Table 3 Sources of underlying suffering of clients with face-to-face contact with a counsellor working with foundation De Einder (according to the counsellor)^*

Main source of underlying suffering

^X

^X

^X

<0.001

Physical suffering

42

55

30

Psychiatric suffering

23

35

8

Psychological suffering

16

7

26

No suffering at presence

19

4

36

Clarification of suffering ^C

^Y

^X

^Y

Physical suffering

Problems of old age

17

9

27

<0.001

Cancer

7

14

1

<0.001

Dementia

6

11

1

<0.001

Heart problems

4

4

4

0.788

Rheumatism

3

5

1

0.017

Lung problems

3

5

0

0.002

Other physical problems^D

19

28

9

<0.001

Psychiatric suffering

Depression

16

19

11

0.007

Personality disorder

13

17

7

<0.001

Fear Disorders

5

6

4

0.140

Other Psychiatric problems^E

6

7

2

0.017

Psychological suffering

Existential suffering (including weary of life/completed life)

19

10

29

<0.001

Youth trauma (including child abuse)

6

6

5

0.412

Loneliness

5

3

7

0.018

Tiredness

3

4

3

0.320

Other psychological problems^F

5

3

7

0.040

No suffering at presence

Selfdetermination/Be prepared

9

2

16

<0.001

Avoiding dependency

5

1

10

<0.001

No diseases or complaints

5

0

10

<0.001