Chapter 4.5 · The young and the anxious
Mental distress in young adults
Frequent mental distress among adults 18 to 24 rose from 12.3% in 2014 to 25.3% in 2022 and was 21.8% in 2024, in a survey that draws new adults each year.
In 2014, 12.3%12.3% percent of respondents who reported frequent mental distress (14 or more of the past 30 days with mental health not good)Estimanddesign-based weighted share of respondents, logit interval from Taylor linearizationInterval95% CI 11.6% to 13.0%n23,152 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the 50 states and DCPeriod2014SourceBRFSS of adults 18 to 2418 to 24 years of ageEstimanddefinition used in this chapter, not an estimateWeightsnone (definition)Populationan age group of respondents defined in this chapterPeriod2014 to 2024SourceBRFSS told the Behavioral Risk Factor Surveillance System (BRFSS) that their mental health had not been good on 1414 days of poor mental health in the past 30Estimanddefinition used in this chapter, not an estimateWeightsnone (definition)Populationcutoff for frequent mental distressPeriod2014 to 2024SourceBRFSS or more of the past 3030 days in the recall period of the questionEstimanddefinition used in this chapter, not an estimateWeightsnone (definition)Populationthe BRFSS mental health questionPeriod2014 to 2024SourceBRFSS days. The CDC calls that frequent mental distress.[1] In 2022 the share among adults of the same ages was 25.3%25.3% percent of respondents who reported frequent mental distress (14 or more of the past 30 days with mental health not good)Estimanddesign-based weighted share of respondents, logit interval from Taylor linearizationInterval95% CI 24.4% to 26.2%n25,815 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the 50 states and DCPeriod2022SourceBRFSS, and in 2024 it was 21.8%21.8% percent of respondents who reported frequent mental distress (14 or more of the past 30 days with mental health not good)Estimanddesign-based weighted share of respondents, logit interval from Taylor linearizationInterval95% CI 20.9% to 22.7%n28,711 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the 50 states and DCPeriod2024SourceBRFSS. The survey draws new adults every year, so the young adults who answered in 2022 are a different set of people from those who answered in 2014.
How distress by age changed from 2014 to 2024
Figure 1 follows six age groups of adults through the survey years. In 2014 the rate for the youngest group differed from that for adults 50 to 6450 to 64 years of ageEstimanddefinition used in this chapter, not an estimateWeightsnone (definition)Populationan age group of respondents defined in this chapterPeriod2014 to 2024SourceBRFSS, the middle-aged group, by −0.2 (95% CI −1.0 to 0.5)−0.2 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, adults 18 to 24 minus adults 50 to 64Interval95% CI −1.0 to 0.5n164,132 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 and adults 50 to 64 in the 50 states and DCPeriod2014SourceBRFSS points, an interval that includes zero. In 2022 the difference was +11.6 (95% CI 10.6 to 12.6)+11.6 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, adults 18 to 24 minus adults 50 to 64Interval95% CI 10.6 to 12.6n136,149 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 and adults 50 to 64 in the 50 states and DCPeriod2022SourceBRFSS points. The interval for the difference first lies above zero in 2015, where it only just clears zero, and it stays above zero in every later year.
Every age group's rate was higher in 2024 than in 2014, and the rise was larger for the younger groups. The youngest group's rate peaked in 2022.
