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doi: 10.1001/jamapsychiatry.2021.2573 82 StaudacherHMTeasdaleSCowanCOpieRJackaFNRocksT

reality show in 2007, the "tough skinned" Kardashian had no idea how mean some viewers and online critics would beinstantly billing her as "the fat sister." "It's like being brain-washed: You think, 'Do I have a distorted body image and think I'm not as big as I am?'" she has said