Abstract Aim of the study: This study aimed to evaluate the psychological level of future anxiety and its relationship with body image and self-concept among adolescents with burn injury at Sohage City. Patients and methods: Design: A Cross sectional cohort descriptive study. Setting: This study was conducted in the burn care unit of faculty of medicine, Sohag University. Sample: A convenient sample of 90 patients with different degrees of burn injury with age range of 12 -18 years old. Tools: A Questionnaire sheet containing socio-demographic data and characteristics of the burn injury including site and cause. Tool II: The 3 main scales of this study were designed by the researchers depending on the related published scales with the required modifications. Results: There were high level of anxiety regarding future (137.01 ± 23.72 representing 78.28% of the total score), high level of dissatisfaction regarding body image (80.63 ± 12.27 representing 83.98% of the total score) and high level of disturbance of the self-concept among adolescents with burn injury was (72.31 ± 6.10 representing 77.75% of the total score). There was positive correlation between anxiety regarding the future and both body image dissatisfaction and disturbed self-concept among adolescents with burn injury. Conclusion: adolescents with burn injury showed higher levels of body image dissatisfaction due to burn injury that resulted in disturbed self-concept which led to higher levels of anxiety concerning the future. These psychosocial changes correlated positively with age of the adolescents and their levels of education. Key Word: Adolescents, Burn Injury, Future anxiety, Body image, Self-concept, Scales