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ObjectiveaaPeer relationships are one of the important factors in children’s development. The present study examines the relationship between the effects of early peer relationships and adolescent psychological adjustment. MethodsaaThe first survey took place from 1998 to 2000, and a follow-up assessment obtained data in 2006, as the original participants reached 13–15 years of age. The first assessment used the Korean version of the Child Behavior Checklist (K-CBCL) and simple questions about peer relationships to evaluate the participants. The follow-up assessment administered the Korean Youth Self Report (KYSR). ResultsaaChildren’s peer relationships have longitudinal effects on mental health and adjustment. Children who had qualitative peerrelation problems were more likely to exhibit internalizing problems as adolescents. ConclusionaaChildren who have poor peer relationships might become more vulnerable to emotional problems and social adjustment as adolescents.