The intersection of dark patterns, addiction, and support networks really creates probably more variability than this study is accounting for.
Youtube, Reddit, and a few other networks I could name off the top of my head were pro-support networks, pro-identity building at once time. It seems impossible to keep the profit motive from transitioning to an addictive/neuroticism-feeding paradigm.
You end up with the weird reality that some types of websites just need to be user-supported/run because any other motive ultimately breaks them and seems to make them toxic. I'd also add the reality that neurotic/polemic content seems to spike any sort of algorithm based on engagement.
Basically our closest metric for monetization is inherently toxic.