{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T18:09:05Z","timestamp":1779300545231,"version":"3.51.4"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>Labor migration is prevalent in Nepal, however, the psychosocial impacts on left-behind families remain underexplored. This study aims to address this gap by examining the lived experiences, coping mechanisms, and social dynamics of left-behind family members in Chitwan District, Nepal. This qualitative study employed a modified phenomenological approach, incorporating in-depth interviews (n\u2009=\u200918) and two focus groups (n\u2009=\u200911) with left-behind family members in Nepal. Transcripts were coded and categorized using Dedoose, facilitating the identification of themes related to the experiences of left-behind family members. Findings revealed that left-behind family members engaged in activities such as household chores, religious practices, physical exercise, creative pursuits, and social media use to cope with the absence of their migrant relatives. Emotional responses included gratitude, loneliness, grief, and anxiety. A significant shift in responsibilities was noted, particularly for left-behind spouses and first-born children, who often assumed traditional paternal roles within Nepalese society. Some families experienced improved financial stability, while others faced greater stigma and social isolation. Resilience was a recurring theme, with many participants demonstrating remarkable adaptability despite the challenges that arose from family separation. Our study suggests that left-behind family members experienced important changes in their roles as well as in emotional and social relationships. Future studies could extend this work to identify factors leading to changes that promote resilience.<\/jats:p>","DOI":"10.1371\/journal.pgph.0006459","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:31:08Z","timestamp":1779298268000},"page":"e0006459","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cA chance to open my heart\u201d: Protective factors for mental health in left-behind family members of Nepalese labor migrants and their implications for future psychosocial interventions"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4249-6604","authenticated-orcid":true,"given":"Joyce","family":"Jang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan","family":"Nguyen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Dura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2741-1872","authenticated-orcid":true,"given":"Maisoun","family":"Rashed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Durga","family":"Rijal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Parbati","family":"Panday","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anup","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagendra P.","family":"Luitel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0334-5931","authenticated-orcid":true,"given":"Pamela J.","family":"Surkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"issue":"7","key":"pgph.0006459.ref001","first-page":"497","article-title":"Rise of Foreign Employment and Challenges Faced by Nepali Youth in the Domestic Job Market","volume":"2","author":"N Rai","year":"2024","journal-title":"International Journal of Applied and Advanced Multidisciplinary Research"},{"key":"pgph.0006459.ref002","first-page":"1","article-title":"Drivers of overseas labour migration, migration intensity, and destination choice among farming households in Nepal","author":"DB Thapa Magar","year":"2024","journal-title":"J Ethn Migr Stud"},{"issue":"1","key":"pgph.0006459.ref003","article-title":"International Migration: Causes and Consequences in Nepal","volume":"1","author":"LP Bastola","year":"2025","journal-title":"Spectrum of Humanities & Social Sciences"},{"key":"pgph.0006459.ref004","unstructured":"Personal remittances, received (% of GDP) - Nepal. 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Labor migration in Asia: trends, skills certification, and seasonal work. 2024."},{"issue":"2","key":"pgph.0006459.ref007","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1080\/13547860.2019.1643195","article-title":"Migration decisions and destination choices","volume":"25","author":"M Regmi","year":"2019","journal-title":"Journal of the Asia Pacific Economy"},{"key":"pgph.0006459.ref008","doi-asserted-by":"crossref","first-page":"37","DOI":"10.3126\/pjri.v5i1.60690","article-title":"Parental Migration and Psycho-Social Challenges of Left-Behind Girls in Nepal","volume":"5","author":"S Sharma","year":"2023","journal-title":"Prithvi J Res Innov"},{"issue":"1","key":"pgph.0006459.ref009","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1186\/s12939-018-0795-z","article-title":"Impact of parental migration on psychosocial well-being of children left behind: a qualitative study in rural China","volume":"17","author":"C Zhao","year":"2018","journal-title":"Int J Equity Health"},{"issue":"6","key":"pgph.0006459.ref010","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1177\/10497323241265291","article-title":"Guardians Looking From Outside: Gendered Experiences of Labor Migration and Psychosocial Health Among Nepalese Migrant Fathers and Left-Behind Mothers","volume":"35","author":"M Nguyen","year":"2025","journal-title":"Qual Health Res"},{"issue":"1","key":"pgph.0006459.ref011","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0245873","article-title":"Parental migration and psychological well-being of left-behind adolescents in Western Nepal","volume":"16","author":"M Kharel","year":"2021","journal-title":"PLoS One"},{"issue":"10164","key":"pgph.0006459.ref012","doi-asserted-by":"crossref","first-page":"2567","DOI":"10.1016\/S0140-6736(18)32558-3","article-title":"Health impacts of parental migration on left-behind children and adolescents: a systematic review and meta-analysis","volume":"392","author":"G