“…Previous studies suggested that biochemical markers, socio-demographic and psychosocial factors did affect HRQOL in patients with CLD but it has not been fully examined in Chinese CHB patients Bianchi et al, 2003;Hauser, Schnur, Steder-Neukamm, Muthny, & Grandt, 2004;Hussain et al, 2001;Marchesini et al, 2001;Sobhonslidsuk et al, 2006;Sumskiene, Sumskas, Petrauskas, & Kupcinskas, 2006;Younossi et al, 2001;Younossi et al, 2000). Disease severity, as measured by Child-Pugh scores or stage of CHB illness (asymptomatic, impaired liver function, cirrhosis and HCC), was one of the commonest factors that had a negative relationship with HRQOL Marchesini et al, 2001;Sobhonslidsuk et al, 2006;Sumskiene et al, 2006;Younossi et al, 2001;Younossi et al, 2000). However, some studies did not find any significant effect between HRQOL and disease severity (Hauser, Holtmann, & Grandt, 2004;Hauser, Zimmer, Schiedermaier, & Grandt, 2004).…”