Saving for retirement is no longer the top financial issue causing American workers stress, according to a new survey from the Employee Benefit Research Institute (EBRI) and Greenwald Research.

Having enough savings to pay for an emergency has moved up to the top stress-causing financial issue among employees, the survey says—a first in its four-year history.

In fact, nearly half of respondents said they would have to dip into their savings or investment portfolios to pay for an unexpected expense of $5,000 or more.

“What we found surprising is that this is the first year that saving for retirement is not the primary financial stress factor for employees,” said Jake Spiegel, an EBRI research associate, in a press release. “Instead, we found that day-to-day issues like emergency savings and paying for household bills are top of mind for workers.”

Handling monthly expenses came in as the second most stress-inducing financial issue for those surveyed. Saving enough for retirement dropped to third place.

At the same time, more than 80% of workers surveyed are at least “somewhat concerned” there will be a recession in the next year or that inflation will remain high, or both. Three-quarters of respondents shared that their household’s debt level was a problem, too.

In all, more than half of respondents agreed that worrying about finances distracts from their work.

Another significant change from previous years is a drop-off in the percentage of respondents who said they are extremely or very satisfied with their benefits package. In the current survey, 40% of employees were in that camp, versus 44% last year and 51% in 2021.

Nevertheless, 70% of respondents reported that their benefits package is “somewhat” designed to meet their needs. Only 22% were simply not satisfied with their benefits at all.

Health insurance was ranked as the most important employment-based benefit. Fully 70% of respondents said that health coverage was the main reason they stayed in their current job. But only 55% of those surveyed said they are satisfied with their current health coverage. An equal percentage said that mental health benefits have become more important to offer in the past year.

On overall measures of job satisfaction, 51% of those surveyed said they were extremely or very satisfied.

Still, job insecurity is a major factor. Two-thirds of respondents reported feeling at least somewhat concerned that their employer will lay off employees or reduce hours, while roughly three-quarters worry that their employers will not offer raises or bonuses.

These stressors take a toll. Nearly 75% of respondents said they are moderately or highly “concerned” about their emotional well-being or mental health, and another quarter rated their mental health as “fair or poor.” Roughly half of those surveyed said they feel stressed “often or always,” nearly 40% reported frequently feeling anxiety or depression, and a quarter said they wrestle with loneliness.

The economic impact of these mental health issues: Half of respondents reported that their mental health and wellbeing negatively impact their performance at work.

One significant contributor to workplace anxiety is caregiving responsibilities. Nearly 60% of respondents said that they struggle to balance work and caregiving for a child, elder, or disabled person. Of the 1,505 full-time and part-time employees surveyed online in July and August this year, who ranged in age from 21 to 64, roughly half worked at least part-time as caregivers. Three-quarters of caregivers reported struggling to “find balance.”

Overall, 60% of workers surveyed acknowledged that they do not feel financially prepared to reduce their work hours if they ever need to devote more time to caring for loved ones.