What emotion does "anguish" primarily convey?

The term "anguish" primarily conveys a deep sense of distress or suffering. It is associated with profound emotional pain, anxiety, or torment. This is often a result of circumstances that are overwhelming, tragic, or beyond one’s control, leading to feelings of despair or intense physical and emotional suffering. Understanding this context highlights why "distress" is the appropriate emotion associated with "anguish," as it captures the essence of deep emotional turmoil accurately, setting it apart from more positive or neutral emotions like joy, pleasure, or excitement.