Figure 1
Frequent mental distress among adults 18 to 24 rose from 12.3% in 2014 to 25.3% in 2022, while the rate for adults 50 to 64 moved from 12.5% to 13.8%
Adults reporting 14 or more of the past 30 days with mental health not good, percent, by age group and survey year, 50 states and DC, 2014 to 2024
Adults with frequent mental distress (%)
Show data
| age_group | conf_high | conf_low | n | rate | year |
|---|---|---|---|---|---|
| 18 to 24 | 13.02 | 11.63 | 23,152 | 12.31 | 2014 |
| 25 to 34 | 13.14 | 12.02 | 41,901 | 12.57 | 2014 |
| 35 to 49 | 12.73 | 11.87 | 83,788 | 12.29 | 2014 |
| 50 to 64 | 12.89 | 12.19 | 140,980 | 12.53 | 2014 |
| 65 to 74 | 8.46 | 7.66 | 87,891 | 8.05 | 2014 |
| 75 and older | 6.97 | 6.14 | 65,066 | 6.54 | 2014 |
| 18 to 24 | 13.94 | 12.50 | 23,237 | 13.20 | 2015 |
| 25 to 34 | 12.85 | 11.76 | 41,226 | 12.29 | 2015 |
| 35 to 49 | 12.83 | 12.01 | 78,275 | 12.41 | 2015 |
| 50 to 64 | 12.69 | 11.99 | 131,942 | 12.34 | 2015 |
| 65 to 74 | 8.29 | 7.53 | 85,003 | 7.90 | 2015 |
| 75 and older | 7.16 | 6.28 | 62,287 | 6.71 | 2015 |
| 18 to 24 | 15.19 | 13.78 | 25,698 | 14.47 | 2016 |
| 25 to 34 | 13.36 | 12.34 | 46,871 | 12.84 | 2016 |
| 35 to 49 | 12.63 | 11.81 | 84,600 | 12.21 | 2016 |
| 50 to 64 | 12.91 | 12.18 | 141,807 | 12.54 | 2016 |
| 65 to 74 | 8.24 | 7.50 | 96,271 | 7.86 | 2016 |
| 75 and older | 7.03 | 6.11 | 68,252 | 6.56 | 2016 |
| 18 to 24 | 17.36 | 15.73 | 25,372 | 16.53 | 2017 |
| 25 to 34 | 14.13 | 13.06 | 45,868 | 13.59 | 2017 |
| 35 to 49 | 13.43 | 12.50 | 79,509 | 12.96 | 2017 |
| 50 to 64 | 13.20 | 12.40 | 128,729 | 12.79 | 2017 |
| 65 to 74 | 8.99 | 8.11 | 88,940 | 8.54 | 2017 |
| 75 and older | 7.44 | 6.35 | 62,621 | 6.88 | 2017 |
| 18 to 24 | 18.69 | 17.11 | 25,142 | 17.89 | 2018 |
| 25 to 34 | 15.75 | 14.59 | 45,106 | 15.16 | 2018 |
| 35 to 49 | 13.06 | 12.20 | 78,100 | 12.62 | 2018 |
| 50 to 64 | 13.19 | 12.39 | 120,693 | 12.78 | 2018 |
| 65 to 74 | 9.04 | 8.20 | 85,844 | 8.61 | 2018 |
| 75 and older | 7.31 | 6.28 | 61,123 | 6.78 | 2018 |
| 18 to 24 | 21.36 | 19.62 | 24,005 | 20.47 | 2019 |
| 25 to 34 | 17.05 | 15.87 | 41,979 | 16.45 | 2019 |
| 35 to 49 | 14.12 | 13.20 | 71,943 | 13.65 | 2019 |
| 50 to 64 | 13.43 | 12.63 | 110,630 | 13.03 | 2019 |
| 65 to 74 | 9.57 | 8.67 | 83,604 | 9.11 | 2019 |
| 75 and older | 7.15 | 6.32 | 62,675 | 6.72 | 2019 |
| 18 to 24 | 19.92 | 18.08 | 24,611 | 18.98 | 2020 |
| 25 to 34 | 17.37 | 16.05 | 42,467 | 16.70 | 2020 |
| 35 to 49 | 14.85 | 13.80 | 74,669 | 14.31 | 2020 |
| 50 to 64 | 13.29 | 12.29 | 104,594 | 12.78 | 2020 |
| 65 to 74 | 9.27 | 8.29 | 76,936 | 8.77 | 2020 |
| 75 and older | 7.85 | 6.55 | 55,856 | 7.17 | 2020 |
| 18 to 24 | 23.54 | 21.71 | 25,110 | 22.61 | 2021 |
| 25 to 34 | 18.98 | 17.69 | 45,683 | 18.33 | 2021 |
| 35 to 49 | 15.88 | 14.82 | 83,630 | 15.34 | 2021 |
| 50 to 64 | 13.91 | 13.05 | 112,559 | 13.47 | 2021 |
| 65 to 74 | 9.48 | 8.46 | 85,976 | 8.96 | 2021 |
| 75 and older | 8.55 | 7.39 | 61,800 | 7.95 | 2021 |
| 18 to 24 | 26.23 | 24.42 | 25,815 | 25.32 | 2022 |
| 25 to 34 | 20.91 | 19.60 | 45,803 | 20.25 | 2022 |
| 35 to 49 | 16.77 | 15.83 | 83,622 | 16.30 | 2022 |
| 50 to 64 | 14.19 | 13.33 | 110,334 | 13.75 | 2022 |
| 65 to 74 | 10.66 | 9.69 | 87,158 | 10.17 | 2022 |
| 75 and older | 8.75 | 7.66 | 65,683 | 8.19 | 2022 |
| 18 to 24 | 24.19 | 22.32 | 25,296 | 23.24 | 2023 |
| 25 to 34 | 21.39 | 19.98 | 44,320 | 20.67 | 2023 |
