{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T18:08:48Z","timestamp":1788718128982,"version":"build-2803163510"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T00:00:00Z","timestamp":1759449600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["ICAT\u20102022\u2010001"],"award-info":[{"award-number":["ICAT\u20102022\u2010001"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Epilepsia"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>People experiencing homelessness (PEH) are more likely to be diagnosed with epilepsy and to experience seizure\u2010related morbidity and mortality. However, despite the increased prevalence of this condition, there is limited research examining the granular impact of epilepsy on PEH's daily lives and a dearth of research considering the perspectives of PEH themselves. This mixed\u2010methods study aims to address these oversights by comparing the impact of epilepsy on homeless and housed people with epilepsy (PWE). As \"impact\" can be variously defined and understood, several validated questionnaires measuring psychiatric symptomatology, perceived stigma, epilepsy knowledge, and epilepsy\u2010related quality of life (QoL), respectively, were used as proxies. PEH were also asked open\u2010ended questions about their epilepsy\u2010related experiences, to gather in\u2010depth insights into the ways that epilepsy had shaped their lives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a mixed\u2010methods study using a study\u2010specific set of questionnaires including the following: sociodemographic information; measures of psychiatric symptomatology, epilepsy\u2010related knowledge, QoL, and stigma; and open\u2010ended questions on the impact of epilepsy on QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      PEH and housed PWE were recruited when attending an inner\u2010city Dublin hospital. Data from 62 participants were included, 13 PEH and 49 housed participants. The results demonstrated that PEH had a higher burden of psychiatric symptomatology than housed PWE, including higher anxiety (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001) and depression (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) scores. Once this was adjusted for, there was no difference in QoL between the two groups. PEH also reported significantly more epilepsy\u2010related stigma relative to housed PWE (total revised Epilepsy Stigma Scale mean\u2009=\u20095.7\u2009\u00b1\u20093.0 vs. 1.6\u2009\u00b1\u20092.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001). PEH emphasized the emotional and affective burden that epilepsy presented in their lives.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Significance<\/jats:title>\n                    <jats:p>This research emphasizes the need for clinicians to remain cognizant of the social context in which chronic disease emerges and the importance of targeted, holistic, and multidisciplinary models of care to improve QoL and alleviate stigma for PEH experiencing epilepsy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/epi.18663","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T15:33:52Z","timestamp":1759505632000},"page":"371-380","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of epilepsy on people experiencing homelessness: A mixed\u2010methods study"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4620-1943","authenticated-orcid":false,"given":"Hannah","family":"Lucey","sequence":"first","affiliation":[{"name":"St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ciara","family":"Anderson","sequence":"additional","affiliation":[{"name":"St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rian","family":"McDermott","sequence":"additional","affiliation":[{"name":"St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sin\u00e9ad","family":"Forde","sequence":"additional","affiliation":[{"name":"St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess","family":"Sears","sequence":"additional","affiliation":[{"name":"Department of Neurology St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Synnott","sequence":"additional","affiliation":[{"name":"Department of Neurology St James's Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8869-8567","authenticated-orcid":false,"given":"Colin P.","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Neurology St James's Hospital  Dublin Ireland"},{"name":"FutureNeuro Research Ireland Centre, Academic Unit of Neurology, School of Medicine, Trinity College Dublin University of Dublin  Dublin Ireland"},{"name":"School of Medicine Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0770-285X","authenticated-orcid":false,"given":"Elisabeth","family":"Doran","sequence":"additional","affiliation":[{"name":"Department of Neurology St James's Hospital  Dublin Ireland"},{"name":"Department of Clinical Medicine Trinity College Dublin, St James's Campus  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0842-425X","authenticated-orcid":false,"given":"Cl\u00edona","family":"N\u00ed Cheallaigh","sequence":"additional","affiliation":[{"name":"St James's Hospital  Dublin Ireland"},{"name":"School of Medicine Trinity College  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7803-621X","authenticated-orcid":false,"given":"Georgia","family":"Richard","sequence":"additional","affiliation":[{"name":"Department of Neurology St James's Hospital  Dublin Ireland"},{"name":"Department of Clinical Medicine Trinity College Dublin, St James's Campus  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,3]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq-2021-001367"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckl011"},{"key":"e_1_2_12_4_1","first-page":"1","article-title":"The homeless, seizures, and epilepsy: a review","volume":"130","author":"Silva RP","year":"2023","journal-title":"J Neural Transm"},{"key":"e_1_2_12_5_1","article-title":"The perceived social stigma of people with epilepsy with regard to the question of employability","volume":"28","author":"Souza JL","year":"2018","journal-title":"Neurol Res 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