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This study examines the relationship between perceived social support and selfesteem and between perceived social support and social integration among adolescents with visual impairments. Adolescents with visual impairments (Ntime1 = 311, Ntime2 = 170) from four special education schools in eastern China participated in this study within a 1-year interval. The Child and Adolescent Social Support Scale, Rosenberg Self-esteem Questionnaire, and Interpersonal Adaptation Scale were used to collect data. The results from cross-lagged panel modeling showed reciprocal positive relationships between parental support and self-esteem. Self-esteem at T1 positively predicted three other sources of perceived social support at T2: teacher support, classmate support, and close-friend support. Social integration at T1 positively predicted closefriend support at T2. This study extends understanding of the relationships among perceived social support, self-esteem, and social integration, and provides practical implications for parents, schools, and communities to improve psychosocial outcomes in adolescents with visual impairment. [ABSTRACT FROM AUTHOR]