Keith Sanford, Ph.D.

Professor of Psychology and Neuroscience Baylor University

  • Waco TX

Expert who uses psychometrics to understand how interpersonal relationships & racial/ethnic discrimination shape health-related attitudes

Contact

Baylor University

View more experts managed by Baylor University

View all Experts

Spotlight

8 min

Declaring a New Year's Resolution for 2019? Baylor Experts Can Help

WACO, Texas (Dec. 17, 2018) – As 2019 approaches, many Americans are considering ways to improve themselves via New Year’s resolutions. Whether it’s personal, like losing weight or clearing clutter, or it’s professional, such as being a better manager or breaking away from smartphones, the options are wide-ranging. Here is a listing of Baylor University research that might help advise those seeking positive change in the coming year. First and Foremost, Resolve not to Over-resolve Only 10 to 20 percent of people keep their resolutions, says Sara Dolan, Ph.D., associate professor and graduate program director of clinical psychology. She advises setting “bite-sized goals instead of a massive behavior change.” Rather than giving up sugar completely or going all out at the gym, she advises achieving small successes before moving on. Ask Yourself: “Do I really want to work from home?” Many U.S. employees believe working from home – or at least away from the office – can bring freedom and stress-free job satisfaction. A 2018 Baylor University study says, “Not so fast.” The research, led by Sara Perry, Ph.D., assistant professor of management in Baylor University’s Hankamer School of Business, found that: Autonomy is critical to protecting remote employees’ well-being and helping them avoid strain. Employees reporting high levels of autonomy and emotional stability appear to be the most able to thrive in remote-work positions. Employees reporting high levels of job autonomy with lower levels of emotional stability appear to be more susceptible to strain. “Any organization, regardless of the extent to which people work remotely, needs to consider well-being of their employees as they implement more flexible working practices,” the researchers wrote. Read more here. Save Money by being a Better Negotiator In today’s retail climate, where stores struggle to keep up with online competition and customers can compare prices with the ease of their smartphones, the price tag is just a starting point for negotiations, said negotiation expert Emily Hunter, Ph.D., associate professor of management in Baylor’s Hankamer School of Business. “No longer do you need to pay sticker price for everything you buy. The customer is now empowered to have a say in pricing, and even hourly retail workers are often empowered to give price discounts when requested,” Hunter said. Hunter said negotiations – whether in a retail setting or in the workplace – require confidence. “Many people are hesitant to negotiate because they don’t know how or they are worried about the other person’s reaction (Will they think I’m greedy?),” she said. “But practice can increase your confidence in your ability to negotiate. Rejection is less common than you fear, and retail stores especially are often willing to work with you.” She offered the following tips to increase the chances of greater deals at the check-out counter. Resolving to Be More Generous in the New Year Many Americans already have enough “stuff,” and the gift-giving season sometimes adds to that collection of things we really don’t need. Instead of always receiving, how can we resolve to be more generous in the New Year? “Whatever our station, however much money or resources we have, we all have something to share and something to give,” says Andy Hogue, Ph.D., senior lecturer in Baylor’s Honors College who teaches a course on philanthropy and the public good. “I like the idea of thinking in terms of a New Year’s resolution, sort of resolving to be more generous and helping people to think in those ways.” Hogue offers individuals and families four ways to develop a spirit of generosity in the New Year. Home Cooking Saves Money, Encourages Better Diet The more home-prepared foods used, the less risk there is of eating too many calories and fat calories, says Baylor University nutrition expert Janelle Walter, Ph.D., professor of family and consumer sciences and Nutrition Sciences Program coordinator. Home cooking also saves money and allows for more fruits, vegetables and dairy products — which often are missing when pre-prepared products are used — as well as less fat, sugar and salt. Some tips for prepping at home are making a precise list, lining up recipes and lists of ingredients, shopping when you aren’t hungry and preparing five main dishes at a time to see you through a few days. Involve your family in choosing foods, shopping and preparing foods, Walter says. Many simple and quick recipes are on online sites, she said, referencing these from Southern Living. Consider a New Approach to Dieting Meredith David, Ph.D., assistant professor of marketing in Baylor’s Hankamer School of Business, researched successful dieters and how they were different from others. Her research results have received national attention. “Our research shows that instead of creating rules to avoid one’s favorite treats, dieters should focus on eating healthy foods that they enjoy,” David said. “Dieters who restrict themselves from consuming the foods they love most may be setting themselves up for failure. Instead, they may be better off by allowing occasional ‘treats’ and focusing attention on healthy foods that they enjoy and making it a point to include those tasty but healthy foods in their diet.” Read the full article. Be Humble and Helpful In hard times, you know