Test anxiety contributed to lower student performance, limited students' learning opportunities, predisposed to negative emotional experiences, and affected physical and mental health. Perfectionism as one of the crucial factors influencing test anxiety has been widely confirmed in the context of individualistic cultural values. This study explores the effects of perfectionism on test anxiety among junior high school students in collectivist cultural values (e.g., China) and the role of self-efficacy and trait anxiety in this context. The results of the study indicated that adaptive perfectionism positively predicted test anxiety, and maladaptive perfectionism was not related to test-taking in a group of middle school students in a Chinese cultural context. If adaptive perfectionism caused an increasein self-efficacy, it weakened trait anxiety and reduced test anxiety, whereas when adaptive perfectionism failedto cause an increase in self-efficacy, it led to higher trait anxiety and test anxiety.