Tunnel-interchange sections are characterized by complex driving tasks and frequent traffic conflicts, posing substantial challenges to overall safety and efficiency. Enhancing safety in these areas is crucial for the sustainability of traffic systems. This study applies behavior adaptation theory as an integrated framework to examine the impact of environmental stimuli on driving behavior and conflict risk in small-spaced sections. Through driving simulation, 19 observation indicators are collected, covering eye-tracking, heart rate, subjective workload, driving performance, and conflict risk. The analysis, using single-factor ranking (Shapley Additive Explanation), interaction effects (dependence plots), and multi-factor analysis (Structural Equation Modeling), demonstrates that driving workload and performance dominate the fully mediating effects between external factors and conflict risk. High-load environmental stimuli, such as narrow spacing (≤500 m) and overloaded signage information (>6 units), significantly elevate drivers’ stress responses and impair visual acuity, thereby increasing task difficulty and conflict risk. Critical factors like saccade size, heart rate variability, lane deviation, and headway distance emerge as vital indicators for monitoring and supporting driving decisions. These findings provide valuable insights for the operational management of small-spacing sections and enhance the understanding of driving safety in these areas from a human factor perspective.