A valid and reliable instrument for measuring affect intensity does not exist for adolescents; such a measure may help to refine understanding of emotion among youths. The purpose of the current study was to evaluate the psychometric properties and clinical relevance of a measure of affect intensity adapted for youths. Two hundred five community adolescents and 179 adolescents from a residential treatment program were recruited; both samples completed self-report questionnaires, and the community-based sample participated in positive and negative mood-eliciting laboratory tasks. Confirmatory factor analyses comparing multiple models indicated a 3-factor structure was the best fit. This Affect Intensity and Reactivity Scale for Youth (AIR-Y) evidenced good internal consistency and test-retest reliability, and the 3 factors showed incremental predictive validity for mood ratings following emotion-elicitation procedures, even after accounting for the relevant scale on the Positive and Negative Affect Scale for Children. Evidence for the clinical relevance of the AIR-Y, particularly the Negative Intensity factor, was found. Overall, the AIR-Y appears to be a psychometrically sound measure for the assessment of affect intensity among youths.

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Study Objectives: To assess effects of low-level continuous positive airway pressure (CPAP) on snoring in habitual snorers without obstructive sleep apnea (OSA). Methods: A multicenter prospective in-laboratory reversal crossover intervention trial was conducted between September 2013 and August 2014. Habitual snorers were included if they snored (inspiratory sound pressure level ≥ 40 dBA) for ≥ 30% all sleep breaths on a baseline sleep study (Night 1), and if significant OSA and daytime somnolence were absent. Included participants then underwent a CPAP titration study at 2, 4, or 6 cm H2O (Night 2) to examine snoring responses to step-increases in nasal pressure, a treatment night at optimal pressure (Night 3), followed by baseline night (Night 4). At each pressure, snoring intensity was measured on each breath. Snoring frequency was quantified as a percentage of sleep breaths at thresholds of 40, 45, 50, and 55 dBA. Sleep architecture and OSA severity were characterized using standard measurements. Results: On baseline sleep studies, participants demonstrated snoring at ≥ 40 dBA on 53 ± 3% and ≥ 45 dBA on 35 ± 4% of breaths. Snoring frequency decreased progressively as nasal pressure increased from 0 to 4 cm H2O at each threshold, and plateaued thereafter. CPAP decreased snoring frequency by 67% and 85% at 40 and 45 dBA, respectively. Intervention did not alter sleep architecture and sleep apnea decreased minimally. Conclusions: Low-level CPAP below the range required to treat OSA diminished nocturnal snoring, and produced uniform reduction in nightly noise production below the World Health Organization's limit of 45 dBA. Clinical Trial Registration: ClinicalTrials.gov, identifier: NCT01949584.

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