Contrasting neuroendocrine responses in depression and chronic fatigue syndrome.
Cleare, A J, Bearn, J, Allain, T et al.·Journal of affective disorders·1995
This study compared hormone levels and brain chemistry in people with ME/CFS, people with depression, and healthy controls. The researchers found that people with ME/CFS had lower cortisol (a stress hormone) and higher responses to a serotonin-related chemical, which is the opposite pattern seen in depression. This suggests ME/CFS and depression are biologically different conditions despite sometimes sharing similar symptoms like fatigue.