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Table 1 The Copenhagen Infant Mental Health Screening (CIMHS)

From: A new measure for infant mental health screening: development and initial validation

Domain Item Description   
Sleep regulation Stable sleeping pattern The child has established a steady pattern for sleeping and being awake Yes no
Falling asleep time The child falls asleep within one hour Yes no
Interrupted sleep The child is able to sleep at least three consecutive hours Yes no
Eating Appetite regulation The child indicates clearly when it is hungry or full Yes no
Eats too little The child has to be pressured to eat enough Yes no
Refusal to eat The child refuses food even though it has not eaten for a long time Yes no
Vomiting without otherwise being ill The child vomits more than once a week Yes no
Expression of emotions Generally happy and satisfied The child is happy and satisfied more than 80% of its waking time Yes no
Often irritable, fussy, dissatisfied The child has at least two episodes every day where it is irritable, fussy, dissatisfied Yes no
Cries often The child cries more than one hour every day Yes no
Emotionally blunted The child shows no happiness, has limited facial expression and seems sad more than 50% of its waking time Yes no
Curiosity and interest Curiosity, exploring The child shows interest in its surroundings, examines its toys Yes no
Attention Is able to focus The child watch something or listen for more than one minute Yes no
Maintain concentration The child is able to examine toys for more than two minutes Yes no
Easily distracted The child is distracted by sounds, lights, movements, even while playing and does not return to its original activity Yes no
Motor activity Generally increased level of activity The child is characterized by a high level of activity restlessness Yes no
Generally reduced level of activity The child has a passive motoric, is mainly inactive Yes no
Impulsiveness The child is unpredictably active, throws things suddenly Yes no
Social communication and interaction Eye contact The child is able to establish eye contact. The Visiting Nurse is not in doubt that the child sees her eyes Yes no
Contact smile The child smiles to the Visiting Nurse when eye contact is made Yes no
Proximity seeking The child seeks contact with smiling, chattering, touching or reaching out after its parents Yes no
Mutual communication The child uses gestures, smiles and chatter with its parents for more than two communication loops (answer > <reply) Yes no
Joint attention The child pays attention to parents’ indications, checks and looks again Yes no
Bodily contact The child shows interest in bodily contact by expression and gesture Yes no
Selectivity The child clearly prefers the familiar care-personnel Yes no
Language Language understanding The child reacts to gestures/and some words Yes no
Verbal expression The child expresses itself with facial expressions, gestures, pointing, chatter in syllables Yes no