Left-handed artist painting

(Photo by Olga Donchuk on Shutterstock)

In a nutshell

  • Left-handed and mixed-handed people appear significantly more often in certain mental and neurodevelopmental disorders like autism and schizophrenia, with mixed-handedness showing the strongest association.
  • Three factors predict higher rates of unusual handedness: neurodevelopmental conditions, disorders with early onset, and conditions affecting language function.
  • Not all mental health conditions show this pattern—depression, dyscalculia, and pedophilia showed no significant differences in handedness compared to the general population.

BOCHUM, Germany — Left-handed people appear significantly more often among those with certain mental and neurodevelopmental disorders, according to groundbreaking research that analyzed data from over 200,000 individuals. This connection potentially offers a window into how our brains develop and organize themselves.

Connecting Left-Handedness To Brain Development

The study, published in Psychological Bulletin, revealed that conditions like schizophrenia, autism, and intellectual disability show notably higher rates of left-handedness compared to the general population. While about 10% of people worldwide are left-handed, autism cases were 3.5 times more likely to exhibit non-right-handedness than control groups.

Even conditions like dyslexia and stuttering showed significantly higher rates of left-handedness.

Language, like handedness, has a very one-sided location in the brain, so it stands to reason that the development of both and their disorders could be linked,” says lead researcher Julian Packheiser from Ruhr University Bochum, in a statement.

By combining data from ten previous meta-analyses, representing 402 datasets, researchers identified patterns across different diagnoses that had previously remained hidden when studying disorders in isolation.

Mixed-handedness – where individuals use different hands for different tasks without a strong preference – showed even higher rates in clinical populations than left-handedness itself, with 1.63 times higher odds compared to 1.34 for left-handedness.

Man Drawing with left hand
New research shows that left-handedness and mixed-handedness have strong links to certain neurological and mental disorders. (Photo by RDNE Stock project from Pexels)

Early Hand Preferences Plays a Key Role

Study authors identified three factors that consistently predicted higher rates of unusual handedness: neurodevelopmental conditions, disorders with early onset, and conditions affecting language function.

Hand preferences begin forming remarkably early – even before birth. Research shows that prenatal thumb sucking at 10 weeks gestation is highly predictive of hand preference later in life.

Disorders appearing earlier in life showed stronger associations with atypical handedness patterns. This observation backs growing evidence that many conditions affecting brain development begin extremely early, with handedness potentially serving as a visible sign of atypical neural development.

Interestingly, not all psychiatric conditions showed elevated left-handedness rates. Depression, math learning disability (dyscalculia), and pedophilia showed no meaningful differences in handedness compared to control groups.

This selective pattern reinforces the argument that specific developmental processes – not just general psychological issues – connect to handedness.

While these findings may eventually influence how doctors assess neurodevelopmental conditions, the researchers caution against overinterpretation. The differences, though statistically significant, aren’t substantial enough to use handedness alone for diagnosis. Many left-handed people never develop mental health conditions, and many people with these conditions are right-handed.

Nevertheless, this research establishes a compelling connection between how our brains organize basic functions like hand preference and more complex developmental processes. When these processes are disrupted, both handedness and mental health may be affected.

Paper Summary

Methodology

The researchers conducted a “second-order meta-analysis,” combining data from ten previously published meta-analyses on handedness in different mental and neurodevelopmental disorders. They updated each meta-analysis with studies published through April 2024, resulting in a total of 402 datasets representing 202,434 individuals (36,902 cases and 165,532 controls). They analyzed three different handedness classifications: non-right-handedness, left-handedness, and mixed-handedness. The team used odds ratios to measure the likelihood of atypical handedness in clinical populations compared to controls. They also conducted analyses of potential moderators including neurodevelopmental status, language association, and age of onset of conditions.

Results

The study found significantly higher rates of atypical hand preference in clinical populations compared to controls across all three handedness classifications: non-right-handedness (OR: 1.46), left-handedness (OR: 1.34), and mixed-handedness (OR: 1.63). Conditions showing the strongest association with atypical handedness included autism, intellectual disability, and schizophrenia. Three key factors predicted higher rates of atypical handedness: neurodevelopmental conditions, conditions with language symptoms, and conditions with earlier age of onset. Depression and dyscalculia showed no significant differences in handedness between cases and controls.

Limitations

The researchers note their analysis relies on the quality of previously published studies, with potential variability in how handedness was defined across studies. Mixed-handedness in particular had high variability in how it was measured between studies. Additionally, being a cross-sectional analysis, the study cannot establish causality between atypical handedness and clinical conditions. The researchers also note that handedness alone is not sufficient as a diagnostic marker for any condition.

Funding and Disclosures

Gesa Berretz received funding from the Deutsche Forschungsgemeinschaft (Project BE 8551/1-1). The authors declared no conflicts of interest.

Publication Information

The study “Handedness in Mental and Neurodevelopmental Disorders: A Systematic Review and Second-Order Meta-Analysis” was published in Psychological Bulletin (2025, Vol. 151, No. 4, 476–512) by Julian Packheiser, Jette Borawski, Gesa Berretz, Sarah Alina Merklein, Marietta Papadatou-Pastou, and Sebastian Ocklenburg. The study was preregistered with the Open Science Framework.

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14 Comments

  1. Rock H says:

    Sounds like a Non-Right-Handedness person has to use something other than their Left hand as a distinction is made to a Left-Handed individual. Now, whoever came up with that logic is definitely mental.

  2. Rick says:

    Click bait BS study. The details say that they are depending on the accuracy of the many different sources of data, and the results are not statistically significant.

  3. Tross says:

    What a load of horse squeeze. Fact check and verified my A S S!
    And the clot shot will prevent you from catching covid.

  4. CH says:

    Meta analysis=Junk science

  5. Mauloa says:

    That explains Bill Clinton and Barack Obama!!!

  6. CyberAlien says:

    Good one. Especially considering left-handed people are the only ones in their right mind. ;^p

  7. Judith says:

    I remain a fan of south paw pitchers. Let alone this new switch-handed pitching phenom.

  8. Last Eve says:

    ALL ‘mental disorders’ are due to bible-spiritual illiteracy and following incongruence with the mind of Melchisedec- King of Righteousness.

  9. Howard says:

    Oh, Please !

  10. Shanon Gibson says:

    All the crazy people I know are right handed 😂😂😂

  11. jack says:

    bull

  12. Tom Wert says:

    BS!

  13. Edward Gadziemski says:

    Anecdote from actual life: Despite the statement that “Even conditions like dyslexia and stuttering showed significantly higher rates of left-handedness”, two of my brother were right-handed and both had dyslexia. I’m left-handed and do not have dyslexia. Neither did my left-handed mother.

  14. Mrs. Sunshine says:

    Diversion. It’s ultra processed food, plastics, and mostly vaccines that causes autism and metabolic syndrome.

    Big pharma and big food constantly puts out BS manipulated research to divert attention from the real causes.