The most important difficulty in using depression assessment measures with older adults is that most measures havebeen developed on younger individuals and they include items assessing

a. physical symptoms.

b. sexual behavior.

c. substance use.

d. family relationships

a. physical symptoms

Explanation:

Depression assessment measures refer to methods, procedures and processes used in diagnosing depression in patients.

Depression assessment measures may be difficult when applied to older adults as most of the methods were developed with younger adults and physical symptoms were considered which present problems as there are notable differences in physical features of older adults and younger adults.