| 35 to 49 | 17.38 | 16.27 | 79,779 | 16.82 | 2023 |
| 50 to 64 | 14.30 | 13.37 | 103,393 | 13.83 | 2023 |
| 65 to 74 | 9.99 | 8.98 | 86,587 | 9.47 | 2023 |
| 75 and older | 8.17 | 7.24 | 70,449 | 7.69 | 2023 |
| 18 to 24 | 22.65 | 20.95 | 28,711 | 21.79 | 2024 |
| 25 to 34 | 21 | 19.62 | 48,280 | 20.30 | 2024 |
| 35 to 49 | 17.76 | 16.73 | 85,851 | 17.24 | 2024 |
| 50 to 64 | 14.89 | 13.94 | 106,111 | 14.41 | 2024 |
| 65 to 74 | 10.05 | 9.15 | 89,682 | 9.59 | 2024 |
| 75 and older | 8.01 | 7.05 | 75,841 | 7.52 | 2024 |
The colored line for the youngest group starts beside the colored line for the middle-aged group in 2014, climbs to a peak in 2022 and falls in 2024. The four grey lines show the other age groups. Each line is the weighted share of respondents in one age group who reported frequent mental distress in that survey year, and the bands are 95% intervals for the two colored groups. Values in Table 1.
Seen across five-year age bands, the change is one of shape. In 2014 to 2016 the rate in every band from the youngest through the late fifties lay between 11.7%11.7% percent of respondents who reported frequent mental distress (14 or more of the past 30 days with mental health not good)Estimandlowest of eight design-based band estimatesWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationthe eight five-year age bands from 18 to 59Period2014 to 2016SourceBRFSS and 13.3%13.3% percent of respondents who reported frequent mental distress (14 or more of the past 30 days with mental health not good)Estimandhighest of eight design-based band estimatesWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationthe eight five-year age bands from 18 to 59Period2014 to 2016SourceBRFSS, and it fell from the sixties to the oldest band. In 2022 to 2024 it falls with age from the youngest band to the oldest, with a flat stretch through the fifties.
How the survey measures distress
The BRFSS is an annual telephone survey run by the CDC with state health departments. The chapter uses its public files for 2014 to 2024, which hold 4,600,0004,626,736 respondentsEstimandcount of respondent rowsn4,626,736 respondentsWeightsnone (unweighted count)Populationrespondents in the 50 states and DC with a valid answer to the distress question and an age groupPeriod2014 to 2024SourceBRFSS respondents in the states and the District of Columbia with an answer to the distress question and an age group. Respondents count the days in the past month when their mental health, which includes stress, depression and problems with emotions, was not good.[2] The answer is a self-report about one month and not a diagnosis, so a rise in it can reflect more distress, more willingness to describe it, or both.
Every estimate uses the survey weightsSurvey weightsNumbers attached to survey respondents that say how many people in the population each one represents, so that results describe the whole population and not only the people who answered. together with the survey's strata and sampling units, and every interval is a 95% interval. Comparisons by period pool 2014 to 2016, 2017 to 2019 and 2022 to 2024, which leaves out the pandemic years 2020 and 2021. Because each year is a new sample, the data cannot separate age, survey year and birth cohort, and the chapter makes none of the extra assumptions that separating them would need. The report gives every estimate with its interval and sample size.
