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From 323 titles, we included 24 studies involving 16,083 persons with diabetes and 1020 T1D partners. Studies were quantitative ( n\u2009=\u200913), qualitative ( n\u2009=\u20099) and mixed methods ( n\u2009=\u20092). Maintaining resilient, good quality, intimate relationships optimises physical and psychological outcomes for persons with diabetes. Partners experience disturbed sleep and while general psychological health is maintained, distress surrounding hypoglycaemia is overwhelming for over a third of partners. Nurturing quality relationships could reap significant health benefits.<\/jats:p>","DOI":"10.1177\/1359105318817356","type":"journal-article","created":{"date-parts":[[2018,12,21]],"date-time":"2018-12-21T09:40:29Z","timestamp":1545385229000},"page":"412-437","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Couples living with type 1 diabetes: An integrative review of the impacts on health and wellbeing"],"prefix":"10.1177","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5526-9769","authenticated-orcid":false,"given":"Rossella","family":"Messina","sequence":"first","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences, Section of Hygiene and Biostatistics, Alma Mater Studiorum-University of Bologna, Italy"},{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King\u2019s College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2604-3730","authenticated-orcid":false,"given":"Mette","family":"Due-Christensen","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King\u2019s College London, UK"},{"name":"Steno Diabetes Centre Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita","family":"Keller-Senn","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King\u2019s College London, UK"},{"name":"Cantonal Hospital Winterthur, Switzerland"},{"name":"Zurich University of Applied Sciences, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elzbieta","family":"Polek","sequence":"additional","affiliation":[{"name":"Tavistock Relationships, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Pia","family":"Fantini","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences, Section of Hygiene and Biostatistics, Alma Mater Studiorum-University of Bologna, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1281-1401","authenticated-orcid":false,"given":"Jackie","family":"Sturt","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King\u2019s College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,12,21]]},"reference":[{"key":"bibr1-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1177\/1932296816645365"},{"key":"bibr2-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2017.02.015"},{"key":"bibr3-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(17)30239-5"},{"key":"bibr4-1359105318817356","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-0447"},{"key":"bibr5-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1080\/20573316.2016.1202497"},{"key":"bibr6-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1007\/BF03000186"},{"key":"bibr7-1359105318817356","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.20.10.1543"},{"key":"bibr8-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.70.3.611"},{"key":"bibr9-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2006.01794.x"},{"key":"bibr10-1359105318817356","doi-asserted-by":"publisher","DOI":"10.1007\/s11892-015-0694-2"},{"key":"bibr11-1359105318817356","unstructured":"Handley S, Joy I, Hestbaek C, et al. 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