how much a helping hand means — and how humbling those times can be. So it might be good to resolve to look for opportunities to assist in 2019, while remembering not to pat yourself on the back for doing so. A decision to help someone else is influenced by time pressure, number of bystanders, empathy or a person's own distress — but that’s not all, says Baylor researcher Wade Rowatt, Ph.D., professor of psychology and neuroscience. “While several factors influence whether people will volunteer to help, it appears that humble people, on average, are more helpful than individuals who are egotistical or conceited.” Cultivate Patience — and Better Mental Health People who are more patient toward others also tend to be more hopeful, grateful and satisfied with life, says Sara Schnitker, Ph.D., associate professor of psychology and neuroscience. And there is more than one type of patience, including interpersonal patience — dealing with annoying people without losing your cool; handling life hardships — such as illness or unemployment — without frustration or despair; and coping with such daily hassles as traffic jams, computer woes and long lines. In her research, Schnitker invited undergraduates to two weeks of patience training, where they learned to identify feelings and their triggers, regulate their emotions, empathize and meditate. If you want to build your own patience, she recommends following three steps: identify, imagine and sync. First, take a moment to slow down an identify how you are feeling and why you might be feeling that way. Second, try to imagine or reappraise the situation from a different perspective or in a new way that helps you to be calm. Finally, sync with your purpose. Try to connect how what you are doing or enduring helps you pursue larger goals or your life purpose. When Ailing, Talk to A Doctor Instead of Searching the Internet for Answers Rather than heading to the doctor — or even the medicine cabinet — some people turn first to the Internet when they are ailing , according to a Baylor University researcher. Especially for folks who have trouble handling uncertainty, "cyberchondria" — the online counterpart to hypochondria — worsens as they seek answers, says Thomas Fergus, Ph.D., an associate professor of psychology and neuroscience in Baylor's College of Arts & Sciences. “They may become more anxious. And the more they search, the more they consider the possibilities,” he says. Doubts about health also can trigger worries about medical bills, disability and job loss, he said. And that can lead to a Catch-22 of more Googling (sometimes of questionable sources). Rather than giving in to cyberchondria, resolve to call your doctor — and take what you read with a grain of salt. In Conflicts with your Significant Other, Relinquish Power During spats with your spouse or significant other, the most common thing people want is not an apology, but a willingness to relinquish power, says Keith Sanford, Ph.D., professor of psychology and neuroscience in Baylor University's College of Arts & Sciences. That comes in many forms, among them giving a partner more independence, admitting faults, showing respect and being willing to compromise. Following closely behind the desire for shared control was the wish for the partner to show more of an investment in the relationship by such ways as sharing intimate thoughts or feelings, listening and sharing chores and activities, Sanford said. Sleep Better in the New Year Writing a “to-do” list at bedtime may aid in falling asleep, according to a Baylor University study by Michael K. Scullin, Ph.D., director of Baylor’s Sleep Neuroscience and Cognition Laboratory and assistant professor of psychology and neuroscience. Scullin's 2018 research compared sleep patterns of participants who took five minutes to write down upcoming duties versus participants who chronicled completed activities. Scullin suggests that writing a list may allow the brain to “offload” them instead of cycling through them repeatedly. Other hints: Use the bed for sleep rather than studying or entertainment; keep a regular sleep schedule; avoid electronics near bedtime; don’t take long day naps; and stay away from stimulants at least six hours before bedtime. Clear Out Clutter Without Getting Frazzled “Don’t try to organize the entire house in one weekend,” said Elise King, assistant professor in the department of family and consumer sciences. “You are much more likely to complete a task, especially one that you’ve probably been avoiding, if you break it into small goals. Don’t try to clean out an entire room over a weekend; instead, focus on the desk one week, the closet the next, and so forth.” Finally, involve your family, strive to make organization a routine — and reward yourself for your efforts. Break Away from the Smartphone Baylor marketing researchers James Roberts and Meredith David, Ph.D. have conducted numerous studies on the effects of smartphone technology on relationships. Their studies on “phubbing” – phone snubbing – have garnered national and international interest, given the pervasiveness of smartphone technology and its impact on relationships. Their studies have found: Bosses Who “Phone Snub” Their Employees Risk Losing Trust and Engagement “Phubbing” can damage romantic relationships and lead to higher levels of depression People who are phone snubbed by others are, themselves, often turning to their smartphones and social media to find acceptance “Although the stated purpose of technology like smartphones is to help us connect with others, in this particular instance, it does not,” David said. “Ironically, the very technology that was designed to bring humans closer together has isolated us from these very same people.”

