Which factors are most relevant to overall psychological health? a. emotional and mental states b. aerobic and anaerobic capacity c. emotional and cultural awareness d. external and internal networks?

The factors are emotional and mental states.
Even though external factors such as environment would greatly affect our psychological health, internal factors such as emotional and mental states play a more crucial roles in determining our psychological health.
For example, even if you're born in a wealthy family, if your need for emotional affection is not fulfilled, you're most likely to be psychologically unhealthy.