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...