In the lowest income bracket the age pattern reverses
The difference between young and middle-aged adults depends on household income. Figure 2 crosses age group with five brackets of household income in 2022 to 2024. In the top bracket, the youngest adults exceeded middle-aged adults by +13.0 (95% CI 11.9 to 14.2)+13.0 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, adults 18 to 24 minus adults 50 to 64Interval95% CI 11.9 to 14.2n155,745 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 and 50 to 64 in the top household income bracketPeriod2022 to 2024SourceBRFSS points, and they were also higher in the three brackets between the top and the lowest. In the lowest bracket the sign reversed, at −6.0 (95% CI −8.1 to −3.8)−6.0 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, adults 18 to 24 minus adults 50 to 64Interval95% CI −8.1 to −3.8n34,104 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 and 50 to 64 in the lowest household income bracketPeriod2022 to 2024SourceBRFSS points, so the youngest adults reported less frequent distress than middle-aged adults in households of the same bracket.
The higher rate among the youngest adults therefore holds in the four upper brackets and not in the lowest. Among middle-aged adults the lowest bracket was 23.7 (95% CI 22.5 to 24.9)23.7 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, lowest bracket minus top bracketInterval95% CI 22.5 to 24.9n165,514 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 50 to 64 in the lowest and top household income bracketsPeriod2022 to 2024SourceBRFSS points above the top bracket, and among the youngest adults the difference was 4.7 (95% CI 2.6 to 6.8)4.7 percentage pointsEstimanddesign-based difference in weighted shares between two groups of one survey, interval from Taylor linearization, lowest bracket minus top bracketInterval95% CI 2.6 to 6.8n24,335 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the lowest and top household income bracketsPeriod2022 to 2024SourceBRFSS points, so household income separates middle-aged adults more than the youngest adults.
Figure 2
Frequent distress among adults 18 to 24 was 25.7% in the lowest household income bracket and 21.1% in the top, against 31.7% and 8.0% among adults 50 to 64
Adults reporting 14 or more of the past 30 days with mental health not good, percent, by age group and annual household income, 2022 to 2024, 50 states and DC
| Age6 | Under $20,000 | $20,000 to $34,999 | $35,000 to $49,999 | $50,000 to $74,999 | $75,000 or more |
|---|---|---|---|---|---|
| 18 to 24 | 25.7, interval 24.0 to 27.6, n = 6,442 | 28.4, interval 27.0 to 29.8, n = 12,185 | 24.4, interval 22.9 to 25.9, n = 9,476 | 21.9, interval 20.5 to 23.4, n = 9,518 | 21.1, interval 20.0 to 22.2, n = 17,893 |
| 25 to 34 | 27.1, interval 25.4 to 28.7, n = 9,188 | 25.1, interval 24.0 to 26.3, n = 18,236 | 24.6, interval 23.4 to 25.9, n = 16,326 | 22.4, interval 21.3 to 23.5, n = 21,228 | 15.6, interval 15.0 to 16.2, n = 51,332 |
| 35 to 49 | 32.9, interval 31.4 to 34.5, n = 16,152 | 22.6, interval 21.7 to 23.6, n = 26,204 | 20.8, interval 19.8 to 21.9, n = 21,544 | 18.5, interval 17.6 to 19.4, n = 29,848 | 11.9, interval 11.6 to 12.3, n = 121,548 |
| 50 to 64 | 31.7, interval 30.5 to 32.9, n = 27,662 | 22.1, interval 21.1 to 23.0, n = 36,505 | 15.8, interval 14.9 to 16.7, n = 27,226 | 13.3, interval 12.5 to 14.1, n = 39,413 | 8.0, interval 7.7 to 8.3, n = 137,852 |
