囧研究:胸大影響心理健康？

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.
研究發現，與乳房發育正常的少女相比，乳房過大（巨乳症患者）或乳房發育不平衡的少女更容易產生社交障礙、進食障礙、自信心降低等心理問題，專家提醒，最好採取減肥、矯正手術以及諮詢等方式進行干預！

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."
該研究發起者布萊恩▪拉波爾表示，與同齡人相比，乳房不對稱的女生情緒較差、自信不足，在飲食、社交方面也有障礙。即便只是輕微不對稱，其不良影響程度也並不會有所減弱。

He argued medical intervention could be beneficial at a young age to help minimise the negative mental health affects.
他認爲，在年齡較小時進行醫療干預才能將其對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，研究者選取59名年齡在12到21歲之間的少女作爲樣本，她們的乳房之間至少相差一個罩杯。據分析，約40%少女患有結節性乳房畸形，這會導致乳房不能正常發育。

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.
研究者還對這59名少女進行了類似測試，以確認其心理狀況、社交狀況，並進行了其他測試來確定與健康相關的其他生活指標質量。

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.
他們發現，與其他乳房尺寸正常的少女相比，乳房尺寸異常的少女心理健康程度較低、幸福感較少。且她們在情緒、自信心等方面的得分也明顯低很多。

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、因乳腺癌而做了手術導致乳房異常的女性也都有這樣的問題。

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.
乳房不對稱也與社交能力、飲食行爲、飲食態度等邊緣問題有關。

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”.
拉波爾博士表示，在該研究的進行地美國，乳腺癌手術導致的乳房不對稱會給患者造成心理傷害，這一點非常明確，因此其矯正手術被納入醫保範圍，而針對天生乳房不對稱少女的矯正手術卻沒有任何資助。結果，治療費用得不到報銷，從而讓人產生了“天生乳房不對稱沒有任何危害”的錯誤判斷。

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.
拉波爾博士認爲醫療干預很有效。就目前已經觀察到的乳房不對稱帶來的心理傷害來講，很有必要趁早採取醫療干預以將負面影響最小化。並不一定非得進行手術——特別是年齡尚小的女孩——“心理諮詢和支持”會更妥當。而對於那些已經發育成熟的乳房不對稱女孩而言，矯正手術可能效果更好。

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.”
他還表示，儘管治療方面存在障礙，但早發現、早治療非常重要，可以通過減肥、心理健康諮詢等方式。