Compared to control youth (dashed Purple Line), as a group, post-institutionalized youth (Orange Line) demonstrated hyper-arousal of HOMEDAY morning cortisol levels. However, HOMEDAY morning cortisol levels were lower for post-institutionalized youth who experienced the most severe neglect of physical needs (Blue Line; represents those who endorsed 3 on a 0–3 scale). The y-axis of Predicted Cortisol reflects Empirical Bayes estimates of cortisol levels extracted from the HLM analysis. Note: Similar, but slightly weaker, effects were identified upon conducting parallel analyses examining Neglect of Basic Social Needs.