Further analysis supports the contention that raising clinical significance criterion distress thresholds substantially reduces subsyndromal depression prevalence. The National Comorbidity Survey Replication liberally allowed positive answers to any of four questions to establish distress, and the threshold was "moderate/sometimes." Our analysis included all non-major depression sadness cases (N=817), a heterogeneous mix. To more closely examine Dr. Baumeisterâs claim, we reanalyzed the data, including only respondents reporting sadness plus between one and three additional symptoms (N=241), using one-item criteria. For the item, "severity of emotional distress during sad episode," moving the threshold from "moderate" to "severe" reduced the rate of prevalence in the sample from 85% to 34% (if "very severe," to 7%). Using the more stringent item "emotional distress so severe could not carry out activities," moving the threshold from "sometimes" to "often" reduced the rate of prevalence from 21% to 5%.