Abstract
Sleep is crucial to the overall well-being of individuals. Sleep deficiency can lead to various physical and mental health issues, including more severe insomnia, anxiety, and depressive symptoms. Improving sleep quality is often emphasized through sleep hygiene. An emerging nonpharmacological intervention is the use of weighted blankets, which apply deep-pressure stimulation to promote feelings of relaxation, comfort, and security similar to a gentle hug. This study explored the effects of weighted blankets on sleep quality and symptoms of insomnia, anxiety, and depression. Thirty participants (M = 33 years, SD = 9.13) used weighted blankets for 14 nights. They completed the Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), and Hopkins Symptom Checklist-25 items (HSCL-25) questionnaires. A wearable sleep tracker monitored physiological conditions such as resting heart rate, breathing quality, stress levels, total sleep duration, and deep sleep percentage. Results indicated significant improvements in subjective sleep quality and reductions in insomnia, anxiety, and depressive symptoms, although no significant changes were noted in objective sleep quality scores. As a quasi-experimental study with no control group, the study carries the limitations related to a quasi-design.
References
Ackerley, R., Badre, G., & Olausson, H. (2015). Positive Effects of a Weighted Blanket on Insomnia. Journal of Sleep Medicine & Disorders
Alim, I.Z. (2015) Uji Validitas dan Reliabilitas Instrumen Pittsburgh Sleep Quality Index versi Bahasa Indonesia (Tesis, Universitas Indonesia).
An, R. (2016). Fast-food and full-service restaurant consumption and daily energy and nutrient intakes in US adults. Eur J Clin Nutr 70, 97–103. doi: 10.1038/ejcn.2015.104
Babson, K. A., Trainor, C. D., Feldner, T., & Blumenthal, H. (2010). A test of the effects of acute sleep deprivation on general and specific self-reported anxiety and depressive symptoms, an experimental extension. Journal of behavior Therapy and Experimental Psychiatry, 1(3), 297–303. httpsÏ//doi.org/10.1016/j.jbtep.2010.02.00
Bastien, C., VallieÁres, A., & Morin, C.M. (2001). Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Medicine, 2(4), 297–307. doi:10.1016/s1389-9457(00)00065-4
Basner, M., et al. (2014). Auditory and non-auditory effects of noise on health. The Lancet, 383(9925), 1325–1332. doi:10.1016/s0140-6736(13)61613-x
Baumgartner, J. N., et al. (2021). Widespread Pressure Delivered by a Weighted Blanket Reduces Chronic Pain: A Randomized Controlled Trial. The Journal of Pain. doi:10.1016/j.jpain.2021.07.00
Becklund, A. L., Rapp-McCall, L., & Nudo, J. (2021). Using a weighted blanket in an inpatient mental health hospital to decrease anxiety. Journal of Integrative Medicine, 19(2), 129–134. doi:10.1016/j.joim.2020.11.004
Benedetti, F. (2008). Mechanisms of Placebo and Placebo-Related Effects Across Diseases and Treatments. Annual Review of Pharmacology and Toxicology, 48(1), 33–60. doi:10.1146/annurev.pharmtox.48.113006.094711
Buysse, D. J. (2013). Insomnia. JAMA, 309(7), 706–716. doi: 10.1001/jama.2013.193.
