“…To improve the long-term OCD symptoms and well-being of adults with OCD, we must determine potential predictors of adverse prognoses. Possible predictors of long-term OCD symptoms include being male (Eisen et al, 2010(Eisen et al, , 2013, being unmarried (Steketee et al, 1999;Van Oudheusden et al, 2018), earlier age at onset and longer duration of untreated OCD (Eisen et al, 2013;Perris et al, 2021), longer duration of OCD (Eisen et al, 2013;Fineberg et al, 2013;Van Oudheusden et al, 2018), greater severity of symptoms (Eisen et al, 2013;Van Oudheusden et al, 2018), lower global functioning (Steketee et al, 1999;Nakajima et al, 2018), family accommodation (Nakajima et al, 2018), and hoarding symptoms (Nakajima et al, 2018).…”