Note that the two values that make up each paired difference need not be independent, and in fact are expected to be correlated, such as before and after measurements. If you treat paired data as coming from two independent samples, such as doing an inappropriate two-sample unpaired t test instead of a paired t test, then you may sacrifice power.
If the assumption of normality is violated, or outliers are present, then the paired t test may not be the most powerful test available, and this could mean the difference between detecting a true difference or not. A nonparametric test or employing a transformation may result in a more powerful test. For example, if the distribution of the paired differences is not symmetric, a transformation may produce symmetry.
Often, the effect of an assumption violation on the paired t test result depends on the extent of the violation (such as how skewed the distribution of the paired differences is). Some small violations may have little practical effect on the analysis, while other violations may render the paired t test result uselessly incorrect or uninterpretable. In particular, small sample sizes can increase vulnerability to assumption violations.
The paired t statistic is based on the sample mean and the sample variance of the paired differences, both of which are sensitive to outliers. (In other words, neither the sample mean nor the sample variance is resistant to outliers, and thus, neither is the t statistic.) In particular, a large outlier can inflate the sample variance, decreasing the t statistic and thus perhaps eliminating a significant difference. A nonparametric test may be a more powerful test in such a situation. If you find outliers in your data that are not due to correctable errors, you may wish to consult a statistician as to how to proceed.
The plot of residuals against fitted values may help detect such interaction. The plot of observed values against sample (treatment) number may be even more useful in detecting interaction. If there is no interaction, the line segments (one for each pair) should be parallel or nearly so.
Paired differences are often symmetric even when the two populations producing the values that make up the paired differences are both unsymmetric, provided that those two populations have similar skewness. For example, two very positively skewed distributions that differ only by location will produce a set of paired differences that are symmetric about 0, and perfectly suitable for the paired t test. This is often the case with before and after measurements.
Whether or not the population of the paired differences is skewed can be assessed either informally (including graphically), or by examining the sample skewness statistic or conducting a test for skewness.
If outliers or skewness is present, employing a transformation may resolve both problems at once, and also promote normality. In this case, it may be preferable to perform a paired t test on the transformed data.
The usual measurement for skewness is not resistant to outliers, so one should be consider the possibility that apparent skewness is in fact due to one or more outliers. A lack of power due to small sample sizes may also make it hard to detect skewness.
For data sampled from a normal distribution, normal probability plots should approximate straight lines, and boxplots should be symmetric (median and mean together, in the middle of the box) with no outliers. If the sample size for the paired differences is not too small, then the t statistic will not be much affected even if the population distributions are skewed, although it will increase the chance that an incorrectly small P value will be reported (i.e., that the null hypothesis will be rejected when it is in fact true.
Unless the sample size for the paired differences is small (less than 10), light-tailedness or heavy-tailedness will have little effect on the t statistic. Light-tailedness will tend to increase the chance that an incorrectly small P value will be reported (i.e., that the null hypothesis will be rejected when it is in fact true. Heavy-tailedness will tend to increase the chance that an incorrectly large P value will be reported (i.e., that the null hypothesis will not be rejected when it is in fact false, making the test conservative. Paired differences will often be symmetric even when they arise from two skewed distributions, although such paired differences may be heavy-tailed.
Robust statistical tests operate well across a wide variety of distributions. A test can be robust for validity, meaning that it provides P values close to the true ones in the presence of (slight) departures from its assumptions. It may also be robust for efficiency, meaning that it maintains its statistical power (the probability that a true violation of the null hypothesis will be detected by the test) in the presence of those departures. The t test is fairly robust for validity against nonnormality, but it may not be the most powerful test available for a given nonnormal distribution, although it is the most powerful test available when its test assumptions are met. In the case of nonnormality, a nonparametric test or employing a transformation may result in a more powerful test.
Even if none of the test
assumptions are violated, a t test with small sample
sizes may not have sufficient
power
to detect a significant
departure from 0 of the mean of the paired differences, even if
this is in fact the case. The power curve presented
in the results of the t test indicates how likely the
test would be to detect an actual difference between
0 and the mean of the paired differences.
The shallower the power curve, the
bigger the actual difference would have to be before the
t test would detect it. The power depends on
variance, the selected significance (alpha-) level of the test,
and the sample size. Power decreases as the
variance increases, decreases as the significance
level is decreased (i.e., as the test is made
more stringent), and increases as the sample size
increases.
A very small sample from a population of paired differences with a mean
very different from 0 may
not result in a significant t test statistic unless the
variance of the paired differences is small.
If a statistical
significance test with small sample sizes
produces a surprisingly non-significant
P value, then a lack of power may be the reason.
The best time to avoid such problems is in the
design stage of an experiment, when appropriate
minimum sample sizes can be determined, perhaps in consultation
with a statistician, before data collection begins.
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