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Philip Cushman

3 papers in the library · publishing 2025-2026

Papers

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Enhancing identification and diagnosis of nightmare disorder in active duty patients at a sleep disorders center: A quality improvement initiative.

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine January 22, 2026 Amanda Radtke, Zahari N. Tchopev, Philip Cushman et al.

Nightmare Disorder (NDO) is an underdiagnosed sleep disorder causing significant impairment, particularly in active duty U.S. military personnel who experience unique stressors. Despite 59.28% of referred service members reporting nightmares and 19.76% screening positive for probable NDO, baseline diagnosis rate was only 0.60%. Our quality improvement project aimed to improve identification and...

1182 Enhancing Primary Care Detection and Referral of Nightmare Disorder: A Quality Improvement Project

Sleep May 1, 2025 James R. Kang, Zahari N. Tchopev, H. Scheuller et al.

Nightmare disorder (NDO) is a significant but often under-recognized condition, especially within the military population. We previously reported that 31.2% of patients referred to our military sleep disorders center have NDO, yet only 3.9% were referred for NDO. Despite the general population’s NDO prevalence (2-8%), our center had no referrals for NDO from June 1 to August 31, 2024. This...

1184 Enhancing Diagnosis of Nightmare Disorder at an Academic Sleep Disorders Center: A Quality Improvement Initiative

Sleep May 1, 2025 Amanda Radtke, Aaron Burch, James R. Kang et al.

Nightmare Disorder (NDO) is estimated to impact at least 4% of the US adult population yet is reported to be much higher among service members (SMs). Our Center has previously reported 31.2% of referred SMs had probable NDO based on screening measures, yet only 3.9% reported nightmares as a reason for evaluation. No quality measures report on the rate of confirmed diagnosis, and more...