Perceived satisfaction with care, service atmosphere and mood fluctuations among patients with schizophrenia spectrum disorder in Italian mental health supported accommodations: a multicenter study.
4 affiliations
- 1Unit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
- 2Unit of Epidemiological Psychiatry and Digital Mental Health, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy. [email protected].
- 3Department of Public Health, Clinicum, Faculty of Medicine, University of Helsinki, PO Box 20 (Tukholmankatu 8B), Helsinki, 00014, Finland. [email protected].
- 4Unit of Biostatistics and Bioinformatics, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Abstract
Background
Supported 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
As 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
Residents 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
Perceived satisfaction with care and service atmosphere in SA contribute to promoting positive mood among individuals with SSD.Trial registration
ISRCTN registry ID ISRCTN21141466, registration date 17 February 2020.
Related
- A Novel Anchoring Catheter Improves the Success, Efficiency, and Satisfaction of Paracentesis in Refractory Ascites: A Multicenter Randomized Crossover Trial
- Socio-clinical profiles and life satisfaction (LS) in individuals with emerging cognitive disorders (MCI or iSCCs) a multicenter cross-sectional study in French university-affiliated memory clinics
- Determinants of healthcare providers’ satisfaction with electronic medical records system in the Ashanti region of Ghana: A multicenter cross-sectional survey
- Association of one-stop administrative and logistics services with patient satisfaction in smart hospitals: A multicenter cross-sectional study.
- Prevalence and Influencing Factors of Comorbid Major Depressive Disorder in Elderly Schizophrenia: A Multicenter Cross-Sectional Study
BibTeX
@article{martinelli2026perceived,
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.}},
author = {Alessandra Martinelli and Elena Toffol and Donato Martella and Martina Carnevale and Stefano Calza and Giovanni de Girolamo},
journal = {BMC psychiatry},
year = {2026},
month = oct,
doi = {10.1186/s12888-026-08365-7},
url = {https://europepmc.org/article/MED/42907808},
note = {CC BY},
}
RIS
TY - JOUR
TI - Perceived satisfaction with care, service atmosphere and mood fluctuations among patients with schizophrenia spectrum disorder in Italian mental health supported accommodations: a multicenter study.
AU - Alessandra Martinelli
AU - Elena Toffol
AU - Donato Martella
AU - Martina Carnevale
AU - Stefano Calza
AU - Giovanni de Girolamo
PY - 2026
DA - 2026/10/21
JO - BMC psychiatry
DO - 10.1186/s12888-026-08365-7
UR - https://europepmc.org/article/MED/42907808
AB - Background Supported 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 As 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 Residents 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 Perceived satisfaction with care and service atmosphere in SA contribute to promoting positive mood among individuals with SSD.Trial registration ISRCTN registry ID ISRCTN21141466, registration date 17 February 2020.
SN - 1471-244X
ER -