Study of resilience and environmental adversity in midlife health (STREAM).
PURPOSE
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.


METHOD
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.
['Velthorst|Eva|E|', 'Reichenberg|Abraham|A|', 'Rabinowitz|Jonathan|J|', 'Levine|Stephen Z|SZ|']
D000328:Adult D002947:Cities D003924:Diabetes Mellitus, Type 2 D005260:Female D005500:Follow-Up Studies D006306:Health Surveys D006801:Humans D007557:Israel D008297:Male D001523:Mental Disorders D008881:Migraine Disorders D015995:Prevalence D011446:Prospective Studies D055500:Resilience, Psychological D012931:Social Environment D012959:Socioeconomic Factors D014504:Urban Health
Resilience Adversity Mid-adulthood Common (mental) health problems