| 65 to 74 | 18.3, interval 17.0 to 19.7, n = 19,938 | 13.4, interval 12.7 to 14.2, n = 39,906 | 10.9, interval 10.1 to 11.8, n = 32,992 | 7.9, interval 7.3 to 8.5, n = 41,346 | 5.4, interval 5.0 to 5.8, n = 76,414 |
| 75 and older | 13.5, interval 12.2 to 15.0, n = 13,098 | 10.0, interval 9.2 to 10.8, n = 37,533 | 7.1, interval 6.5 to 7.8, n = 29,842 | 6.7, interval 6.1 to 7.3, n = 30,253 | 5.4, interval 4.9 to 5.9, n = 44,963 |
Show data
| age6 | conf_high | conf_low | inc5 | n | rate |
|---|---|---|---|---|---|
| 18 to 24 | 29.81 | 27 | $20,000 to $34,999 | 12,185 | 28.38 |
| 18 to 24 | 25.88 | 22.88 | $35,000 to $49,999 | 9,476 | 24.35 |
| 18 to 24 | 23.37 | 20.46 | $50,000 to $74,999 | 9,518 | 21.88 |
| 18 to 24 | 22.17 | 19.99 | $75,000 or more | 17,893 | 21.06 |
| 18 to 24 | 27.58 | 23.98 | Under $20,000 | 6,442 | 25.74 |
| 25 to 34 | 26.30 | 24.02 | $20,000 to $34,999 | 18,236 | 25.14 |
| 25 to 34 | 25.85 | 23.44 | $35,000 to $49,999 | 16,326 | 24.62 |
| 25 to 34 | 23.53 | 21.29 | $50,000 to $74,999 | 21,228 | 22.39 |
| 25 to 34 | 16.19 | 15.01 | $75,000 or more | 51,332 | 15.59 |
| 25 to 34 | 28.73 | 25.44 | Under $20,000 | 9,188 | 27.05 |
| 35 to 49 | 23.57 | 21.66 | $20,000 to $34,999 | 26,204 | 22.60 |
| 35 to 49 | 21.89 | 19.80 | $35,000 to $49,999 | 21,544 | 20.83 |
| 35 to 49 | 19.39 | 17.64 | $50,000 to $74,999 | 29,848 | 18.50 |
| 35 to 49 | 12.30 | 11.56 | $75,000 or more | 121,548 | 11.92 |
| 35 to 49 | 34.52 | 31.35 | Under $20,000 | 16,152 | 32.91 |
| 50 to 64 | 23.03 | 21.14 | $20,000 to $34,999 | 36,505 | 22.07 |
| 50 to 64 | 16.73 | 14.87 | $35,000 to $49,999 | 27,226 | 15.78 |
| 50 to 64 | 14.06 | 12.52 | $50,000 to $74,999 | 39,413 | 13.27 |
| 50 to 64 | 8.32 | 7.71 | $75,000 or more | 137,852 | 8.01 |
| 50 to 64 | 32.89 | 30.54 | Under $20,000 | 27,662 | 31.71 |
| 65 to 74 | 14.15 | 12.66 | $20,000 to $34,999 | 39,906 | 13.39 |
| 65 to 74 | 11.76 | 10.13 | $35,000 to $49,999 | 32,992 | 10.92 |
| 65 to 74 | 8.49 | 7.33 | $50,000 to $74,999 | 41,346 | 7.89 |
| 65 to 74 | 5.79 | 4.97 | $75,000 or more | 76,414 | 5.36 |
| 65 to 74 | 19.73 | 17.02 | Under $20,000 | 19,938 | 18.33 |
| 75 and older | 10.84 | 9.24 | $20,000 to $34,999 | 37,533 | 10.01 |
| 75 and older | 7.80 | 6.50 | $35,000 to $49,999 | 29,842 | 7.12 |
| 75 and older | 7.32 | 6.12 | $50,000 to $74,999 | 30,253 | 6.69 |
| 75 and older | 5.92 | 4.88 | $75,000 or more | 44,963 | 5.37 |
| 75 and older | 15 | 12.16 | Under $20,000 | 13,098 | 13.52 |
Cells for the youngest adults vary less across the five brackets than cells for middle-aged adults. Those run from the high end of the key in the lowest bracket to the low end in the top bracket. Each cell is the weighted share for one age group and household income bracket, with its value printed. Adults who did not report household income, 32.8%32.8% percent of adults (weighted) with no valid household incomeEstimandweighted share of respondents whose income is don't know, refused or missingWeightsBRFSS final weightPopulationadults 18 to 24 in the 50 states and DCPeriod2022 to 2024SourceBRFSS of the youngest adults in 2022 to 2024, are left out. Values in Table 6.
Two things limit what the brackets can say. Household income counts everyone in the household, so for a young adult living with parents it describes the parents' means more than the respondent's own. The brackets are also in current dollars, so rising prices move households across them over the period.
