Defining Stress: Learn It 2—Eustress and Distress

Good Stress?

Although stress carries a negative connotation, at times it may be of some benefit. Stress can motivate us to do things in our best interests, such as study for exams, visit the doctor regularly, exercise, and perform to the best of our ability at work. Indeed, Selye (1974) pointed out that not all stress is harmful. He argued that stress can sometimes be a positive, motivating force that can improve the quality of our lives.

eustress

Eustress (from the Greek eu = “good”) is a good kind of stress associated with positive feelings, optimal health, and performance.

A moderate amount of stress can be beneficial in challenging situations. For example, athletes may be motivated and energized by pregame stress, and students may experience similar beneficial stress before a major exam. Indeed, research shows that moderate stress can enhance both immediate and delayed recall of educational material. Male participants in one study who memorized a scientific text passage showed improved memory of the passage immediately after exposure to a mild stressor as well as one day following exposure to the stressor (Hupbach & Fieman, 2012).

Increasing one’s level of stress will cause performance to change in a predictable way. As stress increases, so do performance and general well-being (eustress); when stress levels reach an optimal level (the highest point of the curve), performance reaches its peak. A person at this stress level is colloquially at the top of his game, meaning he feels fully energized, and focused, and can work with minimal effort and maximum efficiency.

But when stress exceeds this optimal level, it is no longer a positive force.

distress

When stress becomes excessive and debilitating, it becomes distress (from the Latin dis = “bad”). People who reach this level of stress feel burned out; they are fatigued, exhausted, and their performance begins to decline. If the stress remains excessive, health may begin to erode as well (Everly & Lating, 2002).

A good example of distress is severe test anxiety. When students feel very stressed about a test, negative emotions combined with physical symptoms may make concentration difficult, negatively affecting test scores.

A graph features a bell curve that has a line going through the middle labeled “Optimal level.” The curve is labeled “eustress” on the left side and “distress” on the right side. The x-axis is labeled “Stress level” and moves from low to high, and the y-axis is labeled “Performance level” and moves from low to high.” The graph shows that stress levels increase with performance levels and that once stress levels reach optimal level, they move from eustress to distress.
Figure 1. As the stress level increases from low to moderate, so does performance (eustress). At the optimal level (the peak of the curve), performance has reached its peak. If stress exceeds the optimal level, it will reach the distress region, where it will become excessive and debilitating, and performance will decline (Everly & Lating, 2002).

The Prevalence of Stress

Stress is everywhere and it has been on the rise over the last several years. On a scale of 1-10, American adults reported an average score of 5.0 as their level of stress in 2022, which is slightly higher than 4.9 in 2019 and 2018 or 4.8 in 2017 or 2016.[1]

Each of us is acquainted with stress—some are more familiar than others. In many ways, stress feels like a load you just can’t carry—a feeling you experience when, for example, you have to drive somewhere in a blizzard, when you wake up late the morning of an important job interview, when you run out of money before the next pay period, or before taking an important exam for which you realize you are not fully prepared.

Stress is an experience that evokes a variety of responses, including those that are physiological (e.g., accelerated heart rate, headaches, or gastrointestinal problems), cognitive (e.g., difficulty concentrating or making decisions), and behavioral (e.g., drinking alcohol, smoking, or taking actions directed at eliminating the cause of the stress). Although stress can be positive at times, it can have deleterious health implications, contributing to the onset and progression of a variety of physical illnesses and diseases (Cohen & Herbert, 1996).

The scientific study of how stress and other psychological factors impact health falls within the realm of health psychology.

health psychology

Health psychology is a subfield of psychology devoted to understanding the importance of psychological influences on health, illness, and how people respond when they become ill (Taylor, 1999). In addition to studying the connection between stress and illness, health psychologists investigate issues such as why people make certain lifestyle choices (e.g., smoking or eating unhealthy food despite knowing the potential adverse health implications of such behaviors).

 

Health psychologists also design and investigate the effectiveness of interventions aimed at changing unhealthy behaviors. Perhaps one of the more fundamental tasks of health psychologists is to identify which groups of people are especially at risk for negative health outcomes, based on psychological or behavioral factors. For example, measuring differences in stress levels among demographic groups and how these levels change over time can help identify populations who may have an increased risk for illness or disease.

Looking Back on Stress Levels

Figure 2 depicts the results of three national surveys in which several thousand individuals from different demographic groups completed a brief stress questionnaire; the surveys were administered in 1983, 2006, and 2009 (Cohen & Janicki-Deverts, 2012). All three surveys demonstrated higher stress in women than in men. Unemployed individuals reported high levels of stress in all three surveys, as did those with less education and income; retired persons reported the lowest stress levels. However, from 2006 to 2009 the greatest increase in stress levels occurred among men, White people, people aged 45–64, college graduates, and those with full-time employment.

