Final answer:
In schizoaffective disorder, the bipolar type indicates a better prognosis compared to other prognostic factors like early onset, absence of precipitating factors, predominance of psychotic symptoms, and the depressive type.
Step-by-step explanation:
In evaluating the prognosis of an individual with schizoaffective disorder, several factors can indicate a poorer outcome. Factors that tend to be associated with a poor prognosis include having no precipitating factors, a predominance of psychotic symptoms, and early onset of the disorder. However, when it comes to the subtypes of schizoaffective disorder, the schizoaffective, bipolar type is generally associated with a more favorable prognosis compared to the depressive type.
The bipolar type of schizoaffective disorder is characterized by episodes of mania, which may include increased energy, euphoria, and decreased need for sleep. While this subtype shares many psychotic and affective symptoms with other forms of the disorder, the presence of manic episodes can lead to better outcomes in terms of the severity and duration of the psychotic episodes. Therefore, in answer to the question, all of the following indicate a poor prognosis except for Option D: Schizoaffective, Bipolar type.