancy, France
| | - Paul Roux
- Fondation Fondamental, Créteil, France
- Service Universitaire de Psychiatrie d'Adultes et d'Addictologie, Centre Hospitalier de Versailles, 177 rue de Versailles, 78157, Le Chesnay, France
- CESP, INSERM, Université Paris Saclay, Université de Versailles Saint-Quentin-En-Yvelines, 2 Avenue de la Source de la Bièvre, 78180, Montigny-le-Bretonneux, France
| | - Caroline Dubertret
- Fondation Fondamental, Créteil, France
- Faculté de médecine, AP-HP, Department of Psychiatry, Université de Paris, Louis Mourier Hospital, CHU Louis Mourier, 178 rue des Renouillers, 92700, Colombes, France
- INSERM UMR1266, Institute of Psychiatry and Neuroscience of Paris, University Paris Descartes, Paris, France
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Haley KL, Jacks A, Jarrett J, Ray T, Cunningham KT, Gorno-Tempini ML, Henry ML. Speech Metrics and Samples That Differentiate Between Nonfluent/Agrammatic and Logopenic Variants of Primary Progressive Aphasia. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:754-775. [PMID: 33630653 PMCID: PMC8608203 DOI: 10.1044/2020_jslhr-20-00445] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2020] [Revised: 10/19/2020] [Accepted: 11/29/2020] [Indexed: 05/12/2023]
Abstract
Purpose Of the three currently recognized variants of primary progressive aphasia, behavioral differentiation between the nonfluent/agrammatic (nfvPPA) and logopenic (lvPPA) variants is particularly difficult. The challenge includes uncertainty regarding diagnosis of apraxia of speech, which is subsumed within criteria for variant classification. The purpose of this study was to determine the extent to which a variety of speech articulation and prosody metrics for apraxia of speech differentiate between nfvPPA and lvPPA across diverse speech samples. Method The study involved 25 participants with progressive aphasia (10 with nfvPPA, 10 with lvPPA, and five with the semantic variant). Speech samples included a word repetition task, a picture description task, and a story narrative task. We completed acoustic analyses of temporal prosody and quantitative perceptual analyses based on narrow phonetic transcription and then evaluated the degree of differentiation between nfvPPA and lvPPA participants (with the semantic variant serving as a reference point for minimal speech production impairment). Results Most, but not all, articulatory and prosodic metrics differentiated statistically between the nfvPPA and lvPPA groups. Measures of distortion frequency, syllable duration, syllable scanning, and-to a limited extent-syllable stress and phonemic accuracy showed greater impairment in the nfvPPA group. Contrary to expectations, classification was most accurate in connected speech samples. A customized connected speech metric-the narrative syllable duration-yielded excellent to perfect classification accuracy. Discussion Measures of average syllable duration in multisyllabic utterances are useful diagnostic tools for differentiating between nfvPPA and lvPPA, particularly when based on connected speech samples. As such, they are suitable candidates for automatization, large-scale study, and application to clinical practice. The observation that both speech rate and distortion frequency differentiated more effectively in connected speech than on a motor speech examination suggests that it will be important to evaluate interactions between speech and discourse production in future research.
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Affiliation(s)
- Katarina L. Haley
- Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill
| | - Adam Jacks
- Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill
| | - Jordan Jarrett
- Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill
| | - Taylor Ray
- Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill
| | - Kevin T. Cunningham
- Division of Speech and Hearing Sciences, University of North Carolina at Chapel Hill
| | | | - Maya L. Henry
- Department of Speech, Language, and Hearing Sciences and Department of Neurology, Dell Medical School, The University of Texas at Austin
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