Graphs a through f show mean stress scores in 1983, 2006, and 2009, and how they have been impacted by different factors. Graph a shows the relationship between mean stress score and sex. The mean stress score for men steadily increased from 12 in 1983 to a little over 14 in 2006 to a little over 15 in 2009. The mean stress score for women increased rapidly from a little under 13 in 1983 to 16 in 2006 and remained the same in 2009. The graph indicates that the mean stress score for women is higher than the mean stress score for men overall. Graph b shows the relationship between mean stress score and age. The mean stress scores for people under 25 years old increased from a little over 14 in 1983 to a little over 18 in 2006, and then decreased to 17 in 2009. The mean stress scores for people 25 to 34 years old increased from a little under 14 in 1983 to 18 in 2006, then decreased to a little over 16 in 2009. The mean stress scores for people 35–44 years old increased from 13 in 1983 to a little under 17 in 2006, then decreased to a little over 16 in 2009. The mean stress scores for people 45–54 years old from a little under 13 in 1983 to 15 in 2006, then increased to a little under 17 in 2009. The mean stress scores for people 55–64 years old steadily increased from 12 in 1983 to a little over 13 in 2006 to a little over 14 in 2009. The mean stress scores for people 65 years old or older decreased from 12 in 1983 to a little under 11 in 2006, then slightly increased to 11 in 2009. Graph c shows the relationship between mean stress score and race. The mean stress scores for White people steadily increased from a little under 13 in 1983 to 15 in 2006 to a little over 15 in 2009. The mean stress scores for Black people increased from a little over 15 in 1983 to a little over 16 in 2006, then slightly decreased to a little over 15 in 2009. The mean stress scores for Hispanic people steadily increased from 14 in 1983 to a little under 16 in 2006 to 17 in 2009. The mean stress score for people classified as “Other” increased from 14 in 1983 to a little over 17 in 2006 where it remained. Graph d shows the relationship between mean stress scores and education. The mean stress scores for those with less than a high school education steadily increased from a little over 14 in 1983 to a little over 17 in 2006 to 19 in 2009. The mean stress scores for those with a high school education increased from 12 in 1983 to a little over 16 in 2006 and remained the same in 2009. The mean stress scores for those with some college education increased from 12 in 1983 to a little over 15 in 2006, then slightly increased to a little under 16 in 2009. The mean stress scores for those with a bachelor’s degree steadily increased from 12 in 1983 to a little over 13 in 2006 to 15 in 2009. The mean stress scores for those with advanced degrees also steadily increased, from a little over 11 in 1983 to 13 in 2006 to a little under 15 in 2009. Graph e shows the relationship between mean stress scores and employment status. The mean stress scores for those with full time employment status steadily increased from a little over 12 in 1983 to 15 in 2006 to 16 in 2009. The mean stress scores for those with part time employment status increased from 14 in 1983 to 16 in 2006, then decreased to 15 in 2009.The mean stress scores for those who were unemployed rapidly increased from a little over 16 in 1983 to 20 in 2006, then decreased back to a little over 16 in 2009. The mean stress scores for those who were retired remained lower than the other groups, remaining at a little under 12 in 1983 and 2006, then slightly increasing to a little over 12 in 2009. Graph f shows the relationship between the mean stress score and income in U.S. dollars. The mean stress scores for those with an income of $25,000 or lower steadily increased from a little over 15 in 1983 to 17 in 2006 to a little under 18 in 2009. The mean stress scores for those with an income of $25,001 to $35,000 steadily increased from 14 in 1983 to 16 in 2006 to a little under 17 in 2009. The mean stress scores for those with an income of $35,001–$50,000 steadily increased from a little under 13 in 1983 to a little over 15 in 2006 to a little over 16 in 2009. The mean stress scores for those with an income of $50,001–$75,000 increased rapidly from 12 in 1983 to a little under 15 in 2006, then slightly increased to a little over 15 in 2009. The mean stress scores for those with an income of $75,001 or more steadily increased from 12 in 1983 to a little under 13 in 2006 to a little over 14 in 2009.
Figure 2. The charts above, adapted from Cohen & Janicki-Deverts (2012), depict the mean stress level scores among different demographic groups during the years 1983, 2006, and 2009. Across categories of sex, age, race, education level, employment status, and income, stress levels generally show a marked increase over this quarter-century period. Stress levels trended downward during the 2010s but have been on the rise since 2018, with an increase again caused by the Covid-19 pandemic in 2020 and ensuing inflation.

One interpretation of these findings is that concerns surrounding the 2008–2009 economic downturn (e.g., threat of or actual job loss and substantial loss of retirement savings) may have been especially stressful to White, college-educated, employed men with limited time remaining in their working careers. Similarly, the COVID-19 pandemic in 2020 and 2021 was particularly stressful for younger people, as Gen Z and Millenials reported higher stress levels than older Americans.

More Recent Reports

A 2022 report from the APA revealed that 27% of adults said they were “so stressed they cannot function,” but only 4% of people above age 65 felt that way. Forty-six percent of those under age 35 felt that extreme level of stress, and the number was even higher (56%) for Black adults under age 35.[2]

It is important to note that when stress levels are examined by race/ethnicity, BIPOC populations (i.e., Black, Indigenous, and people of color) show higher levels of stress than White people. This has been explained as a result of discrimination, stress due to socioeconomic factors, and other variables.[3]

Look at more recent causes of stress and its reported impact among various social groups by visiting the Stress in America: Interactive Graphics website.


  1. American Psychological Association. (2022). Stress in America 2022: Concerned for the future, beset by inflation. Retrieved from https://www.apa.org/news/press/releases/stress/2022/concerned-future-inflation.
  2. American Psychological Association. (2022). Stress in America 2022: Concerned for the future, beset by inflation. Retrieved from https://www.apa.org/news/press/releases/stress/2022/concerned-future-inflation.
  3. Fact sheet: Health disparities and stress. https://www.apa.org/topics/racism-bias-discrimination/health-disparities-stress