I put my understanding as follows. Can someone correct me if I am wrong?
To look at the characteristics of the sample first.
1). For comparison analysis
If the mean of a certain clinical variable (e.g. age) is significantly different between two groups or among more than two groups, then include this clinical variable as covariate of no interest in the comparison model. If there is no significant group difference of those clinical variables, it does not matter if or if not including them in the model because no confounding effect need to be controlled.
2). For regression analysis
Do correlation analysis in the clinical variables first. If a certain variable (e.g. age) shows significant correlation with my regressor of interest (e.g. depression severity, or HAMD score), then include this variable in the model as covariate of no interest. For variables that are not found to be significantly correlated with the regressor of interest, it is not necessary to include them in the regression model.