Druzella Tends to Worry Quite a Bit About Her Appearance

Druzella tends to worry quite a bit about her appearance, particularly since her body began changing last year when she entered puberty. Which of the following factors may contribute to this concern, as well as to her dissatisfaction with her appearance?

A) If she is heterosexual.
B) If appearance is a frequent topic of conversation with her friends.
C) If she has parents who are only "moderately" attractive at best.
D) If she is does not perform well academically.