# Adaptation, implementation, and initial results of the Chinese version of the Flexible Interview for ICD-11

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- Page title: Adaptation, implementation, and initial results of the Chinese version of the Flexible Interview for ICD-11 | WCP 2026 Summary

> The Chinese adaptation of the FLII-11 demonstrated 91.86% sensitivity and 91.59% overall accuracy in detecting any mental disorder and was found to have adequa…

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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

Symposium PresentationPublic Health and EpidemiologyValidity and reliability study

# Adaptation, implementation, and initial results of the Chinese version of the Flexible Interview for ICD-11

Adaptation, implementation, and initial results of the chinese version of the flexible interview for icd-11

Presenter: Na Zhong

Country: China

Session: 2500 - MULTINATIONAL ADAPTATION AND VALIDATION OF THE WORLD HEALTH ORGANIZATION’S FLEXIBLE INTERVIEW FOR THE ICD-11: RESULTS FROM A PROGRAM OF INTERNATIONAL FIELD TESTING

Date: Thu, 24.09.2026, 09:30 - 09:45

Room: Hall A4

The Chinese adaptation of the FLII-11 demonstrated 91.86% sensitivity and 91.59% overall accuracy in detecting any mental disorder and was found to have adequate clinical diagnostic performance.

The aim was to cross-culturally adapt the Flexible Interview for ICD-11 (FLII-11), a structured diagnostic instrument aligned with the World Health Organization's ICD-11 criteria, for Chinese adults; establish an electronic data collection system and a rater certification framework; and examine its psychometric properties through large-scale clinical studies. Forward and backward translation and cultural revision were conducted according to global FLII-11 protocols, and a REDCap-based electronic platform was developed. Ninety-one clinicians received standardized training, and 45 certified raters administered the FLII-11 to 333 adults (301 psychiatric patients representing the major disorders in ICD-11 and 32 healthy controls), with clinical diagnoses made by senior psychiatrists serving as the gold standard. For detecting any mental disorder, sensitivity was 91.86%, specificity 80.00%, positive predictive value 99.51%, negative predictive value 18.18%, and overall accuracy 91.59%. The instrument was reported to have robust inter-rater reliability and to be consistent with psychiatrists' judgments for common mental disorders. According to the presentation, the adapted Chinese adult version of the FLII-11 enables standardized clinical assessment and epidemiological research aligned with ICD-11 in China.

How to cite this study

APA 7: Zhong, N., et al. (2026, September 24). Adaptation, implementation, and initial results of the chinese version of the flexible interview for icd-11 [Symposium presentation]. 26th WPA World Congress of Psychiatry (WCP 2026), Stockholm, Sweden.

Vancouver: Zhong N, et al. Adaptation, implementation, and initial results of the chinese version of the flexible interview for icd-11 [symposium presentation]. 26th WPA World Congress of Psychiatry (WCP 2026); 2026 Sep 23-26; Stockholm, Sweden.

Author names and title formatting were generated automatically from the congress system; please check them against the original poster before use.

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