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2/28/2026 8:32:56 AM | Browse: 3 | Download: 15
Publication Name World Journal of Psychiatry
Manuscript ID 114036
Country China
Received
2025-09-11 07:52
Peer-Review Started
2025-09-11 07:52
First Decision by Editorial Office Director
2025-10-10 03:18
Return for Revision
2025-10-10 03:18
Revised
2025-10-21 09:20
Publication Fee Transferred
2025-10-25 10:25
Second Decision by Editor
2025-12-02 02:46
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-02 06:30
Articles in Press
2025-12-02 06:30
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-02-13 03:57
Publish the Manuscript Online
2026-02-28 08:32
ISSN 2220-3206 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Psychiatry
Manuscript Type Observational Study
Article Title Clinical symptom improvement following modified electroconvulsive therapy is associated with modulation of peripheral inflammatory markers in schizophrenia
Manuscript Source Unsolicited Manuscript
All Author List Lu Hou, Ru Chen, Cheng-Bing Huang, Wen-Jie Shi and Li-Li Wu
ORCID
Author(s) ORCID Number
Lu Hou http://orcid.org/0009-0005-7559-7256
Wen-Jie Shi http://orcid.org/0000-0002-6886-8776
Funding Agency and Grant Number
Corresponding Author Wen-Jie Shi, Academic Fellow, Chief Physician, Department of Psychiatry, Huai’an Third People’s Hospital, No. 272 Huaihai West Road, Huai’an 223001, Jiangsu Province, China. shiwenjie197948@126.com
Key Words Modified electroconvulsive therapy; Schizophrenia; Immunoinflammation; Monocyte-to-lymphocyte ratio; Positive and Negative Syndrome Scale score reduction rate
Core Tip This study demonstrates that modified electroconvulsive therapy significantly improves clinical symptoms and reduces peripheral inflammatory markers - including monocyte-to-lymphocyte ratio (MLR), neutrophil-to-lymphocyte ratio, and systemic immune-inflammatory indices - in patients with schizophrenia. Reductions in MLR were strongly correlated with clinical improvement and served as a robust predictor of treatment response. Specifically, each 0.1-unit increase in ΔMLR was associated with a 57% higher likelihood of significant symptom improvement. These findings suggest an immunomodulatory mechanism of modified electroconvulsive therapy and support the use of MLR as a potential biomarker for predicting treatment efficacy.
Publish Date 2026-02-28 08:32
Citation

Hou L, Chen R, Huang CB, Shi WJ, Wu LL. Clinical symptom improvement following modified electroconvulsive therapy is associated with modulation of peripheral inflammatory markers in schizophrenia. World J Psychiatry 2026; 16(3): 114036

URL https://www.wjgnet.com/2220-3206/full/v16/i3/114036.htm
DOI https://dx.doi.org/10.5498/wjp.v16.i3.114036
Full Article (PDF) WJP-16-114036-with-cover.pdf
STROBE Statement 114036-STROBE-statement.pdf
Manuscript File 114036_Auto_Edited_013204.docx
Answering Reviewers 114036-answering-reviewers.pdf
Audio Core Tip 114036-audio.mp3
Biostatistics Review Certificate 114036-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 114036-conflict-of-interest-statement.pdf
Copyright License Agreement 114036-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 114036-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 114036-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 114036-non-native-speakers.pdf
Peer-review Report 114036-peer-reviews.pdf
Scientific Misconduct Check 114036-scientific-misconduct-check.png
Scientific Editor Work List 114036-scientific-editor-work-list.pdf
CrossCheck Report 114036-crosscheck-report.pdf