The United Health Foundation's America's Health Rankings released data on states with the most and least mental distress.
The survey asked residents to report whether their mental health was not good for 14 out of the last 30 days to calculate mental distress.
While the national average was 14.7 percent, residents from six states reported average mental distress more frequently.
1. West Virginia: 19.3 percent
T-2. Alabama: 18.4 percent
T-2. Arkansas: 18.4 percent
3. Tennessee: 18 percent
4. Kentucky: 17.9 percent
5. Louisiana: 17.8 percent
6. Nevada: 17.6 percent
7. Oklahoma: 17.4 percent
8. Utah: 17.1 percent
9. South Carolina: 16.7 percent
Note: Data was unavailable for Florida.