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ProgramModerate evidenceSleep

Weighted blanket

Deep-pressure stimulation. RCT: nearly 26× more likely to halve insomnia severity vs. control blanket.

Why

Weighted blankets, typically dosed around 10% of body weight (the dosing rule used in the Ekholm 2020 RCT below), deliver continuous deep-pressure stimulation, hypothesised to increase parasympathetic tone and reduce arousal. Ekholm 2020 J Clin Sleep Med RCT (n=120) in patients with insomnia plus a psychiatric disorder showed 60% achieved 50%+ Insomnia Severity Index reduction with the weighted blanket vs. 5% with the light control blanket.

The program

  1. 1

    Pick a weight ~10% of your body weight (often 6-8kg for adults).

  2. 2

    Use as the primary blanket. Allow 1-2 weeks to adapt to the weight.

  3. 3

    Pair with the rest of your sleep hygiene: cool room, dim evening light.

  4. 4

    If sleep doesn't improve in 4 weeks, reassess; it isn't for everyone.

Practical

Cadence

Use as your primary blanket through the night

What you'll need

Choose ~10% of body weight; not for OSA, claustrophobia, or young children

Ideal for

People with anxiety-driven insomnia or stress-related sleep difficulty.

Caution: Avoid in obstructive sleep apnea, claustrophobia, respiratory or circulatory problems, and for young children (suffocation risk).

Evidence

At a glance

Ekholm 2020 J Clin Sleep Med RCT (n=120, insomnia plus psychiatric disorder): a ~10%-body-weight chain blanket vs light control over 4 weeks. 60% of the weighted-blanket group vs 5% of controls achieved ≥50% reduction in Insomnia Severity Index (Cohen's d 1.90, p<0.001).