The responses of macroinvertebrate communities to pollution by sewage effluent in the River Trent system (UK) were investigated using a variety of multivariate approaches, biotic indices and diversity indices. It was found that multivariate analyses clearly illuminated the change of community structure along the pollution gradient. CY Dissimilarity Measure (CYD)-based Non-Metric Multidimensional Scaling (NMDS) appeared to perform better than DCA and clustering. Species richness, the BMWP, BMWP-ASPT, the Chandler Score, Chandler-ASPT could detect the effects of major pollution. However, these indices showed varying sensitivity to different ranges of pollution, for example, Chandler-ASPT and BMWP-ASPT are more sensitive to the change in clean/slightly polluted range than in the moderate/very polluted range. The diversity indices were the least informative. The advantages and disadvantages of the various approaches were discussed.