Keith Sanford, Ph.D.James A. Roberts, Ph.D.Meredith David, Ph.D.

4 min

Bad Behavior Toward Significant Other in Tough Times Has More Impact than Positive Gestures

Refraining from criticism or abandonment is better than simply being encouraging, Baylor University study finds Refraining from bad behavior toward a significant other during stressful life events is more important than showing positive behavior, according to a Baylor University study. Compared with positive gestures, negative ones tend to trigger more intense and immediate responses, according to the study. And how a couple works together during stressful times is associated with individual well-being as well as satisfaction with the relationship. “When people face stressful life events, they are especially sensitive to negative behavior in their relationships, such as when a partner seems to be argumentative, overly emotional, withdrawn or fails to do something that was expected,” said researcher Keith Sanford, Ph.D., professor of psychology and neuroscience in Baylor’s College of Arts & Sciences. “In contrast, they’re less sensitive to positive behavior — such as giving each other comfort,” he said. The study also found that low doses of a behavior are most important, and over time, more extreme levels have less impact. “Because people are especially sensitive to negative relationship behavior, a moderate dose may be sufficient to produce a nearly maximum effect on increasing life stress,” Sanford said. “After negative behavior reaches a certain saturation point, it appears that stress is only minimally affected by further increases in the dose of relationship problems.” The study — “Negative Relationship Behavior Is More Important Than Positive: Correlates of Outcomes During Stressful Life Events” — is published in the Journal of Family Psychology. Sanford and co-researcher Alannah Shelby Rivers, doctoral candidate in psychology and neuroscience, surveyed couples experiencing stressful life events to measure their behavior, relationship satisfaction, personal well-being and quality of life. The research consisted of two studies done using data from Internet samples. In the first study, 325 couples who were married or living with a partner all reported experiences of at least one of six possible stressful events within the past month, including: losing a job, becoming a primary caregiver of an older relative, experiencing a parent’s death, experiencing a child’s death, not having enough resources to afford basic necessities, and experiencing bankruptcy, foreclosure or repossession of a house or car. The second study included 154 people who were either married or living with a partner and experiencing a serious medical issue meeting one or more of these criteria: a condition requiring hospitalization or a trip to the emergency room, a serious chronic condition and a life-threatening condition. All participants reported that they had visited a medical practitioner within the past year for treatment of their conditions. Researchers used a scale that included 18 items — nine for negative and nine for positive behavior. Participants were asked to remember the past month, then write a few words describing different memories of interactions occurring in their relationships and indicate how often specific types of interactions occurred in their relationships. All participants also were asked questions about how rewarding their relationships were, their general well-being (such as being active and vigorous) and their quality of life (such as health). Those in the first study also were asked about stress, their coping strategies in general and their coping style in the relationship. The second study, examining couple’s behavior during stressful medical events, showed lower levels of negative behavior than the first study dealing with other types of stressful issues. “It is possible that couples facing stressful medical situations are less likely to blame each other,” researchers wrote. “When people face stressful life events, it’s common to experience both positive and negative behavior in their relationships,” Sanford said. “When the goal is to increase feelings of well-being and lessen stress, it may be more important to decrease negative behavior than to increase positive actions.” ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines. Visit www.baylor.edu/artsandsciences.

