The patient could have been experiencing constrictive pericarditis in which they respond to the conditions that the patient is experiencing above. This is a cardiovascular inflammation that enables the pericardum to lose its elasticity in which they are the ones who are responsible in surrounding the heart and promotes its elasticity. With this inflammation, this could make the pericardium rigid and lose its elasticity.
Answer: One factor is having the child raised around or in a negative environment.
Another factor is not uplifting the child. Disrespecting and/or belittling the child can cause low self-esteem which could tag along for the rest of the kid's life .