Cajochen, C., et al. (2011). Evening exposure to a light-emitting diode (LED)-backlit computer screen affects circadian physiology and cognitive performance. Journal of Applied Physiology, 110(5), 1432–1438. doi:10.1152/japplphysiol.00165
Chaput, J.-P., Dutil, C., Featherstone, R., Ross, R., Giangregorio, L., Saunders, T. J., Janssen, I., Poitras, V. J., Kho, E., Ross-White, A., & Carrier, J. (2020). Sleep duration and health in adultsÏ an overview of systematic reviews. Applied Physiology, Nutrition, and Metabolism, }5(10 (Suppl. 2)), S218–S231. https// doi.org/10.1139/apnm-2020-003
Cheng, S. H., & Davenport, T. (2019). Insomnia and Depression: A Reciprocal Relationship. Psychiatric Annals, 49(8), e345–e349. doi: 10.3928/00485713-20160121-01
Ekholm, B., Spulber, S., & Adler, M. (2020). A randomized controlled study of weighted chain blanket for insomnia in psychiatric disorders. Journal of clinical Sleep Medicine, 16(9), 1567–1577. httpsÏ//doi.org/10.5664/jcsm.863k
Enck, P., et al. (2013). The placebo response in medicine: minimize, maximize or personalize? Nature Reviews Drug Discovery, 12(3), 191–204. doi:10.1038/nrd3923
Eron, K., Kohnert, L., Watters, A., Logan, C., Weisner-Rose, M., & Mehler, P. S. (2020). Weighted blanket useÏ A systematic review. The American Journal of Occupational Therapy, `(2). https//doi.org/10.5014/ajot.2020.03735
Field, T., & Diego, M. (2008). Vagal Activity, Early Growth and Emotional Development. Infant Behavior and Development, 31(3), 361–373. doi: 10.1016/j.infbeh.2007.12.008
Gee, B.., Peterson, T. G., Buck, A., & Lloyd, K. (2016). Improving sleep quality using weighted blanket among young children with an autism spectrum disorder. International Journal of Therapy and Rehabilitation, 23(4), 173–181. httpsÏ// doi.org/10.12968/ijtr.2016.23.4.17z
Grandner, M. A., et al. (2014). Dietary nutrients associated with short and long sleep duration. Data from a nationally representative sample. Appetite, 64, 71–80. doi: 10.1016/j.appet.2013.01.004
Grandner, M. A., et al. (2013). Sleep symptoms associated with intake of specific dietary nutrients. Journal of Sleep Research, 23(1), 22–34. doi:10.1111/jsr.12084
Gringras, P., Green, D., Wright, B., Rush, C., Sparrowhawk, M., Pratt, K., & Allgar, V. (2014). Weighted blanket and sleep in autistic children—a randomized controlled trial. Pediatrics, 134(2), 298–306. doi: 10.1542/peds.2013-4285
Hauri, P. J. (1991). Case studies in insomnia. New York: Springer Science & Business Media.
Irish, L. A., Kline, C. E., Gunn, H. E., Buysse, D. J., & Hall, M. H. (2015). The role of sleep hygiene in promoting public health: A review of empirical evidence. Sleep Medicine Reviews, 22, 23–36. doi:10.1016/j.smrv.2014.10.001
Kaida, K., Takahashi, M., Akerstedt, T., Nakata, A., Otsuka, Y., Haratani, T., & Fukasawa, K. (2006). Validation of the Karolinska sleepiness scale against performance and EEG variables. Clinical Neurophysiology, 117(7), 1574–1581. doi: 10.1016/j.clinph.2006.03.011
Kaplan, R. & Saccuzzo, M. (2009). Psychological Testing: Principles, applications, and issues (7th ed.). Belmont, CA: Wadsworth Cengage Learning.
Krauchi, K., & Wirz-Justice, A. (2001). Circadian rhythm of heat production, heart rate, and skin and core temperature under unmasking conditions in men. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 280(2), R526-R534. doi: 10.1152/ajpregu.1994.267.3.R819
Lakhan, S. E., & Vieira, K. F. (2008). Nutritional and herbal supplements for anxiety and anxiety-related disorders: systematic review. Nutrition Journal, 7(1), 1–14. doi: 10.1186/1475-2891-9-42
Lan, L., et al. (2017). Thermal environment and sleep quality: A review. Energy and Buildings, 149, 101-113. doi: 10.1016/j.enbuild.2017.05.043
Landry, G. J., Best, J. R., & Liu-Ambrose, T. (2015). Measuring sleep quality in older adults: a comparison using subjective and objective methods. Frontiers in Aging Neuroscience, 7. doi:10.3389/fnagi.2015.00166
Lewandowsky, S., Ecker, U. K. H., & Cook, J. (2017). Beyond Misinformation: Understanding and Coping with the “Post-Truth” Era. Journal of Applied Research in Memory and Cognition, 6(4), 353–369. doi:10.1016/j.jarmac.2017.07.0
