Answer:
Mrs. Putnam's soul was twisted and her dreams were haunted by the death of all her children.
Explanation:
Mrs. Putnam has been a very unhappy woman and this has shown in her appearance, as we can see in the text shown in the question aciam. Although young, she lives as a woman with a twisted soul and troubled dreams.
This appearance occurred due to the sadness she feels at having witnessed the death of all her children, shortly after their birth.