I am sure I have read that it isn't just links, but quite happy for MOZ to put this right.
What makes me thing it isn't just links, is this:
The best way to influence this metric is to improve your overall SEO. In particular, you should focus on your link profile—which influences MozRank and MozTrust
So it says to focus on your link profile, but improve your overall SEO - I would assume from this that it is more heavily biased towards links, but that isn't the end of it.
-Andy