Having uneven or bigger boobs lowers self-esteem and causes eating disorders, study finds:girls with uneven breasts have more mental health problems than girls with ‘normal breasts’, in the first study to focus on mental wellbeing; also found to have issues functioning socially and with attitudes to food；impact is equally damaging for girls with mild differences in breast sizes; and the negative impact was the same for girls suffering macromastia – a condition which causes abnormally large breasts; interventions like weight loss, counselling and surgery could help.
　　研究发现，与乳房发育正常的少女相比，乳房过大（巨乳症患者）或乳房发育不平衡的少女更容易产生社交障碍、进食障碍、自信心降低等心理问题，专家提醒，最好采取减肥、矫正手术以及咨询等方式进行干预！
Dr Brian Labow, who carried out the research said: “These findings suggest that patients suffering from breast asymmetry have poorer emotional well-being and lower self-esteem than their female peers.”
　　该研究发起者布莱恩?拉波尔表示，与同龄人相比，乳房不对称的女生情绪较差、自信不足，在饮食、社交方面也有障碍。即便只是轻微不对称，其不良影响程度也并不会有所减弱。
He argued medical intervention could be beneficial at a young age to help minimise the negative mental health affects.
　　他认为，在年龄较小时进行医疗干预才能将其对心理健康的危害降到最小。
As part of the study researchers analysed 59 young women aged 12 to 21 years, who all had breast which differed by at least one bra cup size. About 40 per cent of girls also had tuberous breast deformity, a condition in which the breasts don’t develop normally.
　　研究中，研究者选取59名年龄在12到21岁之间的少女作为样本，她们的乳房之间至少相差一个罩杯。据分析，约40%少女患有结节性乳房畸形，这会导致乳房不能正常发育。
Researchers carried out tests to ascertain how well the girls functioned psychologically and socially, as well as carrying out tests to score their health-related quality of life. Similar tests were carried out on a group of girls without breast asymmetry, and in girls with macromastia – a condition in which the breasts are abnormally enlarged.
研究者还对这59名少女进行了类似测试，以确认其心理状况、社交状况，并进行了其他测试来确定与健康相关的其他生活指标质量。

They found several aspects of mental health and wellbeing were lower for girls with different-sized breasts, compared to those with ‘normal’ breasts. They also had significantly lower scores for emotional wellbeing and self-esteem, after researchers adjusted for differences in body weight.
他们发现，与其他乳房尺寸正常的少女相比，乳房尺寸异常的少女心理健康程度较低、幸福感较少。且她们在情绪、自信心等方面的得分也明显低很多。
The impact was similar to girls with macromastia – a condition with a known mental health impact – as well as in boys with enlarged breasts and even women with differences in the breasts related to breast cancer surgery.
巨乳症患者、乳房增大的男生、因乳腺癌而做了手术导致乳房异常的女性也都有这样的问题。
Having asymmetrical breasts was also associated with borderline issues in social functioning – a person’s ability to interact normally in society. They also showed borderline issues with eating behaviours and attitudes.
乳房不对称也与社交能力、饮食行为、饮食态度等边缘问题有关。
In the U.S., where the study was carried out, Dr Labow noted that although there is insurance coverage for surgery to correct asymmetry in breast cancer survivors because the impact on mental health is well understood, no provision exists for young women born with different-sized breasts. As a result, treatment is often not reimbursed by insurance, with the justification that there is “no functional impairment”.
拉波尔博士表示，在该研究的进行地美国，乳腺癌手术导致的乳房不对称会给患者造成心理伤害，这一点非常明确，因此其矫正手术被纳入医保范围，而针对天生乳房不对称少女的矫正手术却没有任何资助。结果，治疗费用得不到报销，从而让人产生了“天生乳房不对称没有任何危害”的错误判断。
He argues that medical interventions could be beneficial. He said: “The observed impaired psychological well-being of adolescents with breast asymmetry may indicate the need for early intervention to minimise negative outcomes.”This doesn’t necessarily mean surgery – especially for younger girls – ‘consultation and support’ may be appropriate, he said. However, for girls who are finished growing and still have different-sized breasts, corrective surgery may have important emotional benefits, he added.
拉波尔博士认为医疗干预很有效。就目前已经观察到的乳房不对称带来的心理伤害来讲，很有必要趁早采取医疗干预以将负面影响最小化。并不一定非得进行手术——特别是年龄尚小的女孩——“心理咨询和支持”会更妥当。而对于那些已经发育成熟的乳房不对称女孩而言，矫正手术可能效果更好。
He said: “Though substantial barriers to care exist, early evaluation and intervention for these patients may be beneficial, and should include weight control and mental health counselling.”
　　他还表示，尽管治疗方面存在障碍，但早发现、早治疗非常重要，可以通过减肥、心理健康咨询等方式。

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