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BMJ 2008;336:1392 (21 June), doi:10.1136/bmj.a356
| The first 150 words of the full text of this article appear below. |
Butlers editorial on service provision and distress among carers of patients with dementia1 echoed many of the conclusions of my undergraduate elective project. I examined distress in carers of patients with Huntingtons disease and whether improved service provision and support from voluntary agencies could reduce it. All the carers I met cited dementia and personality change as the most distressing feature of their day to day caring, far outweighing their other losses of time and money and exceeding the burden of the physical care. Without exception, all the carers scored highly for anxiety, depression,2 and quality of life using standard validated tools.
Involvement with the Scottish Huntingtons Society did not alleviate their distress but it provided carers with valuable knowledge of the condition and a sense of empowerment. All carers who were involved with the society valued its input highly, despite a lack of quantitative benefit to their wellbeing.
This
Margaret A Loudon, clinical fellow in cardiology
1 Torbay Hospital, South Devon NHS Trust, Torquay TQ2 7AA
mloudon@doctors.org.uk