Distress beside a second question on depression
A rise in a self-reported item may partly reflect how people answer. A second BRFSS item asks whether a doctor, nurse or other health professional has ever told the respondent of a depressive disorder. Among the youngest adults the share with such a diagnosis rose by 10.1 (95% CI 9.4 to 10.7)10.1 percentage pointsEstimanddesign-based difference between two survey periods, estimated from independent samples (separate survey years), interval from Taylor linearization, late period minus early periodInterval95% CI 9.4 to 10.7n152,958 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the 50 states and DCPeriod2022 to 2024 compared with 2014 to 2016SourceBRFSS points between 2014 to 2016 and 2022 to 2024. Over the same periods frequent distress in that group rose by 10.110.1 percentage pointsEstimanddesign-based difference between two survey periods, estimated from independent samples (separate survey years), interval from Taylor linearization, late period minus early periodInterval95% CI 9.4 to 10.8n151,909 respondentsWeightsBRFSS final weight with stratum and primary sampling unit (design-based)Populationadults 18 to 24 in the 50 states and DCPeriod2022 to 2024 compared with 2014 to 2016SourceBRFSS points, close to the rise in diagnoses.
The shape of the diagnosis share across age changed as well. In 2014 to 2016 it rose with age from the youngest band to the late fifties, as an accumulating count of lifetime diagnoses would. In 2022 to 2024 the youngest adults had a diagnosis share among the highest of any age band.
Figure 3
In 2022 to 2024 the share of adults 18 to 24 ever told of depression was 25.6%, close to the 23.4% with frequent distress now
Adults with frequent mental distress and adults ever told by a health professional of a depressive disorder, percent, by five-year age band, 50 states and DC
Show data
| age_band | age_lower | conf_high | conf_low | measure | n | period_label | rate |
|---|---|---|---|---|---|---|---|
| 18 to 24 | 18 | 23.95 | 22.91 | Frequent mental distress now | 79,822 | 2022 to 2024 | 23.43 |
| 18 to 24 | 18 | 26.13 | 25.07 | Ever told of a depressive disorder | 80,455 | 2022 to 2024 | 25.60 |
| 25 to 29 | 25 | 21.84 | 20.66 | Frequent mental distress now | 64,452 | 2022 to 2024 | 21.24 |
| 25 to 29 | 25 | 25.95 | 24.73 | Ever told of a depressive disorder | 65,019 | 2022 to 2024 | 25.34 |
| 30 to 34 | 30 | 20.25 | 19.18 | Frequent mental distress now | 73,951 | 2022 to 2024 | 19.71 |
| 30 to 34 | 30 | 25.48 | 24.36 | Ever told of a depressive disorder | 74,693 | 2022 to 2024 | 24.92 |
| 35 to 39 | 35 | 18.24 | 17.23 | Frequent mental distress now | 81,594 | 2022 to 2024 | 17.73 |
| 35 to 39 | 35 | 23.36 | 22.28 | Ever told of a depressive disorder | 82,379 | 2022 to 2024 | 22.81 |
| 40 to 44 | 40 | 16.99 | 16.02 | Frequent mental distress now | 86,224 | 2022 to 2024 | 16.50 |
| 40 to 44 | 40 | 21.83 | 20.81 | Ever told of a depressive disorder | 87,077 | 2022 to 2024 | 21.32 |
| 45 to 49 | 45 | 16.64 | 15.50 | Frequent mental distress now | 81,434 | 2022 to 2024 | 16.06 |
| 45 to 49 | 45 | 21.70 | 20.52 | Ever told of a depressive disorder | 82,305 | 2022 to 2024 | 21.11 |
| 50 to 54 | 50 | 15.19 | 14.23 | Frequent mental distress now | 92,862 | 2022 to 2024 | 14.71 |
| 50 to 54 | 50 | 20.82 | 19.77 | Ever told of a depressive disorder | 93,866 | 2022 to 2024 | 20.29 |
| 55 to 59 | 55 | 15.20 | 14.23 | Frequent mental distress now | 101,915 | 2022 to 2024 | 14.71 |
| 55 to 59 | 55 | 21.23 | 20.18 | Ever told of a depressive disorder | 103,090 | 2022 to 2024 | 20.70 |
| 60 to 64 | 60 | 13.16 | 12.35 | Frequent mental distress now | 125,061 | 2022 to 2024 | 12.75 |
| 60 to 64 | 60 | 20.15 | 19.22 | Ever told of a depressive disorder | 126,705 | 2022 to 2024 | 19.68 |
| 65 to 69 | 65 | 10.44 | 9.68 | Frequent mental distress now | 136,072 | 2022 to 2024 | 10.05 |
| 65 to 69 | 65 | 18.27 | 17.35 | Ever told of a depressive disorder | 137,909 | 2022 to 2024 | 17.80 |
| 70 to 74 | 70 | 9.82 | 9.01 | Frequent mental distress now | 127,355 | 2022 to 2024 | 9.41 |
| 70 to 74 | 70 | 17.11 | 16.14 | Ever told of a depressive disorder | 129,175 | 2022 to 2024 | 16.62 |
| 75 to 79 | 75 | 9.04 | 8.22 | Frequent mental distress now | 100,143 | 2022 to 2024 | 8.62 |
| 75 to 79 | 75 | 14.81 | 13.86 | Ever told of a depressive disorder | 101,808 | 2022 to 2024 | 14.33 |
| 80 and older | 80 | 7.47 | 6.66 | Frequent mental distress now | 111,830 | 2022 to 2024 | 7.05 |
| 80 and older | 80 | 10.50 | 9.59 | Ever told of a depressive disorder | 114,825 | 2022 to 2024 | 10.04 |
The diagnosis line is above the distress line at every age, and the two lines are closest in the youngest and oldest bands. Each line is the share of adults in a five-year age band, plotted at the band's lowest age, with 95% intervals. The buttons switch to 2014 to 2016, when the diagnosis line rose from the youngest band to the late fifties. Values in Table 7.