Li, L., Wu, C., Gan, Y., Qu, X., & Lu, Z. (2016). Insomnia and the risk of depression. A meta-analysis of prospective cohort studies. Mc Psychiatry, 16(1). doi: 10.1186/s12888-016-1075
Meth, E. M. S., Brandão, L. E. M., van Egmond, L. T., Xue, P., Grip, A., Wu, J., Adan, A., Andersson, F., Pacheco, A. P., Uvnäs-Moberg, K., Cedernaes, J., & Benedict, C. (2023). A weighted blanket increases pre-sleep salivary concentrations of melatonin in young, healthy adults. Journal of Sleep Research, 32(2), e13743. https://doi.org/10.1111/jsr.13743
Morin, C. M., & Benca, R. (2012). Chronic insomnia. The Lancet, 379(9821), 1129-1141. doi: 10.1016/S0140-6736(11)60750-2
Morin, C. M., et al. (2011). The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response. Sleep, 34(5), 601–608. doi:10.1093/sleep/34.5.601
Mullen, B., Champagne, T., Krishnamurty, S., Dickson, D., Gao, R. X., & Zabjek, K. (2008). Exploring the safety and therapeutic effects of deep pressure stimulation using a weighted blanket. Occupational Therapy in Mental Health, 24(1), 65–89. doi: 10.1300/J004v24n01_05
Price, D. D., Finniss, D. G., & Benedetti, F. (2008). A Comprehensive Review of the Placebo Effect: Recent Advances and Current Thought. Annual Review of Psychology, 59(1), 565–590. doi:10.1146/annurev.psych.59.113006.095941
Qaseem, A., et al. (2016). Management of chronic insomnia disorder in adults: A clinical practice guideline from the American College of Physicians. Annals of Internal Medicine, 165(2), 125-133. doi: 10.7326/M15-2175
Ridzky, A. N., & Asih, S. R. (2017). Dampak kualitas tidur terhadap subjective well being pada karyawan urban Jakarta (thesis). Depok
Rosenthal, R., Jacobson, L. Pygmalion in the classroom. Urban Rev 3, 16–20 (1968). doi: 10.1007/BF02322211
Sejbuk, M., Mirończuk-Choda, I, & Witkowska, A.M. (2022). Sleep quality: a narrative review on nutrition, stimulants, and physical activity as important factors. Nutrients, 14(9), 1912. doi: 10.3390/nu14091912
Swanenghyun, G. (2015). Validitas dan reliabilitas alat ukur insomnia severity index (ISI-INA) pada remaja jalanan di Yogyakarta (Skripsi, Universitas Gajah Mada).
Sleep Foundation. (n.d.). Mastering Sleep Hygiene: Your Path to Quality Sleep. Retrieved from https://www.sleepfoundation.org/sleep-hygiene
Valham, F., et al. (2012). Ambient temperature and obstructive sleep apnea: effects on sleep, sleep apnea, and morning alertness. Sleep 1;35(4):513-7. doi: 10.5665/sleep.1736.
Voinescu, B., & Szentagotai-Tatar, A. (2015). Sleep hygiene awareness: its relation to sleep quality and diurnal preference. Journal of Molecular Psychiatry, 3(1), 1. doi: 10.1186/s40303-015-0008
Walker, M. P. (2017). Why we sleep: Unlocking the power of sleep and dreams. NY: Scribner.
Watson, N. F., Badr, . S., Belenky, G., Bliwise, D. L., Buxton, O. Buysse, D. Dinges, D. F., Gangwisch, J., Grandner, . A., Kushida, C., R. K., Martin, J. L., Patel, S. R., Quan, S., & Tasali, E. (2015). Recommended Amount of Sleep for a Healthy AdultÏ A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society. Sleep, 38(6), 843–844. doi: 10.5665/sleep.471k
Wijaya, V., & Asih, S. R. (2018). Pengaruh stres akademik terhadap kualitas tidur dengan sleep hygiene sebagai moderator pada mahasiswa (thesis). Depok.
Xie, Y., et al. (2021). Effects of Exercise on Sleep Quality and Insomnia in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Frontiers in psychiatry, 12, 664499. doi: 10.3389/fpsyt.2021.664499
Yen, L. Z., et al. (2020). The Influence of Physical Properties on Comfort Performance of Bedsheet Fabrics. Technology, 11(11), 1018-29. doi: 10.34218/IJARET.11.11.2020.094
Yilmaz, D., Tanrikulu, F., & Dikmen, Y. (2017). Research on Sleep Quality and the Factors Affecting the Sleep Quality of the Nursing Students. Current Health Sciences Journal, 3(1), 20–24. httpsÏ//doi.org/10.12865/CHSJ.43.01.03
Recommended Citation
Amalia, Irish; Asih, Sali R.; Wiswanti, Inge U.; and Saraswati, Ina
(2024)
"The Effectiveness of Weighted Blankets as a Sleep Promoting Behavior: A Quasi -Experimental Study,"
Psychological Research on Urban Society: Vol. 7:
No.
1, Article 5.
DOI: 10.7454/proust.v7i1.1168
Available at:
https://scholarhub.ui.ac.id/proust/vol7/iss1/5
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