Could be gradual onset, doesn’t mean you don’t have any infections just that they aren’t acute enough to be taken as anything serious. Also ME symptoms being attributed to depression so getting that diagnosis instead.Does the "more likely to report clinical depression" group differ in other ways?
Is this clinical depression being confused with ME/CFS, or is it ME/CFS that is misdiagnosed as depression because the lack of infection makes clinicians think depression instead of ME/CFS, or does this group simply have more severe depression for some obscure reason?