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Stefan Lüttke

    Praxis Der Kinderpsychologie Und Kinderpsychiatrie
    |June 23, 2026
    PubMed
    Summary
    This summary is machine-generated.

    Digital psychotherapy shows small to moderate effects for child and adolescent depression, but evidence is limited for AI-based tools. Careful evaluation of digital mental health interventions is crucial for clinical practice.

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    Area of Science:

    • Child and Adolescent Psychiatry
    • Digital Health
    • Mental Health Interventions

    Background:

    • Depressive disorders are common in youth, often recurrent, and carry significant consequences.
    • Limited treatment success and help-seeking barriers necessitate innovative solutions.
    • Digital psychotherapeutic interventions are explored as accessible additions to care.

    Purpose of the Study:

    • To provide a narrative overview of digital intervention effectiveness for depression in youth.
    • To analyze findings within ethical, legal, and clinical practice contexts.
    • To assess the current landscape of digital mental health applications for minors.

    Main Methods:

    • Narrative review based on 13 meta-analyses.
    • Synthesis of evidence on digital interventions for depressive symptoms and disorders in children and adolescents.
    Keywords:
    Digitale Interventionen - Chatbots - Ethik - Depression - Kinder und Jugendlichedigital mental health interventions - chatbots - ethics - depression - youth

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  • Examination of ethical, legal, and clinical practice considerations.
  • Main Results:

    • Digital interventions, especially cognitive behavioral therapy-based and guided self-management, show small to moderate effects.
    • Evidence interpretability is limited by intervention heterogeneity, subclinical samples, and methodological weaknesses.
    • Evidence for AI- and large language model (LLM)-based applications is very limited; ethical/legal demands are high.

    Conclusions:

    • Digital interventions can complement care for youth depression but require careful evaluation.
    • Effectiveness, safety, data protection, and clinical suitability must be assessed.
    • No reimbursable digital health applications are currently available in Germany for minors with depression.