RT Journal Article SR Electronic T1 Tests for paired count outcomes JF General Psychiatry JO Gen Psych FD BMJ Publishing Group Ltd SP e100004 DO 10.1136/gpsych-2018-100004 VO 31 IS 1 A1 James A Proudfoot A1 Tuo Lin A1 Bokai Wang A1 Xin M Tu YR 2018 UL http://gpsych.bmj.com/content/31/1/e100004.abstract AB For moderate to large sample sizes, all tests yielded pvalues close to the nominal, except when models were misspecified. The signed-rank test generally had the lowest power. Within the current context of count outcomes, the signed-rank test shows subpar power when compared with tests that are contrasted based on full data, such as the GEE. Parametric models for count outcomes such as the GLMM with a Poisson for marginal count outcomes are quite sensitive to departures from assumed parametric models. There is some small bias for all the asymptotic tests, that is,the signed-ranktest, GLMM and GEE, especially for small sample sizes. Resampling methods such as permutation can help alleviate this.