Under Pressure: The Science Behind Weighted Blankets & Stress Relief

Photo Courtesy: Katelin Kinney/iStock

Simple yet effective, the weighted blanket is an impressive innovation in relieving anxiety and symptoms of other conditions. The idea behind it is simple: the pressure of the blanket simulates the feeling of receiving a hug. For many weighted-blanket users, this leads to relief and calmness. 

But this innovation is far from new. In the 1980s, Temple Grandin, a scientist and animal behaviorist, discovered the benefits of pressure sensation. To make the beef industry more humane, Grandin observed that frightened cows would regain calm after being pushed tightly into a squeeze chute, for example. From these observations, she went on to develop a hug machine that duplicated this calming pressure. This was first developed to ease the symptoms of autism, a diagnosis that Temple Grandin shares. Recently, there has been a resurgence of interest in this sensory therapy modality, with weighted blankets becoming popular in the mainstream.

Let’s look at everything you need to know about weighted blankets — and if you could benefit from using one. 

What Is a Weighted Blanket?

A weighted blanket is a therapeutic tool similar to a conventional blanket in all but its weight. Often, they weigh anywhere from 5 to 30 pounds. The blanket is often filled with glass beads or plastic pellets. The concept? The blanket is heavy enough to exert pressure on you, much like getting a long-lasting hug after a rough day.

Who Can Use a Weighted Blanket?

The short answer? Anyone can use a weighted blanket. Regarding more specific use cases, occupational therapists who work with kids tend to use weighted blankets as a treatment option for sensory activities. This can include various conditions such as autism or attention deficit hyperactive disorder (ADHD). This easy-to-use tool may also help with the following:

  • Chronic pain
  • Anxiety
  • Restless leg syndrome (RLS)
  • Depression or other mood disorders
  • Fibromyalgia
  • Insomnia and other sleep disorders

How Do Weighted Blankets Work?

Recent research efforts have focused on better understanding the mechanism of weighted blanket therapy for relieving the symptoms of the conditions mentioned above. In 2020, Swedish researchers conducted a study to determine facets of that effectiveness. They found that weighted blankets improved sleep among people with ADHD, generalized anxiety disorder, bipolar disorder, and depressive disorder. 

So, how do they work? The mechanism of how weighted blankets work is not well studied or understood currently. Weighted blankets are used in therapy as part of the sensory integration therapy model. This model is based on integrating inputs from two systems: 

  1. The limbic system, which controls emotional and behavioral responses
  2. The proprioceptive system, which senses the pressures exerted on our bodies to determine our location in space. Weighted blankets may work by acting upon our proprioceptive system to provide different sensory input, which may then be integrated with different emotional responses.  

The Main Benefits of Using a Weighted Blanket

Provide Security and Comfort

Swaddling a newborn baby helps them sleep soundly at night, and this is because of the sense of security the tight swaddle provides. A weighted blanket works under a similar principle, helping you sleep securely and comfortably throughout the night. 

Reduce Stress and Anxiety Levels

Stress and anxiety are the most significant contributors to interrupted sleep. Constant worry and fear make it hard to fall asleep during the night. In turn, sleep deprivation can aggravate an individual’s anxiety levels — so it’s essentially a vicious cycle. A weighted blanket helps by applying pressure to soothe your anxiety and help you rest. 

Improve Sleep Quality 

Some research studies have demonstrated the benefit of weighted blankets on improving sleep and reducing the impact of insomnia. The mechanism behind this is not yet known. However, it is thought to be mediated by serotonin, cortisol, and melatonin hormones. The pressure created by the blanket’s weight can go a long way toward improving your overall sleep quality. 

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Calm the Nervous System 

Weighted blankets help restore calm in your nervous system by applying even pressure on your body. Sleeping with an overactive nervous system can be challenging. Luckily, weighted blankets are a quick and effective means of overcoming this hurdle. According to a study, 63% of participants stated that heavy blankets helped lower their anxiety levels after just five minutes of use.

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How to Choose the Best Weighted Blanket for You

As the COVID-19 pandemic continues, stress and anxiety are still taking center stage, causing many of us to revisit our mental health. That said, a weighted blanket might be a great tool for you. So, how do you pick the best option? Consider the following factors.

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Blanket Weight

The average weight of weighted blankets ranges from 5 pounds to 30 pounds. You should select a weighted blanket that weighs no more than 10% of your body weight. If you weigh 200 pounds, pick out a blanket that weighs 20 pounds.

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Weighted blankets for kids weigh close to 5 pounds, and adult blankets range from 10 to 30cpounds. Consider getting a lighter blanket if you have — or the user you’re getting it for has — any mobility issues. Although the pressure of the blanket has its benefits, it can be unsafe to apply too much pressure with a weighted blanket that is too heavy. That’s why the 10% rule is recommended. If you have any concerns or questions about which weight is right for you, speak with your doctor or ask to be referred to a therapist who specializes in sensory integration therapy. 

Weighted Blanket Material

Weighted blankets are filled with two types of material: plastic pellets or glass beads. 

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Glass beads are smaller — but heavier than plastic pellets. That small size has an advantage in that the blanket appears thinner. In contrast, plastic pellets are bigger, making the blanket a bit bulkier. However, blankets with plastic pellets are considerably cheaper since plastic is inexpensive compared to glass. Some weighted blankets come with other materials, such as polyester fiberfill or fleece lining, for an extra layer of warmth. If you’re planning to use the blanket during the cold winter months, this might be a nice perk. 

Removable Cover

Due to the weight of the blankets, they are bulky and hard to wash, which means a removable cover is ideal, especially if you live with children or pets. Cotton covers make for cool, breathable blankets, while other fabrics may best suit that warm and cozy feel. Sometimes, sellers price covers as an add-on, so never assume your blanket comes with a removable cover.

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Resource Links:

  • “Temple Grandin Hug Machine: How did Weighted Blanket Research Begin?” via TruHugs
  • “Behavioral and physiological effects of deep pressure on children with autism: a pilot study evaluating the efficacy of Grandin’s Hug Machine” via American Journal of Occupational Therapy
  • “How Heavy Should a Weighted Blanket Be?” via Sleep Foundation
  • “SLEEP: intervention with weighted blankets for children with attention deficit hyperactivity disorder (ADHD) and sleep problems: study protocol for a randomised control trial” via  BMJ Open 
  • “Weighted Blanket Use: A Systematic Review” via American Journal of Occupational Therapy
  • “The effectiveness of weighted blankets on sleep and everyday activities – A retrospective follow-up study of children and adults with attention deficit hyperactivity disorder and/or autism spectrum disorder” via Scandinavian Journal of Occupational Therapy 
  • “Weighted Blankets for Sounder Sleep?” via New York Times
  • “Sensory Integration” via StatPearls 
  • “A randomized controlled study of weighted chain blankets for insomnia in psychiatric disorders” via Journal of Clinical Sleep Medicine 
  • “Do the Benefits of Weighted Blankets Live Up to the Hype?” via Health Matters