This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Miscellaneous, Subject name: Psychiatry
[{'content': 'All of the following are signs of poor prognosis in obsessive-compulsive disorder (OCD) except? \nSelect and explain. \nA. Good social adjustment, B. Coexisting major depression, C. Childhood onset, D. Bizarre compulsions', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. A. Good social adjustmentA good prognosis for people with obsessive-compulsive disorder (OCD) is indicated by good social and occupational adjustment, the presence of a precipitating event, and an episodic nature of symptoms. About one-third of patients with OCD have major depressive disorder, and suicide is a risk for all patients with OCD. A poor prognosis is indicated by yielding to (rather than resisting) compulsions, childhood onset, bizarre compulsions, the need for hospitalization, a coexisting major depressive disorder, delusional beliefs, the presence of overvalued ideas (i.e., some acceptance of obsessions and compulsions), and the presence of a personality disorder (especially schizotypal personality disorder). The obsessional content does not seem to be related to the prognosis.', 'role': 'assistant'}]