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Table 1 Subcategories and items of the 4th edition protocol and its item analysis (n = 176, Group 1)

From: Development of a scale to evaluate negative menstrual attitudes among Nepalese women

Items M (SD) Floor Celling
M + 1SD M − 1SD
Subcategory 1 debilitating event (7 items)
 1. I think more tired than usual during menstruation 3.1 (1.2) 1.9 4.3
 2. I think I expect extra consideration from people around me during menstruation 3.4 (1.2) 2.3 4.6
 3. I feel that changes in physical condition during menstruation are greater than changes in normal physical condition 3.3 (1.1) 2.2 4.4
 4. I think unhealthier than usual during menstruation 3.1 (1.1) 2.0 4.2
 5. I think I can’t do as usual behaviors during menstruation 2.6 (1.1) 1.5 3.8
 6. I think it is better to avoid certain behaviors during menstruation 2.9 (1.2) 1.8 4.2
 7. I easy not to feel well than usual before menstruation 2.7 (1.1) 1.6 3.8
Subcategory 2 Bothersome event (5 items)
 8. I think menstruation is something I just have to put up with 3.8 (0.9) 3.0 4.7
 9. I can’t feel good during menstruation 2.8 (1.2) 1.7 4.1
 10. I think men have advantage in not having menstruation 3.4 (1.2) 2.3 4.7
 11. I think I hope it will be possible to get a short menstrual period 3.1 (1.3) 1.8 4.4
 12. I think the only thing menstruation is good for is to let me know I’m not pregnant 3.7 (1.0) 2.7 4.6
Subcategory 3 natural event (5 items, reversed item)
 13. I think menstruation is realized womanhood 2.0 (0.8) 1.3 2.7
 14. I think I am more strongly aware of my health condition than usual by menstruation 2.1 (0.9) 1.2 2.8
 15. I think menstruation is a way to inform me of my health condition 1.9 (0.7) 1.3 2.5
 16. I think menstruation is phenomenon which keep all of life 2.1 (0.9) 1.3 2.9
 17. I think menstruation is a sign of good health 1.8 (0.7) 1.3 2.4
  1. M mean, SD standard deviation