The annual Gallup Global Emotions Report attempts to measure life’s intangibles — feelings and emotions — and provides a snapshot of people’s daily experiences. The survey focused on the previous day’s experience. Gallop then ranked each country on both the Positive Experience Index and the Negative Experience Index.

Of some 151,000 adults surveyed across 143 countries for the report, a third said they suffered stress and at least 20%  experienced sadness or anger.

The five questions on Gallup’s Positive Experience Index questions focused on the previous day and asked if they felt well-rested, if they were treated with respect, if they smiled or laughed a lot, if they did something interesting, and if they experienced enjoyment.

Overall, 71% of the adults worldwide said they experienced a lot of enjoyment, 72% felt well-rested, 74% claimed to have smiled or laughed a lot, and 87% felt treated with respect.

According to the report, the top 10 countries on the Positive Experience Index are:

Paraguay has been consistently topped the list since 2015. A record 91% Paraguayans told Gallup they experienced enjoyment, 83% felt well-rested, 64% learned something new, 89% smiled a lot, and 97% participants felt respected.

The countries scoring the lowest on the Positive Experience Index were:

Higher scores mean that positive emotions are more pervasive in a country. These scores strongly relate to people’s perceptions about their living standards, personal freedoms and the presence of social networks. The report acknowledges the Positive Experience Index reflects the cultural tendency in Latin America to “focus on life’s positives”.

In 2015, the USA was ranked 15th on the list. Now the USA is ranked the 39th most positive country. Today, Americans are the most stressed population in the world. Nearly half (45%) felt worried a lot and more than one in five (22%) felt angry a lot.

The UK ranked 46th and India ranked 93rd on the Positive Experience Index.

For the Negative Experience Index, Gallop asked if the previous day they had experienced physical pain, worry, sadness, stress, and anger.

Globally, 39% of the adults surveyed said they experienced a lot of worry, 35% experienced stress, and 31% experienced a lot of physical pain, 24% experienced sadness, and 22% anger.

The annual report indicates the global trend is that people around the world are becoming more angry, stressed, and worried.

The countries scoring highest on the Negative Experience Index were:

The higher the score, the more negative the experience. Taiwan scored the lowest (which is a good thing) at 14%. Topping the Negative Experience Index score is Chad.

A high number of Chadians experienced physical pain (66%) and felt worried (61%) during much of the previous day. 54% felt sadness and 51% felt stress.

Chad was one of 10 countries worldwide where more than half of the population was in a lot of physical pain the previous day. Chadians also were more likely than any other population on the planet to report feeling pain and sadness the previous day.

More than four in 10 residents in Morocco (41%), Palestinian Territories (43%), Iran (43%), Iraq (44%) and Armenia (45%) said they were angry a lot the previous day.

The report concluded that levels of stress worldwide were at a new high (35%).

Despite Chad’s high score for negative experiences index, Greeks and Americans were more stressed. For the third consecutive year, Greece was the most stressed country in the world, with 59% saying they experienced a lot of stress the day before the survey. Americans were not far behind at 55%.

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