Fellmeth","year":"2018","journal-title":"Lancet"},{"key":"pgph.0006459.ref013","doi-asserted-by":"crossref","first-page":"1603281","DOI":"10.3389\/fpsyg.2025.1603281","article-title":"The impact of left-behind experience on the mental health and marital satisfaction","volume":"16","author":"J Zheng","year":"2025","journal-title":"Front Psychol"},{"issue":"2","key":"pgph.0006459.ref014","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.3390\/ijerph20021334","article-title":"What Matters on Rural Left-Behind Children\u2019s Problem Behavior: Family Socioeconomic Status or Perceived Discrimination","volume":"20","author":"W Fu","year":"2023","journal-title":"Int J Environ Res Public Health"},{"issue":"33","key":"pgph.0006459.ref015","article-title":"Emotional and behavioural problems of left behind children in Lithuania: A comparative analysis of youth self-reports and parent\/caregiver reports using ASEBA","volume":"18","author":"J Ra\u010dait\u0117","year":"2024","journal-title":"Child and Adolescent Psychiatry and Mental Health"},{"key":"pgph.0006459.ref016","author":"S D\u00e9murger","year":"2015","journal-title":"Migration and families left behind"},{"issue":"6","key":"pgph.0006459.ref017","doi-asserted-by":"crossref","first-page":"793","DOI":"10.3390\/ijerph21060793","article-title":"Parental Migration and the Social and Mental Well-Being Challenges among Indonesian Left-Behind Children: A Qualitative Study","volume":"21","author":"NK Fauk","year":"2024","journal-title":"Int J Environ Res Public Health"},{"issue":"3","key":"pgph.0006459.ref018","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/14733285.2015.972653","article-title":"Transnational migration, changing care arrangements and left-behind children\u2019s responses in South-east Asia","volume":"13","author":"LA Hoang","year":"2015","journal-title":"Child Geogr"},{"issue":"1","key":"pgph.0006459.ref019","first-page":"1647398","article-title":"Men on the move and the wives left behind: the impact of migration on family planning in Nepal","volume":"27","author":"D Shattuck","year":"2019","journal-title":"Sex Reprod Health Matters"},{"issue":"1","key":"pgph.0006459.ref020","doi-asserted-by":"crossref","first-page":"64","DOI":"10.3126\/jbpkihs.v4i1.36081","article-title":"Mental health problems in Nepalese migrant workers and their families","volume":"4","author":"P Mahat","year":"2021","journal-title":"Journal of BP Koirala Institute of Health Sciences"},{"key":"pgph.0006459.ref021","unstructured":"About: Chitwan District. https:\/\/dbpedia.org\/page\/Chitwan_District"},{"key":"pgph.0006459.ref022","unstructured":"National Population and Housing Census. National Population and Housing Census. 2024. https:\/\/censusnepal.cbs.gov.np\/results"},{"key":"pgph.0006459.ref023","volume-title":"International migration in Nepal \u2013 thematic report VI","author":"National Statistics Office","year":"2025"},{"key":"pgph.0006459.ref024","unstructured":"USAID JSIR& TI. Nepal Family Health Program Technical Brief #1 Female Community Health Volunteers. https:\/\/publications.jsi.com\/JSIInternet\/Inc\/Common\/_download_pub.cfm?id=12140&lid=3"},{"key":"pgph.0006459.ref025","unstructured":"SocioCultural Research Consultants L. Dedoose Version 9.0.17. Cloud application for managing, analyzing, and presenting qualitative and mixed method research data. 2021. https:\/\/www.dedoose.com"},{"key":"pgph.0006459.ref026","article-title":"Ecological models of human development","volume-title":"International Encyclopedia of Education","author":"U Bronfenbrenner","year":"1994"},{"key":"pgph.0006459.ref027","doi-asserted-by":"crossref","DOI":"10.1515\/9781503624627","volume-title":"Children of Global Migration: Transnational Families and Gendered Woes","author":"RS Parre\u00f1as","year":"2005"},{"key":"pgph.0006459.ref028","volume-title":"The impact of transnational labor migration on mental health of left-behind family: Care drain and care chain situation in Thailand","author":"B Penboon","year":"2017"},{"key":"pgph.0006459.ref029","article-title":"The hidden costs of mobility: changing patterns of labor migration and health implications for left behind families in Indonesia","author":"S Kumar","year":"2021","journal-title":"Cornell University"},{"issue":"1","key":"pgph.0006459.ref030","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1186\/s12889-021-10831-8","article-title":"Impact of parent-child separation on children\u2019s social-emotional development: a cross-sectional study of left-behind children in poor rural areas of China","volume":"21","author":"H Shi","year":"2021","journal-title":"BMC Public Health"},{"issue":"1","key":"pgph.0006459.ref031","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1177\/1948550621990595","article-title":"The role of coping strategies in maintaining well-being during the COVID-19 outbreak in South Korea","volume":"13","author":"JH Kim","year":"2022","journal-title":"Soc Psychol Personal Sci"},{"issue":"4","key":"pgph.0006459.ref032","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.3390\/ijerph17041292","article-title":"The Impact of Spousal Migration on the Mental Health of Nepali Women: A Cross-Sectional Study","volume":"17","author":"N Aryal","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"pgph.0006459.ref033","author":"N Shrestha","year":"2020","journal-title":"Stigma and empowerment: A qualitative study on Nepalese women and labour migration"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0006459","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T17:31:14Z","timestamp":1779298274000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0006459"}},"subtitle":[],"editor":[{"given":"Tanmay","family":"Bagade","sequence":"first","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,5,20]]},"references-count":33,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5,20]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0006459","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,20]]}}}