often times I am unable to stop or prevent the unsettling aspect from occurring and I wake myself up because I'm scared -Is this cowardly?
First of all, If you're unable to stop these events from happening within a dream while lucid, all the while KNOWING you have the ability to stop these things from carrying on and not confronting them, then yes, I'm afraid so. To me, that is lacking courage and would be considered rather cowardly of you. It wouldn't be any reason to think any less of yourself, as facing fears and things such as you've described is quite hard. I have personal experience with facing fears head on as well, and backing down because I've thought I was unable to overcome it. However, that being said, If you are not lucid and it is not your 'concious' decision to wake up and get away from the aspect which is disturbing you, then that's quite alright, I get that. It is a habit, and it's even whittled into our human nature to try and escape a disturbing happening, it's 100% natural. It can be considered cowardly, yes, but I believe that if you were capable of defending yourself from these things, and fully equipped mentally, you would give it your best shot. At least, I hope you would. That would be showing a massive amount of courage, As that would be the only way to truly get face-to-face with these dreams, and put and end to them.
Does anyone have advice on how to cope with these dreams?
I do, and I'm sure many others here at DV would too. Hearing "Dreams aren't real" over and over does get a little annoying, but you should be able to agree with that. As it's fact. Dreams aren't real here in the waking world. However, their psychological effects are. Those are extremely prevalent and real. For example, The mental impact from a dream where someone is being slaughtered in front of a person *should* at the very least, leave something like 50% of the mental impact on that person as if they had experienced it in their waking life. It's disturbing even once they wake up and realize it was only a dream, and it may even impact them for the rest of their life to some extent, just as it may if they had seen it in real life. They may not have truly seen a life being taken in front of them, which is a little more intense within real life than within a dream, however you are still able to take the same thoughts and feelings away from the experience if even a little dulled. Removing ourselves from that rather gruesome example though, there's a couple ways to 'cope' with these dreams I can mention - if not completely get rid of them.
I think it quite smart of you that since you have prior experience with lucid dreaming, you've tried to use these dreams to your advantage, incorporate and recognize the signs within them - Using these as a tool to in-turn gain lucidity. Although doing this is very tactile and smart, it seems rather futile to me if you are not then using that lucidity to your advantage. You MUST begin to even just try and confront these things when they happen. For instance, If your dream sign works whilst getting some bad dental work again, making you lucid, stop the dentist in his tracks. Say to him something like: "Where in the hell did you learn this trade?? You suck, this is the worst dental work I've ever received! Would you like me to show you how it feels?". Doing something like that, or even trying to do something like that, would be giving you some experience with controlling these dreams and heading them into a new, better direction. Now, with that certain example it could lead to you getting a little malicious with your dentist.. so try to refrain from becoming the bad guy . In any case though, there's always going to be a way that you can turn a bad situation into at the very least; a tolerable one.
I also suggest this to just about everyone for various reasons.. meditation. Everyone has some level of stress, and while having a low level of stress can actually be beneficial to some people, ridding yourself of all stresses before you go to bed is always a good idea, especially with those who have stress in abundance, as that is very unhealthy physically and mentally. There's many techniques you can use, some of which will work better than others, but every single one is going to release you of your stress, and cleans your mind of worries if applied correctly. You should be going to bed with a clear mind, not worrying about having another dream that's going to unsettle you. This IMO would be the best way of going about acting against these dreams.
Do you think stress could be the (at least main) cause, or do you think it's something else- what are other factors of long term bad dreams?
Now I can't state facts as to what are all the factors of long term bad dreams, but I will say with confidence that fear, and stress due to fear is going to almost always produce long term bad dreams. Combined with overall stress from school, family, and other relationships/aspects of reality too, one's subconscious will become quite clouded with many different thoughts, procrastinations and will tend to adopt a cloudy, dark nature to it. This in-turn produces some pretty obscure and unwanted dreams for us to experience. There's not much you can immediately do to rid yourself of your daily stresses on the spot. However like said above, Meditation can become a great tool of yours. Also, if at all possible, don't strain yourself, but see if you can get a little ahead with your studies. It sucks to be JUST making deadlines, skimming by on a little luck since you're overwhelmed with everything else. This produces a lot of stress for me, so as a combatant I work ahead. I get a great deal of relaxation in the fact that if I wanted to slack a little, I could totally do it and still be making deadlines. Also if you don't do this already, try to laugh! Find humour where ever possible, even if it's a little retarded, lol. Laughing and having fun is a great way to give yourself at the very least a little relaxation and prolonged happiness in the back of your mind.
I would love to continue and extend this post even further, but it's getting rather long, and rather late for me too. So, as a quick response to your last couple questions I'll have to say that; Very long term dreams usually aren't THAT typical, at least in my experiences. Usually people will be able to rid themselves of them within a few months or so, but that's only because acting quick is how they were able to do it. For me too, I was only able to rid myself of my unwanted dreaming patterns because I acted quickly, I altered my state of mind and acted against them rather than letting them have a huge negative impact on me.
Anyways, a wall of text for you.. in return for yours for the readers 
I hope this helps at least a little!
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