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Tourette's Disorder and other chronic tic disorders are common neurodevelopmental conditions. One characteristic of tic disorders is the premonitory urge, an aversive or unpleasant sensory phenomenon that may precede tics. Initial examination of premonitory urge in pediatric tic disorders suggests that awareness and experience of sensations preceding tics may be related to anxiety and OCD. However, it may be possible that specific anxiety-related symptoms, such as anxious physiologic arousal, are particularly relevant to the experience of premonitory urge. The current study examines relationships between tic-related premonitory urge and anxiety-related symptom clusters in treatment-seeking youths with a primary diagnoses of Tourette's or other chronic tic disorder. The sample consisted of 124 youth, ages 9 to 17, who participated in the multi-site Comprehensive Behavioral Intervention for Tics randomized controlled trial (CBIT; Piacentini et al., 2010). Specific anxiety-related subtypes, including generalized worry, separation, social, and panic/somatic symptoms, as well as severity of obsessions and compulsions, were assessed as potential correlates of premonitory urge. Findings indicated that age, global tic-related impairment, and specific panic/somatic symptoms accounted for a substantial proportion of variance in youth report of premonitory urge. These findings provide information about the characteristics of premonitory urge in pediatric tic disorders, and have implications for the treatment of pediatric tic syndromes.

Cannabis is used globally for both recreational and medical purposes. The use of cannabis can impair driving ability and increase the risk of fatal accidents. Therefore, operating motor vehicles and machinery under the influence of cannabis is illegal in most jurisdictions. With many governments easing legal restrictions on the use of cannabis, the demand for cannabis intoxication testing is increasing globally. Identification of prior cannabis use is currently accomplished using a variety of biological matrices, including urine, blood, sweat, hair, and oral fluid. Despite the ability to identify prior exposure to or intake of cannabis, each of these matrices has limitations in assessing the current intoxication state of an individual, an essential aspect of many current legislations. Exhaled breath represents a potentially useful matrix for measuring recent use, however, current uncertainty in breath levels indicative of impairment and the technical limitations associated with rapid, on‐site analysis of breath matrices have restricted the widespread deployment of cannabis breath analyzers. These challenges are compounded by the relatively short intoxication window of cannabis relative to its lifetime in the body, reinforcing the need for rapid toxicological screening. This review summarizes the state of cannabis intoxication testing, highlighting the challenges associated with the current forensic testing techniques, and the potential for breath analysis, which has gained interest recently from both academic researchers and commercial entities. This article is categorized under:Toxicology > Drug AnalysisToxicology > Cannabis [ABSTRACT FROM AUTHOR]