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Weighted Blankets: Dead Weight or Dead Good?

Weighted blankets have surged in popularity over the past few years, gaining attention for their potential therapeutic benefits. Originally designed to help people with autism spectrum disorder (ASD) and other sensory processing issues, these blankets are now marketed to the broader public as a tool for improving sleep, reducing anxiety, and alleviating symptoms of insomnia. Despite their mainstream appeal, questions remain about whether weighted blankets are a passing trend or if they offer genuine psychological benefits grounded in science. This article will delve into the psychology behind weighted blankets, examining how they work, their effects on the nervous system, and the evidence supporting their psychological impact.

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What Are Weighted Blankets?

Weighted blankets are essentially blankets filled with materials like glass beads or plastic pellets to make them heavier, typically weighing between 5 to 30 pounds, depending on the user’s body weight. The concept behind these blankets is based on deep pressure stimulation (DPS), a therapeutic approach that applies gentle, evenly distributed pressure across the body, resembling a firm but gentle hug. This pressure is thought to calm the nervous system by reducing cortisol levels (a stress hormone) and promoting the release of serotonin and melatonin, hormones that contribute to relaxation and sleep.

The Science Behind Deep Pressure Stimulation (DPS)

The psychological effects of weighted blankets can be understood through the mechanism of DPS, which is widely used in therapeutic contexts. Deep pressure stimulation is the controlled application of pressure to the body’s surface, affecting the autonomic nervous system by engaging the parasympathetic (rest-and-digest) response and reducing sympathetic (fight-or-flight) activity. Studies indicate that DPS can decrease heart rate and promote feelings of calm and relaxation. DPS techniques have historically been used in occupational therapy for individuals with ASD, ADHD, and sensory processing disorders, but research has broadened to examine their effects on the general population as well.

The Psychological Benefits of Weighted Blankets

The research on weighted blankets, though still emerging, provides some compelling insights into their potential psychological benefits:

1. Anxiety Reduction

Weighted blankets have shown promise as a tool for reducing anxiety. A 2024 literature review published in Frontiers in Psychiatry reported that might be an appropriate therapeutic tool for reducing anxiety. The weighted blanket’s soothing pressure can mimic the sensation of a hug, triggering the release of oxytocin, a hormone associated with feelings of comfort and trust, which may help to alleviate anxious feelings.

Sensory Modulation and Anxiety
For people with sensory processing difficulties, such as those on the autism spectrum, weighted blankets may offer a sense of comfort and grounding. The deep pressure input from the blanket may help these individuals modulate sensory input, thereby reducing sensory overload and improving mood stability. For the general population, this sensory modulation can similarly help regulate stress responses, making weighted blankets beneficial for daily stress and situational anxiety.

2. Improved Sleep Quality

Numerous studies suggest that weighted blankets can contribute to improved sleep quality. A 2015 study in the Journal of Sleep Medicine and Disorders found that individuals using weighted blankets experienced a more restful sleep, characterized by decreased movements throughout the night and increased time spent in the deep sleep stages. This was attributed to the effect of DPS on the nervous system, helping to lower arousal levels and enable a deeper, uninterrupted sleep.

Reduction of Cortisol Levels
The application of deep pressure has also been linked to a reduction in cortisol, the body's main stress hormone, which typically peaks in the morning and gradually declines throughout the day. However, chronic stress and poor sleep can disrupt this pattern, leading to higher cortisol levels at night, which can impair sleep. Weighted blankets, by stimulating deep pressure, can help lower cortisol levels and make it easier for individuals to fall and stay asleep.

3. Relief from Insomnia and Restlessness

Weighted blankets may also offer relief for individuals who suffer from insomnia or restless sleep. Insomnia is frequently comorbid with anxiety, depression, and other mental health conditions, and the calming effect of a weighted blanket may assist in breaking the cycle of anxiety-induced insomnia. The “grounding” sensation that a weighted blanket provides has been shown to help individuals feel more secure, which can be particularly beneficial for those with generalized anxiety disorder or PTSD-related sleep disturbances.

Mechanism of Proprioceptive Input
The gentle pressure from a weighted blanket provides what’s known as proprioceptive input, which helps regulate the body’s sense of spatial orientation. This feedback can help individuals feel more “connected” to their bodies, reducing instances of restlessness and the need to shift around in bed. For those with restless legs syndrome (RLS) or periodic limb movement disorder (PLMD), weighted blankets may help reduce excessive movement and alleviate symptoms.

4. Mood Regulation

One of the most cited benefits of weighted blankets is their ability to improve mood. Serotonin, a neurotransmitter often dubbed the “happy hormone,” plays a key role in mood regulation. By applying deep pressure, weighted blankets stimulate the production of serotonin, which in turn can improve mood and alleviate symptoms of mild depression. This effect can be particularly valuable for those dealing with Seasonal Affective Disorder (SAD), as serotonin levels naturally dip in response to lower sunlight exposure.