Keith Sanford, Ph.D.

4 min

Surveying Patients about Health Care Providers Is Likely of Little Use

But a newly developed questionnaire delves more deeply and may provide valuable information, Baylor University study finds For anyone who has ever taken a survey after a medical appointment and wondered whether the effort was worthwhile, the answer is probably “No,” says a Baylor University psychologist and researcher. Health care providers are pushing to assess patient satisfaction, and many companies charge millions of dollars to assess patients for the providers. But while the intentions are great, “when I started looking at the instruments currently being used to assess doctor-patient relationships, it became apparent they were highly problematic and not providing useful information,” said Keith Sanford, Ph.D. professor of psychology and neuroscience in Baylor’s College of Arts & Sciences. After conducting a series of studies to clarify problems with existing scales, Sanford — a scholar of psychometrics who develops assessment instruments — has created a new tool to measure patient experience during consultations, and research findings suggest it works better than others. The research — “Medical Consultation Experience Questionnaire: Assessing Perceived Alliance and Experienced Confusion During Medical Consultations” — was published in Psychological Assessment, a journal of the American Psychological Association, and funded in part by a grant from Baylor College of Medicine. Working with Baylor University psychologists were physicians with Texas Children’s Hospital and Baylor College of Medicine. The new instrument — the Medical Consultation Experience Questionnaire (MCEQ) — measures two aspects of patient experience — “alliance” and “confusion.” Researchers stressed that it addresses the consultation, not treatment results. Practitioners strive for a good alliance, in which the patient sees the practitioner as committed, competent and dedicated to understanding patient desires and views. Another goal is good exchange of information to avoid confusion. But in attempting to measure how well those goals are being met, some questionnaires have limited options that may result in skewed results, Sanford said. For example, one survey offers respondents a 4-point scale in which the answers range from “always” to "never” to such questions as “How often did doctors listen carefully to you?” Another existing assessment instrument asks respondents to use a 5-point scale — from “poor” to “excellent” — to rate practitioner communication in such areas as whether they were treated with respect. The problem is that most respondents choose the top response for each item, with fewer than 5 percent choosing the bottom option, previous research has shown. While such a scale can identify “highly disgruntled” patients, “it cannot make reliable distinctions between patients having experiences ranging from marginally acceptable to extremely positive,” researchers wrote. “The key question is whether a ‘good doctor’ is a single thing or whether there is a range of goodness,” Sanford said. “If you ask the right questions, you’re able to get results that show that range.” To evaluate the new questionnaire, researchers conducted three studies with a total of 576 participants. They compared responses to the new survey with those participants’ responses to other questionnaires. Respondents ranged from adults with diabetes and/or hypertension to parents of children requiring plastic surgery (for such conditions as a cleft palate or facial injury) to parents of children with medical conditions meeting one or more of such criteria as having to go to an emergency room, spend time in a hospital, cope with a chronic condition or deal with a life-threatening condition. The study results support the validity of the new questionnaire in several important ways. It allows for measuring a wider range of patient experiences with more extensive and specific responses, making for better assessment of “alliance” and “confusion” — rather than merely identifying only the most dissatisfied or angry patients, Sanford said. “One of the reasons this is so important is if you don’t form an alliance with your practitioner, they may give you all the wonderful advice in the world, but you might not follow it, or you might be skeptical,” Sanford said. “And if you don’t quite understand what you are supposed to do, that will interfere with your doing the recommended actions.” Sanford noted that because the study relied on self-reported data and sampled only three groups with varying medical conditions, future research on patients with other health issues could be valuable. Tracking such outcomes as physiological measurements or frequency of attending rehabilitation sessions also could be of value, he said. “My hope is that people who use these surveys might realize that just as there is a science behind medical treatment, there is a science behind getting good survey reports,” Sanford said. “We want to make this available freely to anyone who wants to administer it.” *Co-researchers were Alannah Shelby Rivers, doctoral candidate in psychology and neuroscience at Baylor University; Dr. Tara L. Braun and Kelly P. Schultz, Division of Plastic Surgery at Baylor College of Medicine; and Dr. Edward P. Buchanan, Division of Plastic Surgery, Department of Surgery, Texas Children’s Hospital in Houston and Division of Plastic Surgery at Baylor College of Medicine. ABOUT BAYLOR UNIVERSITY Baylor University is a private Christian University and a nationally ranked research institution. The University provides a vibrant campus community for more than 17,000 students by blending interdisciplinary research with an international reputation for educational excellence and a faculty commitment to teaching and scholarship. Chartered in 1845 by the Republic of Texas through the efforts of Baptist pioneers, Baylor is the oldest continually operating University in Texas. Located in Waco, Baylor welcomes students from all 50 states and more than 80 countries to study a broad range of degrees among its 12 nationally recognized academic divisions. ABOUT BAYLOR COLLEGE OF ARTS & SCIENCES The College of Arts & Sciences is Baylor University’s oldest and largest academic division, consisting of 25 academic departments and seven academic centers and institutes. The more than 5,000 courses taught in the College span topics from art and theatre to religion, philosophy, sociology and the natural sciences. Faculty conduct research around the world, and research on the undergraduate and graduate level is prevalent throughout all disciplines. Visit www.baylor.edu/artsandsciences.

