Other independent studies have also supported this relationship: Kulaksizoglu and Kulaksizoglu (2016) showed significant positive correlations between NLR and PANSS scores [43]; Surati et al. (2022) observed elevated NLR paralleling symptom burden in chronic cases [44]; and Zhang et al. (2017) highlighted that higher inflammatory indices, such as increased hs-CRP/IL-10 ratio, were linked to greater aggression and psychosis severity [45]. Here, IL10 is linked to psychotic disorder.