c. 1200, "acute bodily or mental suffering," from Old French anguisse, angoisse "choking sensation, distress, anxiety, rage" (12c.), from Latin angustia (plural angustiae) "tightness, straitness, narrowness;" figuratively "distress, difficulty," from ang(u)ere "to throttle, torment" (from PIE root *angh- "tight, painfully constricted, painful").