Step-by-step explanation:
Sofia being a refugee from war torn nation is very difficult and hard to accept and bear. Such state of mind leads to negativity and pessimistic.
She has no or very less food to eat. And being poor to buy the necessary food item, Sofia feels weak and feeble due to lack of energy. She is also malnourished due to poor nutrition.
She is also lonely and out of social contact and is depressed. Thus all these stresses worsen her health and affects her state of of mind in a negative way.