I'm not sure how to answer without stating the obvious (e.g. poor health reports) so I'll just state some of the causes. 1). Years of stress due to debt and ha

I'm not sure how to answer without stating the obvious (e.g. poor health reports) so I'll just state some of the causes. 1). Years of stress due to debt and having to work extremely long hours to make up for the debt. This includes less than ideal work environments. 2). Spouse being forced to take up all other responsibilities because their partner is working so much. Even though the partner is working so much, there is limited money for extra help. Plus, the constant stress of a bad financial situation. 3). Having to move every few years. Kids changing schools every few years. 4). They were a minority (not white), and were lived in places that had very few people from the same ethnic group. That's not easy, especially in schools. Ever been bullied because your lunch is different from what everybody else is eating? Prolonged stress takes a toll. This includes families who were happy with each other and lived "normal" lives until that stress began. Long term stress on a family will take a long time to resolve after things become good again.