Objective: To explore the relationship among mental health literacy, positive coping style and
anxiety of middle school students, and test the intermediary effect of positive coping style between mental
health literacy and anxiety. Methods:1085 students in a senior high school were tested with the Mental
Health Literacy Questionnaire, Simple Coping Style Questionnaire (SCSQ) and Self Rating Anxiety Scale
(SAS). Results: There was a positive correlation between mental health literacy and positive coping style
(r=0.461, p<0.01), and a negative correlation between positive coping style, mental health literacy and
anxiety (r=-0.361, -0.307, p<0.01); Mental health literacy can have an indirect impact on anxiety through
positive coping styles, and the intermediary effect accounts for 42% of the total effect. Conclusion: Mental
health literacy can directly predict anxiety, and positive coping style is partly mediated by mental health
literacy and anxiety. Improving the coping style of middle school students is one of the effective ways to
reduce anxiety.