Answer:
yes it could be caused by abuse and abandonment such as narcissism, but it can also just be a genetic thing that happens
1. Vaccines
2. Safer and healthier foods
3. Control of infectious diseases
4. Safer workplaces
5. Mental illness
6. Improving healthcare delivery
7. Premature mortality
8. Diabetes
9. Obesity
10. Aging population
11. Disability
12. Unintended pregnancies
13. Use of tobacco or other drugs
14. Cancer
15. Multimorbidity
The things you can do mentally and physically in daily life, or under pressure.