{
  "abstract": "Background\n\nSupported Accommodations (SA) are central to Italy's community-based mental health care for individuals with schizophrenia spectrum disorders (SSD), offering structured, recovery-oriented environments. While symptom severity remains important, care environment and satisfaction strongly influence well-being. Mood fluctuations, a key aspect of daily functioning, have been underexplored in SA. Using the Experience Sampling Method (ESM), this study aims to examine the associations between perceived ward atmosphere, care satisfaction, and momentary mood in SA residents with SSD.Methods\n\nAs part of the DiAPAson project, 68 residents with SSD were assessed also using ESM. Additional measures included psychopathology (BPRS, BNSS), functioning (SLOF, WHODAS 2.0), perceived ward atmosphere (WAS-P) and service satisfaction (VSSS-32). Descriptive analyses were conducted, and a structural equation model examined mood in relation to clinical, demographic, and environmental factors.Results\n\nResidents with SSD (29.4% female; mean age = 42.8 years) were mostly single (80.9%) and unemployed (79.4%), with a mean disorder duration of 19.2 years. Clinical assessments indicated moderate symptom severity and functioning. Structural equation modelling showed excellent fit (CFI = 1.000; RMSEA = 0.000; SRMR = 0.060). The latent variable Env-Perc, combining service satisfaction (VSSS-32) and perceived ward atmosphere (WAS-P), was the only significant predictor of momentary mood (β = 0.344, 95%CI: [0.084;0954], p = 0.033).Conclusions\n\nPerceived satisfaction with care and service atmosphere in SA contribute to promoting positive mood among individuals with SSD.Trial registration\n\nISRCTN registry ID ISRCTN21141466, registration date 17 February 2020.",
  "abstract_shown": true,
  "affiliations": [
    "Unit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.",
    "Unit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy. elena.toffol@helsinki.fi.",
    "Department of Public Health, Clinicum, Faculty of Medicine, University of Helsinki, PO Box 20 (Tukholmankatu 8B), Helsinki, 00014, Finland. elena.toffol@helsinki.fi.",
    "Unit of Biostatistics and Bioinformatics, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Alessandra Martinelli"
    },
    {
      "affs": [
        1,
        2
      ],
      "name": "Elena Toffol",
      "orcid": "0000-0001-6757-7355"
    },
    {
      "affs": [
        0
      ],
      "name": "Donato Martella"
    },
    {
      "affs": [
        3
      ],
      "name": "Martina Carnevale"
    },
    {
      "affs": [
        3
      ],
      "name": "Stefano Calza"
    },
    {
      "affs": [
        0
      ],
      "name": "Giovanni de Girolamo"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/52kakejrbrxsm.bib",
  "cited_by": 0,
  "doi": "10.1186/s12888-026-08365-7",
  "fulltext_url": "https://europepmc.org/articles/PMC13689020",
  "id": "52kakejrbrxsm",
  "issns": [
    "1471-244X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42907808",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "RC435-571"
    ],
    [
      "openalex",
      "3203|Psychiatric care and mental health services"
    ]
  ],
  "openalex": "W7223131666",
  "pdf_url": "https://europepmc.org/articles/PMC13689020?pdf=render",
  "pmcid": "PMC13689020",
  "pmid": "42907808",
  "published": "2026-10-21",
  "publisher": "BMC",
  "ris": "https://research.draconitic.com/paper/52kakejrbrxsm.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:53Z",
      "native_id": "MED:42907808",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42907808"
    },
    {
      "first_seen": "2026-10-30T13:46:09Z",
      "native_id": "472b948264df41df9f8d864451b9f200",
      "source": "doaj",
      "url": "https://doi.org/10.1186/s12888-026-08365-7"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:3203|Psychiatric care and mental health services",
      "subfield": "psychiatry"
    }
  ],
  "title": "Perceived satisfaction with care, service atmosphere and mood fluctuations among patients with schizophrenia spectrum disorder in Italian mental health supported accommodations: a multicenter study.",
  "title_text": "Perceived satisfaction with care, service atmosphere and mood fluctuations among patients with schizophrenia spectrum disorder in Italian mental health supported accommodations: a multicenter study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T13:46:09Z",
  "url": "https://research.draconitic.com/paper/52kakejrbrxsm",
  "venue": "BMC psychiatry",
  "versions": []
}