title: Study of resilience and environmental adversity in midlife health (STREAM).
abstract: OBJECTIVE
  The Jerusalem study of resilience and environmental adversity in midlife health (STREAM) was established to examine the prevalence of common mental and physical health issues in mid-adulthood in the inner city of Jerusalem, and to examine their association with lifespan psychosocial factors of vulnerability and resilience.
  
  
  METHODS
  Participants were 811 randomly selected individuals from 7000 individuals who were born and grew up in inner-Jerusalem. Participants were 34-44 years old during first wave of STREAM assessment. Initial telephone surveys took place in 2007-2008 and participants were followed-up for a second survey 1 year later. Upon funding, a new wave is planned for 2017-2018. Survey topics comprised common health problems (e.g., type 2 diabetes/migraine), health markers (e.g., BMI), and psychiatric vulnerabilities (e.g., anxiety, post-traumatic stress, depressive symptoms, psychosis). Other measures included socioeconomic status, creativity, life style behavior (e.g., smoking, exercise), social contact and adaptation to change. Survey data were retrospectively merged with data of national registry sources that included adverse psychosocial factors, psychiatric and social measures assessed across all developmental stages through midlife. This includes data available on birth factors, school achievement and adjustment, cognitive and behavioral functioning during young adulthood, psychiatric hospitalizations, immigration and socioeconomic status.
  
  
  RESULTS
  Results on health outcomes of the first STREAM wave indicate that prevalence rates of health problems are comparable to recent World Mental Health Surveys.
  
  
  CONCLUSIONS
  Apart from measures on adverse psychosocial factors, STREAM provides a cohort to examine resilience to developing health problems and having a poor health and functional outcome.
authors.affiliation: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY, 10029, USA. eva.velthorst@mssm.edu.|Department of Psychiatry, Academic Medical Center, Amsterdam, The Netherlands. eva.velthorst@mssm.edu.
authors.forename: Eva
authors.initials: E
authors.lastname: Velthorst
authors.affiliation: Department of Psychiatry, Icahn School of Medicine at Mount Sinai, 1425 Madison Avenue, New York, NY, 10029, USA.|Department of Psychosis Studies, Institute of Psychiatry, King's College London, London, UK.
authors.forename: Abraham
authors.initials: A
authors.lastname: Reichenberg
authors.affiliation: School of Social Work, Bar-Ilan University, Tel-Aviv, Israel.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Rabinowitz
authors.affiliation: Department of Community Mental Health, University of Haifa, Haifa, Israel.
authors.forename: Stephen Z
authors.initials: SZ
authors.lastname: Levine
mesh_terms: D000328:Adult; D002947:Cities; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006306:Health Surveys; D006801:Humans; D007557:Israel / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D008881:Migraine Disorders / Q000453:epidemiology / Q000523:psychology*; D015995:Prevalence; D011446:Prospective Studies; D055500:Resilience, Psychological; D012931:Social Environment; D012959:Socioeconomic Factors; D014504:Urban Health / Q000706:statistics & numerical data*
keywords: Adversity; Common (mental) health problems; Mid-adulthood; Resilience