title: Informal carers of mentally infirm elderly in Lancashire.
abstract: OBJECTIVE
  To investigate the determinants of satisfaction in caregiving and to compare satisfaction in care-giving amongst carers of demented and non-demented mentally infirm elders; and, assess carer attitudes and concerns, and their implications on care in the community.
  
  
  METHODS
  Cross-sectional study of informal carers of the elderly referred to a psychogeriatric service, using a questionnaire investigating carer satisfaction (CASI), care-recipient dependency needs, carer burden (CADI), carer concerns and attitudes in relation to caregiving, and the 28-item GHQ.
  
  
  METHODS
  Lancashire communities of Fleetwood, Thornton-Cleveleys, Poulton-Le-Fylde, and Over-Wyre.
  
  
  RESULTS
  Carers achieved significant degrees of satisfaction in their role as care-givers; there was no significant difference in the degree of satisfaction gained by carers of the demented and non-demented. The mean CASI score, for carers of the demented and non-demented was 23(5.5) and 24.4 (5.7) respectively (mean difference -2.9; CI -4.6, 0.1; p = 0.058). Dissatisfaction in care giving was determined by total burden (CADI) scores, and younger carer age. Emotional distress in carers was weakly inversely correlated with CASI scores (r = -0.21, p = 0.042). Concerns expressed by carers, included desire for information on care recipient disability (39.5%) and fear of nursing/residential home placements (43%). Most carers had a generally positive attitude to care giving, inspite of significant degrees of burden to which they were subjected.
  
  
  CONCLUSIONS
  Carer-related factors, particularly younger age, rather than dependency factors, were determinant of care giving satisfaction. Greater involvement of older persons in care giving should be encouraged, with younger persons assisting if care giving becomes overbearing. Carers require education on care-recipient disabilities and the benefits of care in formal care institutions.
authors.affiliation: Psychological Healthcare Services Ltd, C\O 17 Rutland Road, Retford, Notts, England DN22 7HF.
authors.forename: Y M
authors.initials: YM
authors.lastname: Mafullul
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D017028:Caregivers / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D004739:England; D005190:Family / Q000523:psychology*; D005260:Female; D016330:Frail Elderly; D006701:Home Nursing / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000451:nursing*; D008875:Middle Aged; D020380:Needs Assessment; D010549:Personal Satisfaction; D019989:Persons with Intellectual Disabilities; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control / Q000523:psychology; D011795:Surveys and Questionnaires