Sexual Abuse Disertai Kehamilan Tidak Direncanakan atau Dikehendaki pada Remaja dengan Intellectual Disability: Sebuah Laporan Kasus

I Made Darmayasa(1*), Tri Oktin Windha Daniaty(2), AA Sri Wahyuni(3)

(1) Obstetric Gynecology Social Division, Department of Obstetrics & Gynecology, Faculty of Medicine Udayana University/ Sanglah Hospital Bali
(2) Faculty of Medicine Udayana University/ Sanglah Hospital Bali
(3) Faculty of Medicine Udayana University/ Sanglah Hospital Bali
(*) Corresponding Author



Background: Intellectual Disability in adolescents is prone to physical, mental, and sexual violence. Intellectual and adaptive disabilities make adolescents with intellectual disabilities unable to avoid environmental behavior including sexual abuse. Methods: A case report of a 12-year-old teenager with an Intellectual Disability who became pregnant as a result of sexual abuse by an unknown person. On the way, she had an abortion. Results: On examination, it was found that a 12-year-old teenager with mild mental retardation, without education, came from an incomplete family with very poor socioeconomic status. The diagnosis was confirmed by a multiaxial approach and concluded that adolescents with mild mental retardation have significant behavioral impairment and require attention or therapy (F70.1). Patients are also submissive and quiet with ego defense mechanisms that regression, and have problems with mental and intellectual development. Multidisciplinary management was carried out involving the social and medical departments.

Summary: Patients with Intellectual Disabilities, especially adolescents, require special attention and a multidisciplinary, and comprehensive approach, starting from prevention, as well as in carrying out treatment.


Keywords: Sexual abuse, adolescents, Intellectual Disability, unwanted/unplanned pregnancy, abortion.

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  1. Kelen, M. P., & Pasaribu, J. (2018). Dukungan keluarga dan masyarakat terhadap konsep diri siswa tunagrahita. Jurnal Perawat Indonesia, 2(2), 83-92.
  2. Ramayumi, R., Nurdin, A. E., & Nurhajjah, S. (2015). Karakteristik penderita retardasi mental di SLB Kota Bukittinggi. Majalah Kedokteran Andalas, 37(3), 181-186.
  3. Medina-Rico, M., López-Ramos, H., & Quiñonez, A. (2018). Sexuality in people with intellectual disability: Review of literature. Sexuality and disability, 36(3), 231-248.
  4. Wissink, I. B., Van Vugt, E., Moonen, X., Stams, G. J. J., & Hendriks, J. (2015). Sexual abuse involving children with an intellectual disability (ID): A narrative review. Research in developmental disabilities, 36, 20-35.
  5. Pusdatin tahun 2014, Batasan usia remaja
  6. Oates, M. (1996). Psychiatric services for women following childbirth. International review of psychiatry, 8(1), 87-98.
  7. American Psychiatric Association, (2013). Diagnostic And Stastitical Manual Of Mental Disorder. 5th ed. London: American Psychiatric Association.
  8. Rapee, R. M., Oar, E. L., Johnco, C. J., Forbes, M. K., Fardouly, J., Magson, N. R., & Richardson, C. E. (2019). Adolescent development and risk for the onset of social-emotional disorders: A review and conceptual model. Behaviour research and therapy, 123, 103501.
  9. Katz, Gregorio; Lazcano-Ponce, Eduardo Intellectual disability: definition, etiological factors, classification, diagnosis, treatment and prognosis Salud Pública de México, vol. 50, núm. Su2, 2008, pp. 132-141
  10. Patel, D. R., Apple, R., Kanungo, S., & Akkal, A. (2018). Intellectual disability: definitions, evaluation and principles of treatment. Pediatric Medicine, 1(11), 10-21037.
  11. Brown, A., & Finkelhor, D. (1986). Impact of Child Sexual Abuse. A Review of the Research. Psychological Bulletin.
  12. Departemen Kesehatan Indonesia. WHO. (1993). Pedoman penggolongan dan diagnosis gangguan jiwa di Indonesia III (PPDGJ III). WHO, 3.
  13. Maramis, W.F., A. A. M. (2009). Catatan Ilmu Kedokteran Jiwa (Edisi 2). Surabaya: Airlangga University.
  14. Newberger, C. M., & Newberger, E. H. (1982). Prevention of child abuse: Theory, myth, practice. Journal of Preventive Psychiatry, 1(4), 442–451.
  15. Engel, S. G., Boseck, J. J., Crosby, R. D., Wonderlich, S. A., Mitchell, J. E., Smyth, J., ... & Steiger, H. (2007). The relationship of momentary anger and impulsivity to bulimic behavior. Behaviour research and therapy, 45(3), 437-447.


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