Keith Sanford, Ph.D.

Biography

Dr. Sanford joined the Baylor faculty in 2000. Prior to coming to Baylor, he earned his Ph.D. in clinical psychology at Michigan State University, and he earned his B.A. in psychology, with a second major in religion, from Seattle Pacific University. Dr. Sanford is a licensed psychologist in the state of Texas, and a former associate editor for the Journal of Family Psychology. He enjoys spending time with his wife and three children, and composing and performing music.

Dr. Sanford's research interests include: (a) studies of married couples and other close interpersonal relationships, (b) the development and validation of assessment instruments, (c) use of the Internet in assessment and clinical work, and (d) use of statistical methodology to analyze dyadic data and model processes involving change over time.

Dr. Sanford developed two Internet-based programs for couples that provide on-line assessments and feedback to participants and collect data for ongoing research. One program is called www.pairbuilder.com and it is designed to help couples build strong skills in communication and conflict resolution. The other program is called "Parting Parent" (located at www.Parting.PsyBU.com), and it is designed to help parents who are going through a separation or divorce establish plans for co-parenting their children.

Some studies in Dr. Sanford's lab focus on the development and validation of assessment instruments for use with couples. These have included instruments assessing two types of underlying concern that people experience during conflicts (perceived threat and perceived neglect), three types of negative emotion (hard emotion, soft emotion, and flat emotion), four types of conflict communication (adversarial engagement, collaborative engagement, withdrawal, and passive immobility), two types of cognitive appraisal (blaming attributions, and negative expectations), and also scales measuring several different perceptions and concerns experienced by divorcing parents.

Dr. Sanford is currently conducting a series of studies investigating couple resiliency. Couple resiliency is defined as the extent to which a couple's relationship has characteristics that help each member adapt and maintain high wellbeing during stressful life situations. Recent studies have investigated resiliency in a range of different populations, from parents who have a child with a medical condition to firefighters.

Areas of Expertise

Assessment Intstuments in Psychology
Couples and Conflict
Psychometrics

Education

Michigan State University

Ph.D.

Psychology

2000

Michigan State University

M.A.

Psychology

1996

Seattle Pacific University

B.A.

Psychology

1993

Media Appearances

Why a strict sense of justice hinders progress toward a fairer society

The Well  online

2022-08-12

Recent research by Keith Sanford, Ph.D., professor of psychology at Baylor, found that refraining from negative behaviors, such as arguing or emotionally withdrawing, can actually do much to save relationships during contentious times. It isn’t just performing the act of kindness that matters, but also not returning bad behaviors that helps build lasting relationships, through thick and thin, with others.

