This study compared the role of the parent and grandparent in the adjustment of children who had, and who had not, been left behind when their parents moved to urban areas for work, and tested whether self-esteem mediated the association between these family relationships and child adjustment. The sample included 428 middle school students in central China, 204 of whom were left-behind children who were cared for by grandparents and 224 of whom were not left behind. The students responded to five questionnaires measuring parent-child relationships, grandparent-child relationships, self-esteem,...