The invention relates to an adjustable belt guide for the upper hold point of a three-point seat belt with a directing element, via which the belt band of the three-point seat belt can be guided, with a connecting element to fix the belt guide 4 to a backrest of a vehicle seat and with an adjustment element arranged between connecting element and directing element. It is provided according to the invention that the adjustment element is developed such that the distance between the backrest, i.e. the connecting element, and the directing element is variable perpendicular to the backrest and the directing element can be fixed in various positions vis-á-vis the backrest.In addition, the invention relates to a vehicle seat with integrated three-point seat belt in which the belt band of the three-point seat belt is guided by an adjustable belt guide connected to the backrest.