RESEARCH LITERACY

Statistical vs clinical significance

Published 2026-05-18 · Last reviewed 2026-09-23 by Shariq Refai, MD, MBA, FAPA

Share this

EmailXText

Educational. This page explains how to read and weigh research. It makes no claim about any treatment. How we source and review

A statistically significant finding is one that is unlikely to be the result of chance alone, given the sample size and the statistical test used. A clinically significant finding is one that meaningfully changes patient outcomes or decisions.

Why the two can diverge

Large studies can find statistically significant effects that are clinically trivial. Small studies can find effects that look promising but lack precision.

Key concepts

Effect size, confidence interval, number needed to treat, and minimal clinically important difference are the core concepts that bridge statistical and clinical significance.

Anxiety trial example

A 2-point drop on a 21-point anxiety scale can be statistically significant in a large trial but may not represent a meaningful clinical change for an individual patient.

Why this matters for reading research on anxiety

A trial can be technically positive and clinically modest. Looking at effect sizes rather than only p-values keeps this distinction visible.

Sources

Cochrane Handbook for Systematic Reviews of Interventions
https://training.cochrane.org/handbook
Date accessed: 2026-05-18
GRADE working group
https://www.gradeworkinggroup.org/
Date accessed: 2026-05-18

Related reading

Your next step in The Shrink Network

Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.

Share this

EmailXText

Your next step in The Shrink Network

You are here: AnxietyResearch, the evidence layer of The Shrink Network.

Each site in the network has one job. No matter where you enter, we help you find the next step that makes sense.

Get clinical care at shrinkMD

Want to understand more first?