The fifth global factor, Anxiety/neuroticism, then loads on both of these third-order factor. This suggests that the distress described by Anxiety could arise either in the inward/outward engagement domain or in the more internaliz unrestrained creativity/self-disciplined practicality domain. Additionally, high levels of distress may effect either of these areas. This is consistent with the wide range of outward and inward human capacities that can potentially become unbalanced, or can be affected by stress.