This is the only possible correct explanation. There have been many open answers during the movie, until the flashback scene. But here we can see that Vera isn't just a neglected woman, or trapped in a life in wilderness that she can't handle.
She is simply clinically ill, she has a severe depression. Not the "depression" that makes millions of people take unnecessary pills hoping that they will magically make their life a rose garden, a "disease" invented either for growth of pharmaceutical industry's incomes, or to control people by addicting them to drugs; no, this is a real depression that really destroys lives of the patient as well as family and others related to him/her.
But, though the frequent final solution for depressive people appears to be suicide, Vera isn't able to commit it. Is it either because of fear, or religion (and her sick mind uses the religion to create her own philosophy and life standards), but she can't force herself to perform it to the end. So she makes a whole rather complicated plan - something not unusual for people who spend their days and nights (having a lot of time as often suffering from insomnia) to create and then add, fulfill, update their versions of reality - and simply uses her husband as a weapon, as an instrument of her suicide. She leads their life to the point where, whatever he might do, ends with her death.
And also, everything is settled that he will have his conscience burdened: it will be his crime and punishment, even if he once realizes that he was manipulated he will never be free from the feeling that he caused the death of his wife, mother of his children, even the death of his unborn child.
Finally, some people emphasize that she hasn't been satisfied with her marriage. We could sympathize with her till that last flashback. But then we see that she has lost touch with reality, she even manipulated Robert, and we can't be sure what was the truth about her marriage. After all, Robert helped her because Alex was away from home because of his job, and Robert found him a new job so he could be more with his family. Does it fit into the picture of a classic bad, tyrant husband like Vera describes Alex to Robert? Or is this also a self-created torture of a sick mind, a consequence of the disease that Alex didn't have a chance to recognize being away from the family for the long time (something very common in post-communist societies).
I don't want to say that Alex is perfect. I would never say that a man who just for a second thinks of killing his wife is a saint, and even more, he almost forces her to do an abortion. But (not to defend him) we must have in mind that this is still a very patriarchal society - just remember the scene when Kir, Vera's preteen son, realizes that Robert has been alone with his mother. This is something that his mother was not supposed to do, and he can't keep it a secret from his father. But it is not Alex that planted this ideas in Kir, it is the society, the tradition, the mentality. Something that Vera had no chance to cope with.
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