A diagnosis depends on contact with care, which differs by age, insurance and period, so the second item is not a cleaner gauge of illness. It does show that the change is not confined to one survey question, because a different item with a different time frame moves in the same direction for the same adults.
Women reported frequent distress more often than men in every age group in both periods, and the difference between them rose most among the youngest adults. The survey's sex item changed over these years, so a change in that difference compares groups defined slightly differently. The data do not show whether the difference reflects different experience, different willingness to report, or both.
These are patterns in who reports distress among adults interviewed in different years. The BRFSS has no before and after for any respondent and no comparison group that changed for a known reason, so it cannot say why the rate rose among the young. One study the report describes has such a design, for a different group. Braghieri, Levy and Makarin compared US colleges that received Facebook at different times between 2004 and 2006 and found that the introduction of Facebook at a college worsened student mental health.[3] That result covers college students in the first years of one platform, and it does not test the BRFSS rise.
What a yearly telephone survey cannot show
Frequent mental distress is self-reported, and willingness to describe it may have changed more among the young than among the old. The survey reaches adults who live in households and answer a telephone call, so it misses people in hospitals, prisons and other institutions and people without a stable phone. Its intervals do not account for any bias from nonresponse or measurement. Each respondent's state is known and no smaller area is, so nothing here describes a neighborhood or a county. Rates for census tracts, from modeled estimates, are in Chapter 7.1, Health behaviors and the supply of care. The data also cannot say whether the fall in the youngest group's rate from 2022 to 2024 will continue.
Go deeper
- The report: every estimate with its interval and sample size.
- Tables: every figure of the report as a table.
Same question at another grain:
- Age and well-being
- Chapter 6.4, Well-being across the life span Individuals
Data sources
- BRFSSBRFSS public-use microdata, 2014-2024: days of poor mental health (core item, all years), ever told of a depressive disorder (core item, all years), age, sex, household income, education and metro status; adults in the 50 states and DCYears: 2014-2024 · Weights: design-based: final weight, stratum and primary sampling unit · License: Public domain (CDC)
References
- Zahran, H. S.; Kobau, R.; Moriarty, D. G.; Zack, M. M.; Giles, W. H.; Lando, J. (2004). Self-reported frequent mental distress among adults, United States, 1993-2001. Morbidity and Mortality Weekly Report 53(41): 963-966. www.cdc.gov/mmwr/preview/mmwrhtml/mm5341a1.htm
- Centers for Disease Control and Prevention, Disability and Health Data System (2025). Data Guides: Mental and Emotional Health. CDC Disability and Health Data System web page, last reviewed April 3, 2025. www.cdc.gov/dhds/data-guides/mental-and-emotional-health.html
- Braghieri, Luca; Levy, Ro'ee; Makarin, Alexey (2022). Social media and mental health. American Economic Review 112(11): 3660-3693. doi:10.1257/aer.20211218
How to cite
@misc{singh2026mentaldistressinyoungadults,
author = {Singh, Vishal},
title = {Mental distress in young adults},
year = {2026},
url = {https://vishalsingh.org/zipcode/mental-distress-in-young-adults},
note = {In ZIP Code Destiny. Published 9 October 2026.}
}