Associations of Multisite Pain with Mental Ill Health Among Women in North India.


  • Nathan John Grills -Nossal Institute of Global Health, University of Melbourne-Public Health Foundation of India (faculty)-Community Health Global Network
  • Prerana Singh Emmanuel Hospital Association
  • Pamela Anderson University of Melbourne



pain, mental health, women, India, multisite body pain, depression, neuroses


Physical triggers of multisite pain (MSP) have typically been the focus if treatment regimens for MSP in low and middle income countries (LMICS). We explored the non-physical dimension of MSP, particularly the presence of mental ill health and other possible risk factors. We conducted a case-control study among 140 female participants in North India in early 2019. We used structured interviews to assess pain, and validated mental health questionnaires to determine presence of depression and neurotic disorders. Statistical analyses of multisite pain, mental health and demographic data found strong associations between multisite pain and depression and neurotic disorder. Marital status (women who had been widowed, separated or unmarried) was the only demographic factor found to have a significant association with the experience multisite pain. We conclude that non-physical factors such as mental health need to be considered by treating practitioners, and included within national treatment guidelines in LMICs such as India.

Author Biographies

Nathan John Grills, -Nossal Institute of Global Health, University of Melbourne-Public Health Foundation of India (faculty)-Community Health Global Network

MBBS, MPH, DPhil, a Public Health Physician and NHMRC post doctoral fellow, works largely in India on disability, non-communicable diseases and health curriculum development and training.  He has worked as a Public Health Fellow (Dept. of Health) and prior to that, after completing his MPH and DPhil at Oxford University, he worked with CDC / WHO on HIV and civil society partnerships.   He has international experience in Africa, Fiji, East Timor, PNG, Bangladesh and Nepal.  He currently facilitates a Network of programs who work together to help train Community Health Workers to serve the under-served (   His has faculty positions with Melbourne University , the Public Health Foundation of India, the Emmanuel Health Association (India) and is the international coordinator for the Community Health Global Network (

Prerana Singh, Emmanuel Hospital Association

MSW, MPH, Project Officer, Emmanuel Hospital Association


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How to Cite

Grills, N. J., Singh, P. ., & Anderson, P. (2022). Associations of Multisite Pain with Mental Ill Health Among Women in North India. Christian Journal for Global Health, 9(1), 33–42.