Increased rates of nonright-handedness have been reported in schizophr
enia, but a dear distinction has not been made between left- and mixed
-handedness. Handedness preferences in 96 patients fulfilling DSM-III
criteria for schizophrenia and 43 normal comparison subjects were asse
ssed with the Edinburgh Handedness Inventory. A 100% criterion was use
d to establish left- and right-handedness. Results were analyzed with
Mantel-Haenszel odds ratios adjusted for age and sex. The schizophreni
c group showed a significant increase in the proportion of mixed-hande
rs compared with the normal group. There was no increase in pure left-
handedness in the schizophrenic relative to the normal group. Mixed-ha
ndedness in the schizophrenic patients was significantly associated wi
th chronicity of illness. Mixed-handed patients were less likely to ha
ve a family history of psychotic illness than patients with strong rig
ht- or left-handedness, The results indicate a neurodevelopmental rath
er than a genetic origin for anomalous lateralization in schizophrenia
.