View More

Your Relationship Is Doomed If Your Partner Does This, Experts Say

Best Life  online

2020-10-19

Research conducted by Keith Sanford, Ph.D., professor of psychology, is cited in this article about relationship challenges and certain behaviors that have been proven to lead to a relationship’s failure.

View More

Four Relationship Remedies for Quarantined Couples: Paths to intimacy when you're on each other's last nerve

Psychology Today  online

2020-04-16

Research by Baylor psychology and neuroscience professor Keith Sanford, Ph.D., is cited in this article about relationship remedies for quarantined couples

View More

Show All +

Articles

Couple Resilience Inventory: Two dimensions of naturally occurring relationship behavior during stressful life events

Psychological Assessment

2016

A series of 3 studies using samples of married or cohabiting people were conducted to develop a new scale for measuring resilience in couples. Resilience involves the extent to which couples engage in behaviors that help each partner cope during stressful life events. In the first study, 525 people responded to open-ended questions, and a qualitative analysis identified 49 different potential types of resilience behavior that people naturally experience and notice in their relationships. In the second study, 320 people completed a questionnaire assessing the 49 resilience behaviors. Several items were correlated with measures of well-being and quality of life, and results suggested that the domain of resilience items could be reduced to 2 factors: 1 pertaining to positive behavior and the other to negative. In the third study, 18 items were selected to create a new measure of couple resilience, and the measure was tested with a sample of 568 people. The new measure fit an expected 2-dimensional factor structure. Scales measuring positive and negative behavior were nearly orthogonal, but both correlated with measures of quality of life and well-being, and most effects remained significant after controlling for relationship satisfaction. The resilience scales had moderate cross-partner correlations when 2 partners reported on the same stressful event. These results provide preliminary validity evidence for use of the new measure of couple resilience.

View more

The validity of retrospectively reported conflict interactions in couples.

Journal of Family Psychology

2015

This study investigated the extent to which researchers and clinicians can obtain valid retrospective self-reports of couples’ conflict interactions outside a laboratory setting. A distinction was made between relationship attribute variance, regarding a shared perspective of both partners, and informant-specific variance, regarding the unique vantage point of each partner. By examining convergent and divergent associations for each type of variance, this study clarified the risk that responses might be influenced by informant-specific biases related to levels of relationship satisfaction. This study also investigated potential moderators of validity. Participants included both members of 269 married and cohabiting couples (538 individuals) who completed online questionnaires. Results were analyzed using a correlated trait–correlated method minus one model. The total true variance included large components of both shared relationship attribute variance and informant-specific variance. Although the shared component was moderately correlated with relationship satisfaction, the informant-specific component was mostly distinct from satisfaction, suggesting minimal bias. Convergent correlations between partners were strong and mostly unrelated to potential moderating variables, albeit slightly smaller than reported in studies conducted in laboratory settings. The results generally support the validity for retrospective self-reports of conflict interactions, especially when reports are obtained from both members of a couple.

View more

Two types of disengagement during couples' conflicts: withdrawal and passive immobility

Psychological Assessment

2015

A series of 3 studies using nonclinical samples investigated validity associated with the Conflict Disengagement Inventory (CDI), a questionnaire developed to measure passive immobility and withdrawal as context-specific forms of disengagement in couples' conflicts. In the first study, 2,588 married participants completed the CDI, and an expected 2-dimensional factor structure was confirmed. Additionally, results demonstrated measurement invariance across racial/ethnic and gender groups. In the second study, 223 adults in committed romantic relationships completed the CDI along with measures of attachment, emotion, underlying concerns, withdrawal, relationship expectations, relationship satisfaction, and communication behavior. Although the disengagement scales were moderately correlated, the results provided consistent evidence of convergent and divergent validity. In the third study, a sample of 135 undergraduate students in romantic relationships completed the CDI and measures of emotion on up to 5 separate assessment sessions, with sessions spaced at least 2 weeks apart. Analyses of within-person effects using hierarchical linear modeling provide evidence that the CDI captures meaningful variance at the context-specific level. There was substantial variance within persons across different episodes of conflict and within-person changes in disengagement predicted corresponding within-person changes in emotion.

View more

Show All +
Powered by