Grounding and Emotional Comfort
The tactile sensation of a weighted blanket provides emotional comfort, particularly for individuals dealing with trauma or depression. Physical touch, even when self-administered, can act as a grounding tool that helps individuals feel more present and engaged. For those dealing with trauma or negative mood states, the “hug” of a weighted blanket may offer comfort and even aid emotional processing.

The Potential Downsides of Weighted Blankets

While weighted blankets offer notable benefits, they are not a universal solution, and certain populations should use them with caution.

Risk of Overheating

Weighted blankets, especially those made with insulating materials, can trap heat, which may be uncomfortable for hot sleepers or individuals experiencing conditions such as menopause. To combat this, some manufacturers are now offering weighted blankets made with breathable fabrics.

Safety Considerations for Children and Certain Adults

Weighted blankets are generally not recommended for children under two years old or individuals with respiratory issues, as the extra weight may make it harder for them to breathe freely. Moreover, those with certain physical disabilities should consult a healthcare provider before using a weighted blanket to avoid any unintentional injury.

Placebo Effect

There is some debate about whether the benefits of weighted blankets are due in part to the placebo effect. While many studies have noted improvements in sleep, anxiety, and mood, they often involve self-reported data, which is inherently subjective. Though this doesn’t negate the potential benefits, it does raise questions about the relative contribution of perceived versus physiological effects.

Weighted Blankets: Dead Weight or Dead Good?

In summary, weighted blankets offer a variety of psychological benefits, from reducing anxiety and improving sleep quality to enhancing mood and emotional comfort. Their effects are grounded in the principles of deep pressure stimulation, which has a longstanding therapeutic history. While more research is needed to determine the precise mechanisms and long-term effects, existing studies provide a promising foundation. For many, weighted blankets are a valuable tool in managing stress, anxiety, and sleep disorders—though they should be used with consideration for individual needs and health conditions.

Simply Put

Weighted blankets offer a fascinating example of how simple, tactile interventions can significantly impact psychological well-being. Their benefits are rooted in the therapeutic concept of deep pressure stimulation, which appears to positively influence the nervous system, aiding in anxiety reduction, improved sleep quality, and mood regulation. Although further studies, particularly those involving more objective measures, are needed to strengthen the evidence base, weighted blankets are currently supported by a blend of both empirical research and strong anecdotal evidence.

For those seeking natural, non-pharmacological approaches to manage stress, insomnia, or anxiety, weighted blankets appear to be more than just "dead weight." With proper use and consideration for individual health needs, they hold substantial promise as an effective tool for enhancing psychological well-being.

Recommended Weighted Blankets

Disclaimer: Purchases through links on our site, may earn ourself affiliate commission.
  1. Simba Orbit Weighted Cotton Blanket - Amazon

  2. Kudd.ly Weighted Blanket - Amazon

  3. Silentnight Wellbeing Weighted Blanket - Amazon

  4. Aeyla Weighted Blanket - Amazon

References

  1. Ackerley, R., Badre, G., & Olausson, H. (2015). “Positive effects of a weighted blanket on insomnia.” Journal of Sleep Medicine and Disorders, 2(3), 1022.

  2. Yu J, Yang Z, Sun S, Sun K, Chen W, Zhang L, Xu J, Xu Q, Liu Z, Ke J, Zhang L and Zhu Y (2024) The effect of weighted blankets on sleep and related disorders: a brief review. Front. Psychiatry 15:1333015. doi: 10.3389/fpsyt.2024.1333015

  3. Gringras, P., Green, D., Wright, B., Rush, C., Sparrowhawk, M., Pratt, K., Allgar, V., Hooke, N., & Zaiwalla, Z. (2014). "Weighted Blankets and Sleep in Autistic Children—A Randomized Controlled Trial."

  4. Krauss K. E. (1987). The effects of deep pressure touch on anxiety. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 41(6), 366–373. https://doi.org/10.5014/ajot.41.6.366

  5. Goldstein, P., Weissman-Fogel, I., & Shamay-Tsoory, S. G. (2017). The role of touch in regulating inter-partner physiological coupling during empathy for pain. Scientific reports, 7(1), 3252. https://doi.org/10.1038/s41598-017-03627-7

  6. Eron, K., Kohnert, L., Watters, A., Logan, C., Weisner-Rose, M., & Mehler, P. S. (2020). Weighted Blanket Use: A Systematic Review. The American journal of occupational therapy : official publication of the American Occupational Therapy Association, 74(2), 7402205010p1–7402205010p14. https://doi.org/10.5014/ajot.2020.037358